Team Lead- AR follow up/denial management-US healthcare

October 14, 2024

Team Leader– RCM – AR Denial Management

Neolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide. We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations.

Work with a company where your work can make a real impact!

We are a boutique company respected and by our clients providing no-nonsense advice on key issues that impact them.

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Working at Neolytix

At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun!

Complimentary Medical Coverage for your Family
Retirements Savings Plan
Life & Disability Insurance
Participate in the Neolytix Pixel Workplace Rewards Program
Work with diverse team members across countries & cultures
Participate in Clubs based on your hobbies and share your passion with like minded community of colleagues
Fast Track your growth by participating in the Neolytix Business Incubation Program
Reduce carbon footprint – No office commute required.

Who are we looking for?

As a Team Manager for the Claims Denial Management Process within our Revenue Cycle Management department, you will lead a team of denial management specialists responsible for analyzing and resolving claim denials to maximize revenue and minimize revenue leakage. This role plays a pivotal part in ensuring efficient and effective denial resolution, improving cash flow, and optimizing the revenue cycle.

Work from Home Position/ Fully Remote (Must meet WFH requirements of quite space and reliable infrastructure)
1 to 5 years experience as a Team Lead
Highly Organized
Superior Moral Compass and Work Ethics
Operations Management – You excel at aligning client requirements into daily KPI’s that drive operations excellence
People Coach – Motivate and inspire your team to excel
Payment Posting SME – Can provide guidance to the team on difficult cases
Analytical & Problem Solving skills
Can Communicate with & Present to Clients
Proficiency in medical coding systems (e.g., CPT, ICD-10, HCPCS).
Strong knowledge of healthcare billing and reimbursement processes.
Proficient in using healthcare information systems and billing software.
Ability to analyze data and generate reports.
Demonstrated problem-solving and process improvement skills.
Certification in medical coding (e.g., CPC) is a plus.

Key Responsibilities:

Team Leadership:
Lead and supervise a team of payment posting specialists.
Set clear performance expectations and provide regular feedback and coaching.
Foster a positive and collaborative team environment.
Manage workload distribution and ensure equitable work allocation.
Denial Management:
Oversee the analysis and resolution of claim denials, including payer and provider-side discrepancies.
Develop and implement strategies to reduce denial rates and increase reimbursement.
Collaborate with other departments to address root causes of denials and prevent recurrence.
Monitor and manage denial aging, ensuring timely resolution.
Quality Assurance:
Implement and maintain quality control measures to reduce errors in charge entry.
Conduct regular audits of charge entries to identify and address discrepancies.
Provide training and guidance to team members on coding and documentation requirements.
Performance Reporting:
Generate and analyze reports related to Denials productivity and accuracy.
Analyze denials to build effective strategies to maximize revenue
Develop and track key performance indicators (KPIs) for the team.
Provide regular performance updates to the Revenue Cycle Manager.
Process Improvement:
Identify opportunities for process improvement and workflow optimization.
Collaborate with cross-functional teams to implement process enhancements.
Stay up-to-date with industry trends and regulatory changes affecting charge entry.
Compliance:
Ensure that charge entry practices adhere to all relevant healthcare regulations, including HIPAA.
Stay informed about changes in coding and billing regulations and communicate updates to the team.

Neolytix is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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