07 Aug
|
Ascent Business Solutions
|
Nagpur
07 Aug
Ascent Business Solutions
Nagpur
Role & responsibilities
Job Title
Team Lead Payment Posting (US Healthcare Revenue Cycle Management)
Department
Revenue Cycle Management (RCM) Payment Posting
Reports To
Operations Manager / Assistant Manager RCM
Job Summary
The Team Lead – Payment Posting is responsible for managing the daily operations of the Payment Posting team within the US Healthcare Revenue Cycle Management process. The role involves leading a team of payment posting associates, ensuring accurate and timely posting of insurance and patient payments, resolving posting-related issues, maintaining productivity and quality standards, and supporting continuous process improvement. The Team Lead acts as a subject matter expert (SME), mentor, and primary point of contact for operational escalations.
Key Responsibilities
Team Management
- Lead, mentor, and motivate a team of Payment Posting Specialists.
- Monitor daily work allocation and ensure timely completion of assigned tasks.
- Conduct team huddles, one-on-one meetings, and performance reviews.
- Provide coaching, feedback, and training to improve team performance.
- Support onboarding and cross-training of new employees.
Payment Posting Operations
- Ensure accurate posting of EFTs, ERA, EOB, checks, credit card, and patient payments.
- Monitor payment posting turnaround time (TAT) and productivity.
- Verify payment accuracy based on payer contracts and reimbursement guidelines.
- Handle payment exceptions, adjustments, refunds, recoupments, and reversals.
- Ensure reconciliation between posted payments and bank deposits.
- Coordinate with Cash Posting, Accounts Receivable (AR), Denials, and Billing teams to resolve discrepancies.
Quality & Compliance
- Ensure compliance with HIPAA regulations and client-specific policies.
- Monitor quality scores and conduct regular quality audits.
- Identify posting errors and implement corrective and preventive actions.
- Maintain confidentiality of Protected Health Information (PHI).
Reporting & Performance Monitoring
- Track and report daily, weekly, and monthly operational metrics.
- Monitor key performance indicators (KPIs), including:
- Productivity
- Accuracy
- Quality Score
- Turnaround Time (TAT)
- SLA Compliance
- Attendance and Adherence
- Prepare MIS reports and present performance updates to management.
Process Improvement
- Identify opportunities for workflow improvement and automation.
- Participate in client calls and internal operational meetings.
- Support implementation of current payer requirements and process updates.
- Develop and maintain Standard Operating Procedures (SOPs).
Escalation Management
- Resolve payment posting escalations and complex cases.
- Coordinate with clients, internal stakeholders, and cross-functional teams.
- Ensure timely resolution of production issues with minimal business impact.
Required Skills
- Strong knowledge of US Healthcare Revenue Cycle Management.
- Expertise in Payment Posting, ERA/EOB interpretation, and reconciliation.
- Understanding of CPT, ICD-10, HCPCS, and payer guidelines.
- Excellent analytical and problem-solving skills.
- Leadership, coaching, and people management abilities.
- Strong communication and stakeholder management skills.
- Proficiency in Microsoft Excel, Word, and reporting tools.
- Experience with Practice Management (PM) systems and Electronic Health Record (EHR) platforms.
Preferred Qualifications
- Bachelor's degree in any discipline.
- 4–8 years of experience in US Healthcare Medical Billing.
- Minimum 1–2 years of experience in a Team Lead, Team Coach, Group Coordinator, SME, or Specialist role.
- Experience handling multiple clients or business units is preferred.
Key Performance Indicators (KPIs)
- Payment Posting Accuracy 99%
- Productivity as per client SLA
- Quality Score 98%
- Turnaround Time (TAT) Compliance
- Team Utilization and Attendance
- Error Reduction and Rework Percentage
- Client Satisfaction
- Training Effectiveness and Team Development
Leadership Competencies
- Team Leadership
- Coaching and Mentoring
- Decision Making
- Conflict Resolution
- Performance Management
- Process Improvement
- Customer Focus
- Time Management
- Accountability
- Continuous Learning
Preferred candidate profile
📌 Team Lead (Nagpur)
🏢 Ascent Business Solutions
📍 Nagpur