01Overview
Location:
Mohali / Jaipur
Department:
Revenue Cycle Management (RCM) DME Billing
Experience:
710 Years
Position Summary
We are seeking an experienced and results-driven
Team Lead DME Billing
to lead a team of billing and revenue cycle professionals supporting US Healthcare clients. The role will be responsible for managing day-to-day DME billing operations, ensuring productivity, quality, compliance, and revenue optimization while driving operational excellence.
The ideal candidate should possess strong expertise in DME Billing, Medicare/Medicaid guidelines, Commercial Insurance billing, AR Management, Denials Management, and Team Leadership.
Key Responsibilities
Operations Management
Manage and supervise a team of 2530 billing professionals.
Monitor daily billing, claims processing, payment posting, AR follow-up, and denial management activities.
Ensure achievement of productivity, quality, and SLA targets.
Drive revenue realization through effective claims management and AR recovery.
Review operational reports and implement corrective actions to improve performance.
Team Leadership
Conduct regular team huddles and performance reviews.
Coach and mentor team members to improve productivity and quality.
Identify training needs and coordinate learning interventions.
Manage attendance, scheduling, workforce allocation, and leave planning.
Build a high-performance and engagement-focused team culture.
Quality & Compliance
Ensure compliance with Medicare, Medicaid, HIPAA, and payer-specific guidelines.
Conduct regular audits to monitor billing accuracy.
Minimize billing errors, rejections, and denials.
Support process improvement and standardization initiatives.
Client & Stakeholder Management
Support leadership with client reporting and operational reviews.
Provide updates on KPI performance, risks, and action plans.
Collaborate with Quality, Training, HR, and Reporting teams for business objectives.
Continuous Improvement
Identify process gaps and recommend automation opportunities.
Implement best practices to improve operational efficiency.
Drive Lean and Six Sigma initiatives where applicable.
Educational Qualification
Graduate in any discipline
Preferred: MBA / Healthcare Management certification
Relevant certifications in Healthcare RCM will be an added advantage
Desired Candidate Profile
710 years of experience in US Healthcare RCM/DME Billing.
Minimum 2 years of experience as a Team Lead or Subject Matter Expert handling teams.
Strong understanding of DME billing workflows and payer guidelines.
Experience handling teams of 25+ FTEs.
Excellent communication and stakeholder management skills.
Ability to work in a fast-paced and performance-driven environment. .