Team Leader - AR/Denail Management

4.7 ⭐ on Google and 4.2 ⭐ on Glassdoor with 80% of approval rating! 

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: 

1. Team Leadership: 

1. Lead and supervise a team of payment posting specialists. 

2. Set clear performance expectations and provide regular feedback and coaching. 

3. Foster a positive and collaborative team environment. 

4. Manage workload distribution and ensure equitable work allocation. 

2. Denial Management: 

1. Oversee the analysis and resolution of claim denials, including payer and provider-side discrepancies. 

2. Develop and implement strategies to reduce denial rates and increase reimbursement. 

3. Collaborate with other departments to address root causes of denials and prevent recurrence. 

4. Monitor and manage denial aging, ensuring timely resolution. 

3. Quality Assurance: 

1. Implement and maintain quality control measures to reduce errors in charge entry. 

2. Conduct regular audits of charge entries to identify and address discrepancies. 

3. Provide training and guidance to team members on coding and documentation requirements. 

4. Performance Reporting: 

1. Generate and analyze reports related to Denials productivity and accuracy. 

2. Analyze denials to build effective strategies to maximize revenue 

3. Develop and track key performance indicators (KPIs) for the team. 

4. Provide regular performance updates to the Revenue Cycle Manager. 

5. Process Improvement: 

1. Identify opportunities for process improvement and workflow optimization. 

2. Collaborate with cross-functional teams to implement process enhancements. 

3. Stay up-to-date with industry trends and regulatory changes affecting charge entry. 

6. Compliance: 

1. Ensure that charge entry practices adhere to all relevant healthcare regulations, including HIPAA. 

2. Stay informed about changes in coding and billing regulations and communicate updates to the team.