RCM Team Lead
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AI Summary
Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.
What You Will Do
- Support RCM Account Managers with client inquiries and identify areas of improvement.
- Oversee and provide coaching to a multi-disciplinary team of offshore team members.
- Complete complex denials follow-up and appeals and support AR management and payment posting functions.
- Identify, investigate, and resolve unpaid claims.
- Research and resolve payment and adjustment discrepancies.
- Submit claims’ reconsiderations and appeals.
- Research payer policies.
- Resolve patient queries and verify insurance coverage.
- Present reports to Account Managers informing them of offshore KPIs and A/R health status.
- Other tasks as needed.
What it Takes to Join the Family
- Experience in medical billing, accounts receivable, or similar position preferred.
- Offshore management and collaboration experience required.
- Understanding of referrals and pre-authorizations, eligibility and benefits verification, and insurance billing
- Manage critical deadlines and keen attention to detail.
- Task oriented personality with the ability to thrive in a fast-paced, goal-oriented atmosphere.
- Work successfully both on a team and independently.
- Analytical mindset with a problem-solving aptitude
- Ability to escalate concerns to the appropriate person and/or department.
- Communicate and collaborate with Accounts Receivable Specialists, insurance companies, patients, and leadership.
- Proficient in Microsoft Office (Outlook, Excel, Teams)
- Ability to function well in a fast-paced and at times stressful environment.
- Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.
Why Assembly?
- Be part of something special! We are growing both organically and through acquisitions.
- Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
- Ongoing training and development programs
- An environment that values transparency
- Virtual and in-person events to connect with your team.
- Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.
This is a full-time, exempt position reporting to our RCM Account Manager.
Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.
All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.
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