Neolytix - Team Lead - Accounts Receivable/Denial Management

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.

- 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 Office Position.

- 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. , 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. , 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.