Revenue Lead, ROPS
Core
Oversee end-to-end medical claims operations, manage accounts receivable, and drive cash collection results for a healthcare revenue cycle team.
Role type
Healthcare revenue cycle management lead
Builds
Medical claims processing workflows and AR collection strategies
Domain
Healthcare / Medical Insurance / Revenue Cycle
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare reimbursement knowledge, Revenue cycle management, Key metrics analysis, Action plan development, Team training, Quality assurance reviews, Claim appeal approval, Regulatory compliance (ESRD/Medicare), AR management, Problem solving
Preferred skills
Leadership in fast-paced environments, Policy and procedure improvement, Stakeholder interaction
Technologies
MS Excel, MS Word, MS PowerPoint
Responsibilities
Review weekly and monthly key metrics to identify trends and develop action plans; Train new teammates and identify training opportunities; Recommend changes to collection teams, tools, and policies; Review and approve claim adjustments and appeals; Conduct quality assurance reviews of work output; Manage and lead multiple projects to meet deadlines; Stay abreast of ESRD and Medicare Secondary Provider law changes; Own AR and drive cash results.
Seniority
Mid-level, hands-on IC