Revenue Lead, ROPS
Core
Lead revenue cycle management and billing operations for a healthcare organization, focusing on payer trends, claim exceptions, and bad debt minimization.
Role type
Senior IC revenue operations lead (healthcare reimbursement)
Builds
Insurance claim submissions, collections, and revenue reconciliation processes
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare reimbursement knowledge, claim appeals management, policy interpretation, data analysis, team training, project management
Preferred skills
Experience in healthcare revenue cycle management, knowledge of ESRD and Medicare Secondary Provider laws
Technologies
MS Excel, MS Word, MS PowerPoint
Responsibilities
Review key metrics to identify trends and develop action plans; resolve billing and claim exceptions to minimize bad debt; train teammates and recommend process improvements; perform close reconciliation approvals and claim adjustments; conduct quality assurance reviews; stay abreast of regulatory changes.
Seniority
Mid-level, hands-on IC