Revenue Lead, ROPS
Core
Oversee end-to-end medical claims operations, manage accounts receivable, and drive cash collection results in a fast-paced project environment.
Role type
Healthcare revenue cycle management lead
Builds
Medical claims processing workflows and AR collection strategies
Domain
Healthcare / Insurance Claims
Required skills
Healthcare reimbursement knowledge, Revenue cycle management, Key metrics analysis, Action plan development, Team training, Quality assurance reviews, Claim appeal approval, AR management, Regulatory compliance (ESRD/Medicare), MS Excel proficiency
Preferred skills
Leadership in high-paced environments, Problem-solving, HIPAA compliance adherence
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