Assistant Team Lead / Team Lead – Billing

Confidencial (Apenas para Cadastrados) provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At Confidencial (Apenas para Cadastrados), day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.

HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka since 2018 and was adjudged one of the 40 Best Workplaces in Sri Lanka by Great Place to Work® Sri Lanka in 2021. We are also a participant of the United Nations Global Compact.

We are looking for Assistant Team Lead / Team Lead – Billing to join our team. Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job.

Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.

Job Vacancy:
Assistant Team Lead / Team Lead – Billing

Work Week:
Monday to Friday

Shift Window:
8:00 AM – 5:00 PM SLST (Day Shift)

Important: Confidencial (Apenas para Cadastrados) currently operates under a hybrid work arrangement, with the number of remote workdays varying by team. However, depending on client deliverables and business needs, employees may be required to work on-site for all five weekdays.

By applying, you acknowledge and agree to be available for in-person work five days a week if required.

Other Features:
Full-time
US calendar applicable

Responsibilities:

• Ensure and plan effective ways of managing the volume, accordingly in terms of the availability of volume and any additional agents are benched or moved to QA function etc.
• Monitor unbilled, rejections, claim scrubbers in respective PMS’s daily basis and provide feedback to the team as appropriate to bill out clean claims.
• Maintain expected turnaround time of respective clients.
• Discuss on effective FTE planning, Allocation, Utilization and measure quality and quantity of the assigned work.
• Ensure accurate reconciliation of the daily production numbers.
• Ensure to respond back to internal e-mails within the shift time, and for External e-mails to be responded within the client TAT.
• Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPPA and ISO standards.
• Daily and weekly assigned reports to be shared within the given timelines.
• Ensure SOPs (Standard operational procedures) are developed according to the required standard and requirement and monitor consistency and timely updates and share with MO for final approval.
• Conduct random QA on a percentage decided by the management.
• Ensure QA batch submission is done on a daily basis.
• Support in conducting employee evaluations according to the set time frames and in an objective manner.
• Conduct On the Job Training (OJT) to team members when necessary.
• Conduct or allocate personnel to train newcomers on the job specific functions.

Qualifications/Criteria:

• Bachelor’s degree in finance, Healthcare, Business, or related field.
• At least 5 to 6 years RCM experience with 1 year in Medical Billing in Allergy specialty.
• In-depth knowledge of IMS and AMD Systems.
• Passion for solving problems.
• Ability to work with MS Office package.
• Good written and verbal communication skills.
• Ability to work under pressure.
• Tenacity.