- Lead and manage a team of RCM specialists to meet productivity, quality, and SLA targets.
- Oversee daily operations for Charge Capture, AR followup, Eligibility Verification, CDI, and UM/UR workflows.
- Review documentation and charges to ensure accuracy and timely posting.
- Monitor AR aging, payer responses, denials, and follow-up workflows to optimize collections.
- Ensure accurate insurance verification, benefit checks, and authorization review.
- Support CDI activities by validating documentation completeness and coordinating provider queries.
- Prepare and present operational reports, highlight trends, and drive continuous improvement.
- Ensure compliance with HIPAA, payer guidelines, and internal quality standards.
- Mentor team members and support skill development and cross-training.
- Facilitate daily huddles, manage task assignments, ensure equitable workload distribution, and support real-time operational needs.
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JOB QUALIFICATION: · TEAM SUPERVISION AND LEADERSHIP · INVENTORY AND STOCK MANAGEMENT · OPERATIONS AND WORKFLOW CONTROL · SAFETY AND COMPLIANCE · TRAINING AND PERFORMANCE MONITORING · ...
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Team Leader - Muntinlupa City - Coforge
Paglalarawan
Role: Team Leader (RCM - Healthcare Insurance)
Experience: 3–6 years of hands-on RCM experience with strong understanding of multiple RCM domains & minimum 2 year in a team-lead or mentoring capacity
Skills: Strong understanding of US healthcare RCM, payer rules, and documentation standards
Location: Muntinlupa, Philippines
We at Coforge are hiring Team Leader (RCM - Healthcare Insurance) with the following skillset:
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