Health Business Solutions LLC

As a Recovery Lead in Healthcare Revenue Cycle Management, you will oversee the day-to-day operations of denials analysis, resolution, and prevention, ensuring our clients experience improved revenue capture. 

Key Responsibilities: 

• Service Delivery 
• Supervise a team of denials management specialists, providing guidance, and ensuring adherence to best practices. 
• Analyze denied claims to accurately identify root causes (coding errors, missing authorizations, etc.) and develop corrective action plans. 
• Work collaboratively with clients’ internal teams to address and resolve systematic issues contributing to denials. 
• Monitor and analyze denials trends, using data to develop strategies to improve clean claim rates. 
• Establish and maintain clear denial management processes and procedures to ensure efficient and compliant claim resolution. 

Leadership 

• Provide training, coaching, and feedback to team members to enhance their performance and development. 
• Collaborate with management to identify and address process improvement opportunities within the denials management function. 
• Stay informed on regulatory changes and industry best practices in denials management and share knowledge with the team. 
• Create and maintain detailed reports on denials management activities for clients and internal review. 

Business Development 

• Build a professional network, taking opportunities to share marketing content on platforms such as LinkedIn to build positive brand awareness. 

Culture 

• Foster a positive, collaborative, and results-oriented team environment. 
• Champion a commitment to accuracy, efficiency, and exceptional client service. 

Qualifications: 

• Bachelor’s degree in Healthcare Administration, Business, or related field preferred. 
• Minimum of 3-5 years of experience in healthcare revenue cycle management, with a strong focus on denials analysis and resolution. 
• In-depth knowledge of healthcare coding, billing, and reimbursement regulations. 
• Strong analytical and problem-solving skills. 
• Excellent communication and interpersonal skills, with the ability to work effectively with internal and external stakeholders. 
• Demonstrated ability to lead and motivate a team.