RCM Team Lead - DME Billing: Adjustments/Refunds

Brightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD).

When you work at Brightree, it’s more than just a job. You’ll be part of a team that’s driving innovation and leading the way in cloud-based patient management software. 

The technology allows us to provide the tools for better outcomes but at our heart, we’re really about people. We strive to positively impact our customers’ businesses and the lives of patients every single day.

This position reports directly to the Manager of RCM Adjustments/Refunds and is responsible for supervising the day-to-day functions of the adjustments, write-offs, and refund team to achieve optimal results for our clients while ensuring compliance with payor requirements and RCM policies and procedures. Responsible to update current policies/ procedures needed for improved compliance and financial results. 

Let's talk about Responsibilities:

• Provide leadership, communication, and motivation, while supervising the day-to-day functions of the Revenue Cycle team

• Ensure adherence to objectives, operating policies and procedures, and strategic action plans by aligning goals around business plans

• Responsible for training and monitoring productivity of Revenue Cycle procedures to ensure tasks are completed within SLA

• Act as a change agent while initiating various projects with the view of leading and guiding the organization towards a robust future

• Oversee performance management and development of team members; coaching staff and assuring output levels are achieved with minimal errors.

• Implement and ensure adherence to operating policies and procedures established, including government and state regulations

• Prepare and submit reports to stakeholders as needed

• Manages cases and ensures timely and accurate responses to the client and/or functional departments and leaders

• Communicate updates to RCM Manager/Director

Let's talk about Qualifications and Experience:

• Bachelor’s degree preferred; however, will consider equivalent job experience

• Minimum of 2 years’ experience related to health care revenue cycle management, preferably in the HME/DME industry.

• Knowledgeable of Medicare, Medicaid and Private Insurance billing and documentation guidelines

• Robust supervisory competencies in the areas of leadership and team development; including coaching, mentoring and situational assessment skills.

• Experience developing high-performing teams in the day-to-day functions of billing, collections, or customer service

• Broad knowledge of federal and state requirements relating to healthcare management

• Proficiency with Brightree, Microsoft Office, and database software.

• Strong ethics and a high level of personal and professional integrity

• Customer service orientation

• Excellent problem-solving skills focused on identifying and implementing solutions for customers

• Effective communication skills with strong oral, written, and persuasive abilities to work with people at all levels in the organization

• Exceptional organizational skills with a high level of attention to detail and the ability to multitask

• Results-driven, self-starter who is highly motivated and able to troubleshoot challenges on the fly

• Proven track record of working towards and exceeding metrics

We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment,