Team Lead - RCM - QA - SME Job Description Template
The Team Lead - RCM - QA - SME is responsible for supervising the quality assurance operations in the Revenue Cycle Management (RCM) team. This position focuses on ensuring process compliance, accuracy, and efficiency while providing leadership and expertise to the QA team members.
Responsibilities
- Lead the QA team within the RCM department.
- Develop and implement quality assurance standards and procedures.
- Monitor and evaluate the accuracy of billing and claims processes.
- Ensure compliance with all relevant regulations and standards.
- Mentor and provide training to QA team members.
- Coordinate with other departments to improve overall process quality.
- Analyze data to identify areas for improvement.
- Prepare and present reports on quality metrics.
Qualifications
- Bachelor's degree in healthcare administration, business, or a related field.
- 5+ years of experience in Revenue Cycle Management (RCM).
- 3+ years of experience in a quality assurance role.
- Proven leadership experience and team management skills.
- In-depth knowledge of billing and claims processes.
Skills
- Quality Assurance
- Healthcare Billing
- Team Leadership
- Data Analysis
- Process Improvement
- Regulatory Compliance
- Microsoft Office
- Detail-Oriented
Frequently Asked Questions
A Team Lead in Revenue Cycle Management (RCM) for Quality Assurance (QA) and Subject Matter Expert (SME) oversees a team to ensure high standards in healthcare billing and collections. They ensure processes comply with regulations, mentor team members, and implement improvements for efficient claims processing and payment collection.
To become a Team Lead in RCM - QA as an SME, one should have a strong background in healthcare administration, RCM processes, and quality assurance. Typically, candidates have a bachelor's degree in business or healthcare management, along with 5-7 years of relevant experience. Leadership experience and specialized certifications, like CPC or CPAR, can enhance eligibility.
The average salary for a Team Lead in RCM - QA - SME varies based on experience, location, and the size of the organization. However, it generally falls within a competitive range typical for leadership roles in healthcare administration, potentially offering additional benefits like bonuses, healthcare coverage, and retirement plans.
To qualify for a Team Lead position in RCM - QA as an SME, candidates typically need a bachelor's degree in healthcare management, business administration, or related fields. Extensive experience in RCM, quality control processes, and leadership is crucial. Certifications such as Certified Professional Coder (CPC) add significant value.
A Team Lead in RCM - QA - SME needs strong analytical skills, attention to detail, and proficiency in healthcare compliance regulations. They are responsible for guiding QA teams, ensuring RCM processes are efficient, identifying improvements, and staying updated with industry practices. Leadership, communication, and problem-solving skills are essential.