RCM Team Lead - DME Billing: Adjustments/Refunds

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare Technology, SoftwareIndustries

Requirements

Candidates should possess a Bachelor's degree or equivalent job experience, with a minimum of 2 years in healthcare revenue cycle management, preferably in the HME/DME industry. Required knowledge includes Medicare, Medicaid, and private insurance billing and documentation guidelines, along with broad knowledge of federal and state healthcare management requirements. Proficiency in Brightree, Microsoft Office, and database software is essential, as are strong ethics, customer service orientation, excellent problem-solving skills, effective communication abilities, exceptional organizational skills with attention to detail, and a results-driven, self-starter attitude with a proven track record of exceeding metrics.

Responsibilities

The RCM Team Lead will supervise the day-to-day functions of the adjustments, write-offs, and refund team to achieve optimal client results and ensure compliance with payor requirements and RCM policies. Responsibilities include updating policies and procedures for improved compliance and financial results, providing leadership and motivation, ensuring adherence to objectives and operating procedures, training and monitoring team productivity to meet SLAs, acting as a change agent for projects, overseeing performance management and development of team members, implementing and ensuring adherence to operating policies and government regulations, managing cases and ensuring timely responses, and communicating updates to RCM management.

Skills

Revenue Cycle Management

Billing

Adjustments

Refunds

Team Leadership

Training

Performance Management

Compliance

Policy Development

Reporting

Client Communication

Brightseed

AI platform for discovering health-boosting compounds

About Brightseed

Brightseed discovers beneficial compounds in nature that can enhance human health using artificial intelligence. Their Forager® platform identifies bioactive compounds—small molecules from plants and microbes that positively affect biological functions. They also offer Brightseed™ Bio Gut Fiber, which contains bioactives that support gut health. By partnering with companies, Brightseed provides insights into bioactives and their health benefits, aiming to unlock the potential of these compounds.

San Francisco, CaliforniaHeadquarters

2017Year Founded

$123.8MTotal Funding

GRANTCompany Stage

AI & Machine Learning, HealthcareIndustries

51-200Employees

Benefits

Hybrid work flexibility

Medical, dental, & vision

Unlimited PTO

Life insurance

EAP

401(k) plan

Mental health platform

Employee discounts

Cell phone & commuter costs

Parental leave

Risks

Increased competition from established brands like Centrum in the bioactive market.

Over-reliance on partnerships like Manitoba Harvest could limit market reach.

Regulatory scrutiny poses challenges as Brightseed expands in the health and wellness sector.

Differentiation

Brightseed uses AI to discover bioactives, accelerating discovery from years to months.

Forager® A.I. maps bioactives to health outcomes with unprecedented accuracy and speed.

Brightseed's Bio Gut Fiber is made from upcycled hemp hulls, appealing to eco-conscious consumers.

Upsides

Growing consumer interest in personalized nutrition boosts demand for Brightseed's bioactive products.

Rising gut health awareness increases demand for Brightseed's gut health-focused bioactives.

Regulatory support for bioactives in supplements facilitates Brightseed's market expansion.

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