Team Lead – RCM

CloudRCM Solutions is seeking a highly experienced Team Lead – RCM QA with end-to-end Revenue Cycle Management (RCM) expertise. The ideal candidate will oversee daily operations, audit the work of billing and AR teams, and ensure accuracy, compliance, and quality across all revenue cycle functions. This role focuses on identifying operational errors, revenue leakage, and process gaps while guiding the QA team to maintain high performance standards.

Key Responsibilities

• Conduct daily audits of the operations team, including billing, coding, AR follow-ups, and denial management
• Identify errors, determine root causes, and highlight areas of revenue leakage
• Monitor AR aging, denial trends, and key RCM metrics to ensure optimal performance
• Provide feedback, coaching, and corrective actions to operations team members
• Ensure compliance with SOPs, payer guidelines, and regulatory requirements
• Prepare daily, weekly, and ad hoc QA/audit reports for management
• Lead, mentor, and manage the QA team to ensure consistent quality and performance improvement
• Collaborate with management to recommend process enhancements and operational efficiencies

Requirements

• 6+ years of experience in end-to-end RCM, including billing, AR, and denial management
• Strong QA or audit experience within a medical billing or healthcare RCM environment
• Proven analytical and reporting skills, with the ability to interpret metrics and trends
• Experience managing, mentoring, or guiding a team
• Solid knowledge of payer rules, billing compliance, and revenue cycle best practices
• Experience with multiple medical specialties
• Advanced proficiency in EHR and billing software systems
• Excellent attention to detail, problem-solving abilities, and communication skills

Skills & Competencies

• Audit and compliance expertise
• Denial management and AR analysis
• Team leadership and mentoring
• Process improvement and operational optimization
• Strong reporting, documentation, and communication skills

Job Type: Full-time

Work Location: In person

Expected Start Date: 26/01/2026