Team Lead Operation ( Medical Billing)

Company Overview: Meds Nexus PVT. Ltd. is a leading organization in the medical billing and healthcare industry. We are dedicated to providing exceptional services to our clients, ensuring efficiency, accuracy, and compliance across all aspects of medical billing and Revenue Cycle Management (RCM).

Job Title: Team Lead – RCM Operations (Part-B)

The Team Lead – RCM Operations (Part-B) is responsible for supervising and coordinating the day-to-day activities of the Revenue Cycle Management team supporting physician and outpatient (Medicare Part-B) practices. The Team Lead will ensure timely and accurate completion of billing tasks, monitor team performance, support issue resolution, and maintain high-quality service delivery to clients.

The role requires strong knowledge of the complete RCM lifecycle, including charge entry, claims submission, payment posting, denial management, accounts receivable (A/R) follow-up, and reimbursement management. The Team Lead will work closely with Assistant Managers, Managers, and client representatives to ensure operational targets and service-level requirements are consistently achieved.

Key Responsibilities • Lead and supervise a team of Medical Billing Associates. • Assign daily workloads and ensure timely completion of assigned RCM tasks. • Oversee medical billing activities including charge entry, claims submission, payment posting, denial management, A/R follow-up, and reimbursement management. • Monitor daily team productivity, quality, attendance, and performance. • Conduct daily huddles and provide operational updates to management. • Review team work for accuracy, compliance, and adherence to departmental SOPs. • Identify billing issues and coordinate with management for timely resolution. • Communicate with clients and healthcare providers regarding routine billing and operational matters when required. • Monitor claim status, outstanding A/R, denials, rejections, and payer-related issues. • Ensure appropriate follow-up on unpaid and denied claims to maximize reimbursement. • Prepare and maintain daily, weekly, and monthly operational reports using Excel and other reporting tools. • Track team KPIs and take corrective action where performance falls below expectations. • Coach, train, and mentor team members to improve productivity, quality, and process knowledge. • Support performance evaluations and provide recommendations regarding employee development. • Ensure all billing activities comply with payer guidelines, HIPAA requirements, federal regulations, and company policies. • Identify process gaps and recommend improvements to increase operational efficiency. • Coordinate with coding, credentialing, payment posting, and other RCM teams as needed. • Escalate complex payer, client, or operational issues to the Assistant Manager or Manager. • Assist management in implementing new processes, systems, and client requirements. • Maintain professional communication with internal teams, clients, and healthcare providers.

Required Knowledge & Skills • Strong knowledge of U.S. Healthcare Revenue Cycle Management (RCM). • Working knowledge of Medicare Part-B billing and commercial payer guidelines. • Understanding of the complete claim lifecycle. • Strong knowledge of denial management and A/R follow-up strategies. • Experience with medical billing and reimbursement processes. • Strong team leadership and people-management skills. • Excellent communication and problem-solving abilities. • Strong analytical and reporting skills. • Proficiency in Microsoft Excel and operational reporting. • Ability to manage workload, priorities, and deadlines effectively. • Strong conflict-management and decision-making skills. • Ability to work independently and in a team-oriented environment. • Strong understanding of process management and quality control.

Preferred Software • eClinicalWorks (eCW) • NextGen • AdvancedMD • Valant • Office Ally

Preferred Specialties • ENT & Allergy • Mental Health • Therapy Services

Certifications

CPC, CPB, CPPM, or other AAPC/AHIMA certifications are a plus.

Job Details • Industry: Medical Billing • Functional Area: Operations / RCM • Position: Team Lead – RCM Operations (Part-B) • Total Positions: 1 • Job Shift: Night • Job Type: Full Time/Permanent • Job Location: Islamabad / Rawalpindi, Pakistan • Gender: Female/Male • Minimum Education: Bachelor's Degree • Degree Title: BBA/MBA/BSCS/BS/M.Sc/MS or related field • Career Level: Team Lead / Senior Executive • Minimum Experience: 3+ years of experience in U.S. Healthcare RCM, with at least 1 year in a Team Lead or supervisory role • Compensation: Market-competitive

Office Location

Office #1, 5th Floor, Gold Mark Plaza, Asghar Mall Road, Asghar Mall Scheme, Rawalpindi, Punjab 46000

Job Timing

05:30 PM to 02:30 AM

Application Question(s): • How much experiance do you have as an Team Lead Operation? • What is your current salary? • What is your expected salary? • Do you have to serve any notice period? If yes, How much it would be? • Our office is located at Asghar Mall, Murree Road, Rawalpindi and it's a night shift job. Will it be feasible for you to commute?

Work Location: In person