RCM Lead - Front End - Remote

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RCM Lead
- Front End
- Remote

Full-time Regular Remote, Savannah, GA, US

4 days ago Requisition

Summary
Under the direction of the RCM Supervisor
- Front End and/or Revenue Cycle leadership, the RCM Lead
- Front End supports the daily front-end revenue cycle operations for Optim Orthopedics. This role serves as a working lead for patient access, insurance verification, financial clearance, scheduling/check-out support, point-of-service collections, and front-end workflow resolution. The RCM Lead helps monitor daily work queues, supports staff training, escalates workflow barriers, and promotes accurate, timely, and patient-centered service.

Essential Duties and Responsibilities

Front-end Revenue Cycle Operations

Support daily patient access operations, insurance verification, authorizations for surgery/MRI/therapy, claim creation support, scheduling/check-out workflows, and point-of-service collections.

Ensure accurate and complete patient demographic and insurance data entry to reduce claim denials.

Assist authorization and surgery coordination teams with financial clearance follow-up to help ensure established timelines are met.

Support staff in resolving real-time patient issues related to scheduling, insurance, or financial responsibility.

Support patient and insurance refund workflows by ensuring items are routed according to established workflow and compliance expectations.

Provide in person or virtual coverage during staffing gaps, high volume periods, or training transitions.

Revenue Cycle Responsibilities

Identify eligibility issues, authorization gaps, denial trends, and payer issues; elevate trends and recommended solutions to the RCM Supervisor and appropriate team members.

Support front desk and billing staff in resolving patient billing inquiries and claim concerns.

Assist with accuracy of receipt processing, reconciliation support, and monthly or yearly closing activities as directed by leadership.

Ensure compliance with policies, procedures, and regulatory guidelines across all patient access and revenue operations.

Participate in continuous improvement initiatives, including workflow enhancements and system upgrades.

Prepare or assist with weekly productivity, performance, and workflow status reports for supervisor review.

Any other duties as assigned

Must have flexibility with hours as needed for clinic.

Follows proper security procedures at the close of each day to ensure facility safety

Other duties as assigned.

Supervisory Responsibilities

This position has lead responsibilities but does not have formal supervisory authority unless delegated by leadership.

Provide day-to-day workflow guidance, coaching, and training support for front-end and RCM staff to promote productivity, professionalism, and adherence to standard workflows.

Serve as a resource between RCM leadership and front-end staff by escalating issues timely and supporting follow-through on resolutions.

Monitor daily production, work queues, and patient volume indicators; elevate workflow delays, staffing barriers, or anomalies.

Assist with training, onboarding, and support for new recruits and trainees.

Assist leadership with front desk and RCM staff coverage plans to help ensure adequate coverage at all locations.

Act as a point of contact for workflow questions and immediate escalations in the absence of the RCM Supervisor or department leadership.

Competencies
To perform the job successfully, an individual should demonstrate the following competencies:

Customer Service
- Works well with patients, vendors, and physicians by keeping them informed and promoting a positive image of…