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Resmed · 1 day ago

RCM Team Lead - Pharmacy & Infusion

United States

Full-time

Remote

Mid, Senior Level

$61K/yr - $76K/yr

5+ years exp

Brightree, a subsidiary of ResMed, is focused on cloud-based patient management software. The RCM Team Lead is responsible for overseeing financial results for Brightree's home infusion and pharmacy customers, creating standard operating procedures, and training team members to ensure quality assurance and compliance with billing methodologies.

Health CareHealth DiagnosticsMedicalMedical Device

H1B Sponsor Likely

Responsibilities

Understanding all general rules, guidelines, and methods to get paid from their staff’s assigned payers and the ability to back up/fill in for staff when necessary

Responsible for the financial results of each Brightree RCM customer by ensuring accuracy of their team that results in:

Streamlining processes that will Reduce adjustments and write offs

Ensure that the billing methodology for each payer is documented and set-up throughout the Brightree system to realize maximum reimbursement

Propose and implement changes and updates to the configuration in areas such as:

Price tables

Pharmacy Contacts

Insurance Settings

Therapy and per diems

Modules adoption

Additional Services

Identifying areas of opportunities to better streamline internal or external processes:

By making suggestions for system enhancements to the Brightree System

Or process improvements to increase efficiency and accuracy

Prepares and submits reports to Director as needed including but not limited to:

Quality Assurance Reporting

Denial Analyst Reporting

Service Level Agreement Reporting

Productivity and benchmark results

Monthly financial reporting

Other key reporting as identified by the Director or Brightree RCM Customer

Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals

Maintains patient confidentiality and function within the guidelines of HIPAA

Training new employees on all Brightree RCM Policies & Procedures

Learning and documenting the billing methodology for new payer assignments for existing or new RCM accounts

Other tasks and responsibilities as assigned

Qualification

Home infusion billingHIPAA complianceSupervisory experienceMicrosoft ExcelProblem-solving skillsResults drivenEffective communicationOrganizational skillsAttention to detailSelf-starter

Required

High school diploma required

Minimum of 2 years of home infusion billing or accounts receivable experience required

Minimum of 2 years of experience working in & maintaining HIPAA standards

Highly skilled in using computers & Microsoft products (Excel and Word) is required

Minimum of 2 years of Supervisory experience preferably in home infusion

Math aptitude

Strong problem-solving skills focused on resolving complex home infusion claims

An effective communicator with strong oral, written and persuasive skills and capability to deal with people at all levels in the organization and the public in a professional manner

Exceptional organizational skills with a high level of attention to detail and the ability to multitask

Self-starter, results driven, highly motivated, high energy

Preferred

Proven track record of working towards and exceeding metrics strongly preferred

A 2-year degree or additional college coursework

5 years of experience in a healthcare reimbursement role

Benefits

Comprehensive medical

Vision

Dental

Life

AD&D

Short-term and long-term disability insurance

Sleep care management

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Commuter benefits

401(k)

Employee Stock Purchase Plan (ESPP)

Employee Assistance Program (EAP)

Tuition assistance

Paid Time Off (PTO)

Paid holidays

Floating days

Primary caregiver leave

Secondary caregiver leave

Company

Resmed

Glassdoor4.0

ResMed provides medical devices to treat and manage sleep apnea and pulmonary diseases.

Founded in 1989

Sydney, New South Wales, AUS

5001-10000 employees

https://www.resmed.com.au

H1B Sponsorship

Resmed has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (18)

2024 (16)

2023 (10)

2022 (21)

2021 (16)

2020 (16)