Lead, Revenue Cycle

The Revenue Cycle Lead supports the day-to-day operations of the revenue cycle team by providing oversight, training, and guidance to staff. This role serves as a working lead, performing hands-on revenue cycle duties while acting as a liaison between staff and management. The Revenue Cycle Lead helps ensure timely, accurate, and compliant work and supports efficient workflows across multiple specialties. The Revenue Cycle Lead will work on Facility coding. 

Job Relationships

• Reports to the Revenue Cycle Manager

Principal Responsibilities

• Provide daily oversight to revenue cycle staff, ensuring tasks are completed accurately and on time

• Oversee workflow assignments, time management, payroll approval, and day-to-day leadership duties as assigned by the manager.

• Serve as the team’s point of contact for questions, escalations, and workflow troubleshooting across one or more areas of the revenue cycle.

• Maintain employee schedules and approve time off requests.

• Gather, analyze and report information related to insurance due balances as requested by Manager, Director, and other Management or providers.

• Organize and conduct team meeting/training sessions, and one-on-ones with team members on a regular and consistent basis. 

• Train and mentor team members on department procedures, software systems, compliance requirements, and best practices.

• Monitor daily productivity and quality metrics; report performance trends and concerns to the Revenue Cycle Manager.

• Assist with process improvement initiatives, system updates, and implementation of new policies.

• Collaborate with clinical and administrative teams to ensure complete and accurate documentation and charge capture.

• Perform quality assurance checks to identify and correct errors.

• Maintain up-to-date knowledge base affecting the revenue cycle.

• Serve as a role model for staff, exhibiting a positive, respectful attitude toward others.

• Attend and participate in required meetings and committees.

• Comply with the Springfield Clinic incident reporting policy and procedures.

• Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.

• Provide excellent customer service and adhere to Springfield Clinic’s Code of Conduct and Ethics Standards.

• Perform other job duties as assigned.

Education/Experience

• High School graduate or GED required; college degree preferred. 

• Minimum of two (2) years working with database software and/or Microsoft Excel required.

• Prior experience working in a medical billing environment preferred, preferably including experience with claim submission and review of rejected/denied claims.

• Two (2+) or more years of experience in a leadership/supervisory role preferred.

Licenses/Certificates

• Certification with either the American Academy of Professional Coders (AAPC CPC) or the American Health Information Management Association (AHIMA CCS-P) preferred.

Knowledge, Skills and Abilities

• Demonstrated ability to work with a variety of computer systems and/or experience in installation/implementation of software programs preferred.

• Strong interpersonal and communication skills with the ability to motivate and supervise staff required.

• Strong organizational skills, the ability to handle multiple tasks in a fast-paced environment and the ability to explore and learn a variety of software programs with minimal assistance necessary.

• Facility coding required. 

Working Environment

• Office Environment.

PHI/Privacy Level

HIPAA1