Team Lead - US Healthcare

HCLTech · Lucknow, India

Exciting Opportunity at HCLTech Lucknow for Team Lead US Healthcare

Mandatory Functional Skills Required_

• Mandatory 3 years of experience as Team Lead US Healthcare in RCM & AR calling a nd total min 4 years of experience require.
• Strong knowledge of US Healthcare workfl ows (RCM / Payer / Provider / DME preferred) Hands‑on experience with healthcare tools and medical billing systems.
• Understanding of US healthcare regulations & HIPAA compliance

Key Performance Indicators_

• (K PIs)SLA & Productivity adherence
• Quality scores and audit compliance
• Team attrition and engagement
• Client satisfaction & escalation management

Key Responsibilities_

Team & People Management

• Lead, mentor, and manage a team of 15–25 healthcare associates.
• Allocate work, monitor daily productivity, and ensure SLA adherence.
• Conduct regular team huddles, 1:1s, performance reviews, and coaching sessions.
• Identify training needs and support onboarding of new joiners.
• Handle attendance, leave management, and team discipline.

Operational Excellence

• Ensure accurate and timely processing of US healthcare transactions (Claims, Billing, AR Follow-ups, Eligibility, Prior Authorization, etc.).
• Monitor KPIs such as Productivity, Quality, TAT, AHT, and SLA.
• Track daily/weekly performance dashboards and share reports with leadership.
• Manage queue balancing and workload distribution.

Quality & Compliance

• Ensure adherence to HIPAA, PHI guidelines, and client-specific SOPs.
• Drive quality improvement initiatives and reduce rework/errors.
• Support internal/external audits and compliance requirements.
• Implement corrective action plans for quality or SLA gaps.

Process Improvement

• Identify opportunities for process optimization, automation, and efficiency gains.
• Support Lean / Six Sigma / Continuous Improvement initiatives.
• Document SOP updates and ensure knowledge transition within the team.