Billing Team Lead

**This is a Remote Position**

About Zealie:

Zealie is a fast-growing Medical Billing Services company specializing in the Behavioral Healthcare industry. Our clients include substance use disorder treatment, addiction recovery, and mental health treatment centers dedicated to saving lives. Our cutting-edge proprietary technology offers data analytics and revenue prediction tools, aiding clients in making strategic business decisions and driving growth. We are committed to delivering exceptional products and services and believe our Utilization Review team plays a crucial role in achieving this mission. We are seeking motivated individuals to join our winning team.

Job Summary:

The Billing Team Lead is a crucial role responsible for managing and guiding a team of Billing Specialists. This position ensures accurate and efficient billing processes, effective communication within the team, and resolution of any billing-related issues. The Billing Team Lead will oversee claim submissions, verify billing accuracy, and ensure the efficient processing of all billing operations.

Responsibilities and Duties:

• Team Oversight and Training:

• Supervise and support the Billing Specialists within the assigned team.
• Provide training and assist the billing team with questions related to claim submissions and billing procedures.
• Verify the correctness and efficiency of billing processes, including VOB (Verification of Benefits) and authorizations.

• Communication:

• Serve as the primary point of contact for the Facility regarding any billing issues or problems. Join facility meetings as needed to address Billing Team requests.
• Respond to inquiries/requests from Facilities/other departments via the email group blasts.

• Operational Management:

• Ensure all billing processes are completed accurately and efficiently.
• Ensure that facility census are received on time, and set up correctly for the Specialist.
• Assist with facility audits when prompted.

• Daily Monitoring and Reporting:

• Oversee and manage the workflow of the Billing Specialist.
• Report any facility-related problems to the relevant contacts for further action.
• Receive and set up facility census as they come in.
• Audit billing completed daily to ensure that the specialist has followed payer/facility rules accurately and efficiently.

Qualifications and Skills:

• Experience:

• Minimum of 5 years in healthcare billing with a demonstrated ability to manage billing operations and teams.
• Experience with CMD and other billing software systems preferred.

• Education:

• High School Graduate or equivalent; additional certification in medical billing or coding is a plus.

• Skills:

• Communication: Excellent verbal and written skills, capable of coordinating effectively with internal teams and external stakeholders.
• Organizational Skills: Strong organizational abilities with the capacity to manage multiple tasks and priorities in a dynamic setting.
• Technical Proficiency: Experience with healthcare billing software, particularly CMD, and electronic health record (EHR) systems.
• Analytical Skills: Ability to analyze billing data and resolve issues efficiently.
• Attention to Detail: Meticulous attention to detail to ensure accuracy in billing and claims processing.

• Additional Preferred Experience:

• Familiarity with the Behavioral Healthcare industry, including billing for substance use disorder treatment and mental health services.
• Prior experience working remotely is a plus.

This role is essential in ensuring the organization’s billing processes are efficient, compliant, and aligned with overall strategic goals. It calls for a seasoned leader with expertise in healthcare billing and a deep understanding of the behavioral healthcare industry.