Medical Billing Team Lead

The Billing Team Lead is responsible for supervising the day-to-day operations of the billing team, which includes Medical Billers, Denials Management Specialist and AR Specialists. This role ensures the timely, accurate, and compliant submission of claims, resolution of denials, and follow-up on unpaid claims. The Billing Team Lead also provides coaching and performance oversight while driving continuous improvements in billing workflows and revenue cycle performance.

• Lead and manage a team of medical billers and AR staff in processing end-to-end revenue cycle tasks, including charge entry, claim submission, insurance verification, and denial resolution.
• Review billing output and audit claim submissions for accuracy, appropriate use of CPT and ICD-10 codes, and adherence to payer guidelines.
• Ensure that claims are submitted promptly through the billing system and proactively monitor outstanding accounts receivables.
• Investigate and resolve claim rejections or denials by coordinating with insurance companies and internal departments.
• Manage daily work allocation, monitor productivity, and track key billing metrics (e.g., claim turnaround, denial rates, and collections).
• Conduct regular team meetings and training to keep the billing team updated on changes in policies, payer rules, or regulatory updates.
• Act as the first point of escalation for complex or delayed claims, providing hands-on support for resolution.
• Collaborate with the Billing Manager and cross-functional teams to implement process enhancements and meet revenue goals.
• Provide coaching, feedback, and performance evaluations for billing staff; support the hiring, onboarding, and ongoing development of team members.
• Ensure compliance with company policies, HIPAA regulations, and billing best practices.
• Prepare and submit routine performance reports to management and support project-based initiatives.
• Strong knowledge of US healthcare billing practices, payer policies, and claims submission processes.
• Hands-on expertise in CPT, ICD-10, and HCPCS coding; familiarity with Medicare, Medicaid, and commercial insurance guidelines.
• Solid understanding of EHR and billing systems
• Proficient in AR follow-up, denial management, and payment posting.
• Excellent leadership and team management skills with the ability to coach and mentor staff.
• Strong analytical and problem-solving skills with attention to detail and accuracy.
• Effective verbal and written communication skills.
• Ability to handle multiple priorities and deadlines in a fast-paced environment.
• Commitment to maintaining confidentiality and professionalism in handling patient data and records.

Job Type: Full-time

Timing: 5:00 PM to 2:00 AM (PST)

Shift: Night

Work Location: In person

Job Type: Full-time

Work Location: In person