Billing Team Lead
hace 10 días
Lakewood
Job Description Position is hybrid. Candidate must be able to come into office. Position Summary Reporting to the Billing Manager, the Billing Team Lead supports daily billing operations while providing guidance and oversight to Billing Specialists and CPC staff. This role ensures timely and accurate claim submission, monitors team performance, and supports denial management and accounts receivable follow up. The Billing Team Lead acts as a bridge between staff and leadership, reinforces compliance, and drives workflow improvements. Responsibilities Operational Oversight • Monitor daily claim submission for accuracy and timeliness., • Review claims for coding and payer compliance before escalation., • Ensure adherence to timely filing limits across all payers., • Guide staff in reviewing, correcting, and resubmitting denied claims., • Track denial trends and escalate patterns to the Billing Manager., • Monitor aging reports and prioritize follow up on accounts over90 days., • Support efforts to maintain AR benchmarks below 15 percent., • Provide daily guidance to Billing Specialists and CPC staff., • Support onboarding and training of new team members., • Assistwith staff education on coding accuracy and payer requirements., • Track team KPIs and productivity metrics., • Assistwith scorecard reviews and performance improvement plans., • Ensure compliance with federal, state, and MCO requirements., • Participate in CQI initiatives and process improvement efforts., • Support provider education on documentation and coding alignment., • Assistwith resolving escalated billing and payer issues., • Maintain strong proficiency in billing platforms and EMR systems., • Utilizeclaimsscrubbers and reporting tools to reduce denials., • AR over 90 days: Less than 15 percent, • Denial resolution within30 days, • Claims on hold resolved within 10 business days, • 90 percent claim collection rate, • Monthly scorecard performance of 80 percent or higher, • High School diploma or equivalent required., • Certified Professional Coder (CPC)required, • Experience in medical billing within an FQHC or similar setting is preferred., • Strong knowledge of coding guidelines, payer requirements, and denial workflows, • Prior experience mentoring or leading staff preferred, • Proficiency in billing systems and EMR platforms, • Medical, Dental, Vision and Life Insurance, • Flexible Spending Accounts with Medical and Dependent Care, • Voluntary Life Insurance, • 401(k) Salary Deferral and Match, • Paid Time Off, • Paid Holidays, • Employee Assistance Program, • Employee Discounts, • Employee Referral Program