Billing and Collections Team Lead

This is a fully remote position, open to applicants in Nevada.

📋 Description

• Supervise and support Billing and Collections Specialists to ensure adherence to processes and timely completion of assignments.

• Conduct weekly quality assurance spot checks and provide constructive feedback to staff.

• Work collaboratively with Management and the QA Department to identify training needs within the department.

• Address inquiries and offer support, guidance, and direction to team members.

• Communicate updates and changes in processes while maintaining current billing operations and procedures.

• Analyze aging reports to pinpoint overdue account work and trends related to unpaid or underpaid claims.

• Appropriately resolve or escalate billing and collections issues.

• Troubleshoot system issues or submit requests for IT assistance.

• Select, develop, and maintain teaching aids utilizing audit tools.

• Report identified training opportunities to Management.

• Facilitate training for new hires, existing staff, and cross-functional initiatives.

• Monitor staff productivity, track daily team metrics, and optimize workflow.

• Complete assigned adjustments, reports, and account responsibilities.

• Review collector appeals for accuracy and thoroughness prior to submission to payors.

• Stay updated on payor bulletins and newsletters regarding changes that may impact cash flow.

• Uphold confidentiality and ensure compliance with HIPAA regulations.

• Perform additional assigned tasks as needed.

⛳️ Requirements

• High school diploma or GED is required, or a combination of education and experience equivalent to this level.

• Five to eight years of relevant experience and/or training is necessary.

• Experience in Billing and Collections is required.

• Knowledge of medical and billing terminology is essential.

• Familiarity with federal and state rules and regulations pertaining to HIPAA, collections, filing insurance claims, and reimbursement from federal health care programs is required.

• Understanding of account reimbursement and receivables management is necessary.

• Exceptional written and verbal communication skills are essential.

• Strong interpersonal skills and the ability to collaborate effectively are required.

• Excellent organizational abilities; attention to detail; capacity to prioritize, multitask, and meet deadlines is essential.

• Advanced customer service and telephone skills are necessary.

• Ability to manage multiple projects simultaneously is required.

• Strong problem-solving capabilities and skills in complex claim analysis are necessary.

• Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook, is essential.

• Regular attendance is expected.

• 5% travel is required.

• An Associate’s degree is preferred.

• 1–2 years of leadership or training experience is preferred.

• Knowledge of Government, Commercial, and Private payers is preferred.

🏝️ Benefits

• Industry-leading benefits (specific benefits are detailed on the company benefits page).

• Equal employment opportunity protections are provided.