Billing Team Lead

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

📋 Description

• Oversee, mentor, and cultivate a team of 4–5 Billing Specialists through consistent one-on-one meetings, feedback sessions, and performance evaluations.

• Distribute and manage customer portfolios according to volume, complexity, and the strengths of each specialist.

• Facilitate the onboarding and training of new specialists in behavioral health billing, Ease workflows, and team standards.

• Establish daily and weekly objectives for claims management, posting, and follow-up.

• Monitor team and customer KPIs such as days in A/R, clean claim rates, denial rates, A/R over 90 days, and cash collected versus expectations.

• Conduct portfolio assessments and develop recovery strategies for accounts that are underperforming.

• Review specialists' work for precision, timeliness, and compliance with payer requirements.

• Present team and customer performance metrics to RCM leadership.

• Address complex denials, payer disputes, credentialing or enrollment challenges, and aged claims.

• Collaborate directly with payers on unresolved claims and patterns of recurring denials.

• Make decisions regarding write-offs, adjustments, and appeals strategies in accordance with established guidelines.

• Act as the primary billing liaison for client billing managers, practice administrators, and finance leaders.

• Lead client check-ins to discuss performance metrics, outstanding issues, and forthcoming changes.

• Participate in client-facing calls and implementations when billing expertise is required.

• Supervise claim submissions, authorization tracking, payment postings, ERA/EFT enrollments, and follow-up activities.

• Draft and maintain standard operating procedures (SOPs), checklists, and billing regulations.

• Provide workflow insights to product and engineering teams, test new features, and assist in rollouts.

⛳️ Requirements

• A minimum of 5 years of experience in behavioral health billing, including at least 2 years in a leadership or supervisory role.

• Extensive knowledge of the behavioral health revenue cycle, encompassing claims, authorizations across various levels of care, denials, appeals, and payer follow-ups.

• Proven history of enhancing billing KPIs such as days in A/R, denial rates, and aged A/R metrics.

• Ability to engage confidently with client stakeholders and payers, even during challenging discussions.

• Strong decision-making skills related to escalations, prioritization, and the balance between intervention and coaching.

• Capability to quickly adapt to new software and transform workflow challenges into constructive feedback.

• Comfort in a dynamic, early-stage setting where processes are still under development.

• Experience in RCM management within a billing company or multi-site behavioral health organization (preferred).

• Familiarity with various clearinghouses, payer portals, and EDI transactions (837, 835, 270/271) (preferred).

• Background in eligibility and benefits verification (preferred).

• Experience in supporting client onboarding or billing system transitions (preferred).

• Must reside in the US and confirm identity and work authorization status.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health benefits package.

• Opportunities for professional development and career growth.

• Supportive and collaborative team environment.