Billing Team Lead

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

📋 Description

• Supervise the daily functions of the Billing Department

• Guide, coach, train, mentor, and assist DME Billing Specialists and Funded Collectors

• Oversee workloads, allocate tasks, and guarantee prompt claim processing

• Perform quality assessments and provide constructive feedback

• Aid in conducting performance evaluations, developing employee growth plans, and recommending staffing

• Act as the initial point of escalation for billing-related concerns and intricate account resolutions

• Manage the submission of clean claims to Medicare, Medicaid, commercial insurance carriers, workers' compensation plans, and other payers

• Supervise and address claim rejections, denials, payer edits, appeals, collections, and reimbursement challenges

• Evaluate billing trends and pinpoint opportunities for process enhancements and revenue growth

• Review aging accounts receivable and focus collection efforts accordingly

• Resolve billing discrepancies and documentation challenges with internal teams

• Ensure the correct application of modifiers, authorization standards, and billing procedures

• Maintain adherence to Medicare, Medicaid, HIPAA, DMEPOS, and payer-specific regulations

• Keep track of regulatory changes and inform staff of updates

• Execute regular audits and support corrective action initiatives

• Monitor and report KPIs such as claims billed, clean claim rates, denial rates, accounts receivable aging, cash collections, and productivity metrics

• Create and revise departmental policies, procedures, templates, and training resources

• Relay payer trends and complex matters to the Funded Collections Manager

• Collaborate with billing, funding, contracting, and other team leads and managers

• Engage in cross-functional and technology enhancement projects

• Provide educational assistance and represent the team in inter-departmental meetings and training sessions

⛳️ Requirements

• Minimum of 3-5 years of experience in healthcare billing is required

• DME billing experience is preferred

• Previous leadership, mentoring, or supervisory experience is preferred

• Familiarity with Medicare, Medicaid, and commercial insurance billing

• Experience in managing billing denials, appeals, collections, and reimbursement processes

• Strong understanding of DMEPOS billing guidelines and payer requirements

• Knowledge of HCPCS coding, modifiers, authorizations, and reimbursement methods

• Proficient in billing software, EMR systems, payer portals, and Microsoft Office applications

• Excellent analytical and problem-solving abilities

• Strong collaboration, organizational, communication, and interpersonal skills

• Capability to prioritize multiple tasks in a fast-paced environment

• Ability to maintain confidentiality and adhere to HIPAA regulations

• High attention to detail and commitment to excellence

• Ability to manage multiple responsibilities simultaneously

• Capacity to stay composed and professional in stressful situations

• Skill in leading change management initiatives

• Ability to sit for extended periods while working at a computer

• Effective communication skills via phone, video conferencing, and email

• Occasional lifting of up to 15 pounds may be necessary

🏝️ Benefits

• Flexible work arrangement with a fully remote role

• Occasional travel, approximately 1–2 times per year

• Opportunities for career advancement within a dynamic, global company

• Collaborative work environment

• Equal opportunity employer