Medical Billing Team Lead

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

📋 Description

• Oversee and lead a team of medical billing professionals and accounts receivable staff in executing comprehensive revenue cycle operations, including charge entry, claim submissions, insurance verification, and denial management.

• Assess billing outcomes and audit claim submissions for accuracy, proper application of CPT and ICD-10 codes, and compliance with payer regulations.

• Ensure timely submission of claims via the billing system while actively monitoring outstanding accounts receivable.

• Investigate and address claim rejections or denials by liaising with insurance providers and internal departments.

• Supervise daily task distribution, assess productivity, and monitor key billing performance indicators (e.g., claim turnaround, denial rates, collections).

• Conduct regular team meetings and training sessions to keep the billing team informed about changes in policies, payer regulations, or compliance updates.

• Serve as the primary point of escalation for complex or delayed claims, providing hands-on assistance for resolution.

• Collaborate with the Billing Manager and cross-departmental teams to implement process improvements and achieve revenue targets.

• Offer coaching, constructive feedback, and performance assessments for billing personnel; assist in the recruitment, onboarding, and continuous development of team members.

• Ensure adherence to company policies, HIPAA regulations, and industry best practices in billing.

• Prepare and submit regular performance reports to management and support project-driven initiatives.

⛳️ Requirements

• All staff must complete a background check, with continued employment contingent upon its results.

• Proficiency in English is mandatory.

• A minimum of two years of experience in Medical Billing is required.

• Extensive knowledge of US healthcare billing practices, payer policies, and claims submission procedures.

• Practical expertise in CPT, ICD-10, and HCPCS coding; familiarity with Medicare, Medicaid, and commercial insurance regulations.

• Strong understanding of Electronic Health Records (EHR) and billing systems (e.g., Office Ally, Availity, Kareo, Prompt, or similar platforms).

• Skilled in accounts receivable follow-up, denial management, and payment posting.

🏝️ Benefits

• Paid leave: Sick, Paternity, Annual, and Public holidays