Billing Team Lead

Essential Responsibilities & Duties

• Support day-to-day billing operations and workflow coordination across the department.
• Serve as a resource for team members regarding billing processes, claim handling, and escalation support.
• Model professionalism, accountability, and compliance with company standards and operational expectations.
• Aid leadership with monitoring workflow performance, departmental trends, and team productivity.
• Escalate operational concerns, workflow risks, or process inconsistencies to leadership appropriately.

Quality Assurance & Reporting

• Conduct quality reviews and account audits to ensure accuracy, compliance, and adherence to established workflows.
• Identify operational trends, training opportunities, and process improvement recommendations.
• Support reporting efforts related to productivity, quality, and operational performance.
• Assist with patient, provider, or insurance escalations when necessary.

Onboarding, Training & Team Development

• Support onboarding and training initiatives for new team members.
• Assist in reinforcing departmental workflows, expectations, and best practices.
• Provide guidance, support, and peer coaching to help improve team effectiveness and operational consistency.
• Communicate team development needs and training opportunities to leadership.

Billing Operations & Claims Management

• Obtain billing authorizations and communicate with insurance representatives, TPAs, adjusters, and related parties regarding claim activity.
• Submit clean and accurate claims for reimbursement processing.
• Aid with denial management, appeals, claim corrections, and supporting documentation requests.
• Maintain accurate account documentation and detailed billing notes within company systems.
• Communicate professionally with patients, providers, insurance carriers, and internal stakeholders regarding account status and claim resolution.
• Operate independently within billing systems while maintaining productivity and accuracy expectations.