Billing Lead

Summary: 

A Billing Specialist Lead oversees daily medical billing operations while supporting the Finance Director in resolving complex issues and coordinating training for Billing Specialists. This role combines hands-on billing expertise with leadership responsibilities, ensuring accurate claim submission, efficient workflow, and continuous staff development across the billing team.

Duties and Responsibilities: 

Team Leadership & Oversight

• Supervise and support billing staff, including training, mentoring, and performance management
• Coordinate team schedules and PTO
• Assign and monitor daily tasks, workloads, and productivity metrics
• Serve as the primary point of contact for escalated billing issues and interdepartmental communication

Billing Operations

• Oversee claims processing, payment posting, vouchers, and EFT reconciliation to ensure accuracy and timeliness
• Verify patient demographics, insurance information, and order entry accuracy
• Support technical billing processes and system interfaces (LIS to AR), as needed

Quality Assurance & Training

• Conduct regular quality assurance reviews to ensure adherence to procedures and training effectiveness
• Identify training needs and support onboarding and continuous staff development
• Participate in audits and ensure completion of required QA and reporting activities

Claims Management & Issue Resolution

• Monitor claims for timely processing and follow up on outstanding accounts
• Assist with denial management, appeals, and complex billing issue resolution
• Provide troubleshooting support to team members

Process Improvement & Compliance

• Develop, implement, and refine billing workflows and procedures
• Ensure compliance with healthcare regulations and internal policies
• Support testing and implementation of new systems, processes, and updates

Reporting & Administrative Support

• Oversee completion and accuracy of reports (e.g., monthly spreadsheets and tracking tools)
• Monitor departmental performance and ensure timely completion of assigned responsibilities
• Perform additional duties as assigned

Qualifications 

Education/Certifications 

• High school diploma or equivalent required. 
• Certified Professional Biller (CPB) by AAPC preferred 

Experience

• Minimum four years related experience required in medical or insurance billing.  
• Minimum two years of experience completing Billing Specialist II duties 

Knowledge, Skills and Abilities 

• Proficient in Microsoft Office Suite, including intermediate Excel skills and accurate data entry (10-key)
• Knowledge of medical terminology, accounts receivable processes, and Centricity Group Management software preferred
• Strong leadership, organizational, and time management skills with the ability to prioritize and delegate effectively
• Excellent verbal and written communication, interpersonal, and customer service skills
• Strong analytical, problem-solving, and attention to detail abilities
• Ability to work independently with minimal supervision and manage multiple tasks in a fast-paced environment
• Proficient in the use of standard office equipment (fax, copier, scanner, etc.)

Physical Requirements:  

See attached Physical Activities Checklist 

Equal Employment Opportunity Statement 

Incyte Diagnostics provides equal employment opportunity to all employees and applicants for employment without regard to race, color, sex, national or ethnic origin, religion, age, disability or handicap, marital status, sexual orientation, gender identity and/or expression, military or honorably discharged veteran status or protected genetic information or any other characteristic protected by applicable federal, state or local law. 

Other Duties 

Please note that this job description is not intended to be a complete list of all duties, responsibilities, or activities required for this position. Duties and responsibilities may change at any time, with or without notice.