Billing Team Lead

Job Details

Description

This individual serves as both an operational contributor and team resource, helping ensure billing workflows are executed accurately, efficiently, and in alignment with company standards and compliance expectations.

Core Competencies

• Leadership & Accountability: Leads through professionalism, consistency, reliability, and operational ownership.
• Communication & Collaboration: Communicates effectively across team members, leadership, patients, insurance representatives, and internal stakeholders.
• Operational Excellence: Maintains strong attention to detail while supporting quality, productivity, and workflow execution.
• Coaching & Team Support: Supports team growth through guidance, onboarding assistance, and peer mentorship.
• Adaptability: Thrives within a dynamic and fast-paced operational environment while adjusting effectively to changing priorities.
  
  

Essential Responsibilities & Duties

Team Leadership & Operational Support

• 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.
• Assist 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.
  
  

Department

Revenue Cycle Management

Reports To

Billing Manager, Work Comp

Job Title: Billing Team Lead-Work Comp

Form 10153 Rev 3.0

• 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.
• Assist 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.
  
  

Experience & Education Requirements

• High School Diploma or equivalent required; college degree preferred
• Previous healthcare billing or reimbursement experience required
• Prior leadership, mentoring, or team coordination experience preferred
• Strong communication, organizational, and problem-solving skills
• Ability to multitask effectively within a fast-paced operational environment
• Working knowledge of healthcare reimbursement processes and insurance workflows preferred