Medical Billing Lead

Description

Medical Billing Lead Location: In Office (Watauga TX) 8305 Whitley Rd. Suite B Watauga, TX 76148 Pay: $22 an hour About the Role: The Medical Billing Lead plays a critical role in supporting the daily operations of the Billing Department. Under the direction of the Medical Billing Supervisor, this position provides guidance to billing staff, answers billing-related questions, and ensures accuracy across charge entry, claims submission, and revenue cycle workflows. The Lead also serves as departmental support when the Supervisor is unavailable and contributes to both routine operations and special projects. This is a full-time, on-site position. Key Responsibilities: Team Leadership & Operational Support · Partner closely with the Medical Billing Supervisor to support and enhance daily billing operations, ensuring staff feel informed, supported, and equipped to perform effectively. · Serve as a knowledgeable subject matter expert, providing clear guidance on billing processes, payer requirements, coding questions, and system workflows. · Step confidently into a leadership role when the Supervisor is unavailable, maintaining continuity, stability, and a positive team environment. · Assist with both routine responsibilities and special projects, contributing ideas, identifying opportunities, and supporting continuous improvement across the department. · Provide timely, accurate, and solutions-oriented responses to internal and external inquiries. · Support training, onboarding, and ongoing education for billing staff to ensure competency and cross-training across roles. · Foster a collaborative, accountable, and supportive team culture where communication is open and staff feel valued. Billing · Assist in overseeing daily billing functions including invoicing, charge entry, and claims submission. · Review billing and claims for accuracy and completeness; submit claims to appropriate payers and resolve submission issues promptly. · Maintain communication with internal departments to obtain and verify patient information needed for accurate billing. · Conduct audits of billing procedures to ensure accuracy, efficiency, and compliance with Federal, State, and payer regulations. · Maintain up-to-date knowledge of CPT, HCPCS, ICD-9/ICD-10 coding, HIPAA, CMS-1500 claim forms, and payer guidelines. · Assist with uploading and reviewing charges for all procedures performed when needed. · Monitor clearinghouse rejections, make corrections, and resubmit claims as needed. · Support payer enrollment processes through the clearinghouse. · Assist with unbilled reports and follow-up to ensure timely claim submission. · Ensure all billing activities are conducted in accordance with department protocols and regulatory requirements. · Maintain strict confidentiality of patient and organizational information. · Document all billing activities clearly, accurately, and in accordance with policy. · Support both day-to-day operations and special projects as assigned. · Maintain billing queues and provide training and guidance to staff. · Communicates any known billing issues promptly to the Medical Billing Supervisor Qualifications: · High School Diploma/GED required. · 1–3 years of medical billing experience preferred. · Understanding of revenue cycle operations including charge capture, HIM, billing, collections, denials, and bad debt. · Experience with Raintree and Waystar preferred. · Strong understanding of medical billing, collections, payment posting, and third-party payer requirements. · Proficiency in Microsoft Office (Outlook, Word, Excel). · High attention to detail and comfort working in a fast-paced environment with frequent interruptions. · Ability to work independently with minimal supervision and strong initiative. · Ability to supervise, train, and support staff while organizing and prioritizing work to meet timelines. · Strong problem-solving skills with the ability to evaluate issues involving multiple variables. · Excellent written, verbal, and interpersonal communication skills.