Lead Billing Specialist

General Summary: The Lead Billing Submission Specialist serves as the operational lead and subject matter expert for claim submission activities across multiple programs payers and funding sources. This position provides day-to-day workflow coordination staff support quality oversight and training while maintaining an individual billing workload. Responsibilities include claim submission oversight rejection management paper EOB administration ERA conversion efforts payer issue resolution and EHR workflow optimization. The Lead Billing Submission Specialist supports departmental goals by improving clean claim rates reducing billing delays and promoting consistent billing practices across the part of Revenue Cycle succession planning and professional development this position will eventually cross-train within other Revenue Cycle functions including Prevention Cycle AR operations Revenue Integrity and Recovery Cycle after demonstrating proficiency in Billing Responsibilities:Coordinate daily billing operations and work claim submission performance and billing and resolve claim edits rejections and billing paper EOB receipt tracking sorting and payers sending paper EOBs and support ERA enrollment as the first escalation point for complex billing with onboarding training and quality EHR stabilization billing workflow optimization and process improvement sort and assign paper mail. Manage Revenue cycle email. Collaborate with Billing Prevention Cycle Recovery Cycle Revenue Integrity and Finance support :Minimum Required Education: High School Diploma or GEDPreferred Education: Associates or Bachelors Degree in Healthcare Administration Business Administration Finance Accounting or related fieldMinimum Required Experience: Three (3) years healthcare billing or revenue cycle experience. Experience working claim submissions claim edits and payer Experience: Five (5) years healthcare revenue cycle experience. Behavioral Health revenue cycle experience. Experience with ERA EFT reconciliation and payment variance analysis. Experience with AHCCCS Medicare Commercial Insurance PMPM Case Rate Tribal and Grant-funded reimbursement models. Experience training and mentoring staff. EHR conversion or optimization Requirements:Minimum 18 years of AZ DPS Level I fingerprint clearance card (must maintain valid card throughout employment).Questions about this position Contact us

Required Experience:

IC