Billing Team Lead

Nautical Staffing is looking for a Medical Billing Team Lead, someone who will be supporting the overall medical billing and revenue cycle. Who will be managing a team and training new medical billers to join the team.

Responsibilities:

• Oversee Daily Biller Workflows – Monitor and support the daily workload of assigned billers, ensuring clinic responsibilities, claims, payments, denials, and other billing tasks are completed accurately and timely.


• Monitor Claims Submission – Ensure encounters are submitted to insurance companies correctly and promptly, identifying and addressing delays or recurring submission issues.


• Oversee Denials, Rejections & Appeals – Assist with complex denials and rejections, ensure appropriate appeals are submitted, and identify trends that require additional training or process changes.


• Review Payment Posting & Account Reconciliation – Monitor the accuracy of insurance payment posting and account reconciliation and assist billers in resolving discrepancies.


• Support Patient Billing & Balance Accuracy – Ensure patient balances are accurate and provide guidance on complex patient billing questions or account issues.


• Manage Billing Escalations – Serve as the first point of escalation for billing questions and issues that cannot be resolved by the assigned biller, including clinic, patient, and insurance-related concerns.


• Maintain Clinic Communication & Relationships – Ensure billers maintain consistent communication with their assigned clinics through Fix It Lists, Google Meet, email, phone, and other established communication channels. Your existing description specifically makes maintaining this clinic relationship part of the biller's role.


• Monitor Trackers & Billing Documentation – Review required spreadsheets and trackers to ensure work is documented accurately, consistently, and kept up to date.


• Train, Coach & Support Billers – Provide day-to-day guidance, answer billing questions, assist with training, identify knowledge gaps, and coach billers on proper processes and expectations.


• Monitor Quality, Productivity & Accountability – Review biller performance for accuracy, productivity, follow-through, and completion of assigned responsibilities, addressing concerns and escalating performance issues when appropriate.

Qualifications:

• 3+ years of proven management experience in healthcare operations, medical billing, or call center environments.


• Strong knowledge of insurance Medical Billing and Full revenue cycle billing


• Proven success in training staff and managing teams, specifically Remote teams


• Experience working with virtual assistants and distributed teams.


• Excellent organizational, analytical, and problem-solving skills.


• Strong communication and leadership abilities.


• Experience in Webpt, Stride, Tebra, Prompt, Heno is a must.


• Willing to work during during PST business hours(PH GY shift)