Billing Lead

Headstart Health; United States; On-site; USD 100,000 - 140,000; Full time

Job summary

Headstart Health is seeking an experienced billing leader to own day-to-day billing operations and strengthen the function during growth. You will lead the team, perform hands-on claims work, and set priorities while improving workflows with technology and AI.

You will partner with Headstart’s Senior Manager of RCM, own claims strategy, vendor performance, and billing communications with providers and families. This is a hands-on leadership role in a growing company.

Qualifications

• Several years of hands-on medical billing and claims experience.
• Strong knowledge of denials, appeals, AR follow-up, and payer escalation.
• Experience leading billing teams, offshore teams, or external partners.
• Experience building dashboards, scorecards, or productivity reporting.
• A record of improving billing workflows or team performance.
• Interest in using AI tools as part of daily work.

Responsibilities

• Day-to-day billing operations and overall claim health.
• Hands-on claims work, including complex or high-impact cases.
• Claims strategy across denials, appeals, rejections, aging AR, and payer follow-up.
• Productivity tracking and reporting across the billing operation.
• Identification of recurring claim and payer issues that need upstream solutions.
• Clear billing updates and communication for providers and families.
• Use of technology and AI to reduce manual work and improve workflows.

Skills

Medical billing

Claims experience

Team leadership

Dashboard reporting

Workflow improvement

AI tools

Communication

Tools

Candid RCM

Job description

Headstart Health is looking for an experienced billing leader to own day-to-day billing operations and help strengthen the function as we grow.

We’re looking for someone with deep claims experience who can set priorities and lead the teams doing the work. This is also a hands‑on role. You will work complex claims directly, investigate difficult issues, and step into workflows where the team needs additional support.

You will build performance visibility, improve workflows, and use technology and AI to make the operation more efficient. You will partner closely with Headstart’s Senior Manager of RCM while owning claims strategy, team and vendor performance, and billing communication with providers and families.

What You’ll Own

• Day-to-day billing operations and overall claim health
• Hands‑on claims work, including complex or high‑impact cases
• Claims strategy across denials, appeals, rejections, aging AR, and payer follow‑up
• Productivity tracking and reporting across the billing operation
• Identification of recurring claim and payer issues that need upstream solutions
• Clear billing updates and communication for providers and families
• Use of technology and AI to reduce manual work and improve workflows

What We’re Looking For

• Several years of hands‑on medical billing and claims experience
• Strong knowledge of denials, appeals, AR follow‑up, and payer escalation
• Experience leading billing teams, offshore teams, or external partners
• Experience building dashboards, scorecards, or productivity reporting
• A record of improving billing workflows or team performance
• Interest in using AI tools as part of daily work
• Clear communication and comfort taking ownership in a growing company

Nice to Have

• Experience in ABA, behavioral health, or another authorization‑intensive specialty
• Experience with Medicaid and commercial insurance
• Familiarity with Candid or another RCM platform
• Experience with Excel, Google Sheets, SQL, BI tools, or workflow automation

About Headstart

Headstart is a small, collaborative team that supports independent BCBA practices. We value ownership, direct communication, and improving how we work as we grow.