Billing Specialist - Team Lead

Chiro 1st of Washington; Bellevue (WA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading chiropractic group seeks a Billing Specialist Team Lead to manage an internal billing team and optimize revenue cycle operations. The role encompasses mentoring billing assistants, ensuring claim accuracy, and driving compliance within a fast-paced environment. Candidates should have a strong background in billing, leadership experience, and familiarity with chiropractic billing guidelines.

Benefits

Competitive compensation

Performance-based bonuses

Supportive leadership

Career path toward RCM Director or Compliance Officer

Qualifications

• Experience with insurance and cash claims, ensuring accurate submissions.
• Strong understanding of CPS, ICD-10 codes, and payer guidelines.
• Ability to thrive in a fast-paced, multi-location environment.

Responsibilities

• Lead and mentor a team of Billing Assistants.
• Manage daily revenue cycle operations and claim accuracy.
• Generate and present weekly billing performance reports to leadership.

Skills

Attention to detail

Communication

Organizational skills

Leadership

Data-driven mindset

Education

3+ years of billing experience (chiropractic or physical therapy preferred)

1+ year of experience leading or mentoring a team

RCM certification or chiropractic billing course completion

Tools

EMRs (ChiroHD preferred)

Clearinghouses

Billing platforms

Slack

Google Workspace

Job description

Position: Billing Specialist – Team Lead

Location:Remote

Company:Chiro 1st – Leading Chiropractic Group with Multi-Location Footprint

Schedule:Full-Time | Monday–Friday

About Us

Chiro 1st is a high-performance chiropractic platform with a mission to deliver exceptional patient outcomes through operational excellence. With multiple clinics and a rapidly growing footprint, we are looking for a Billing Specialist Team Lead to drive accuracy, compliance, and revenue cycle efficiency.

Position Summary

We are seeking an experienced Billing Specialist to lead our internal billing team and manage day-to-day revenue cycle operations. This is a hands-on leadership role responsible for overseeing billing assistants, ensuring claim accuracy, timely reimbursements, and driving KPIs like clean claim rate and days in A/R.

Key Responsibilities

Leadership & Oversight

• Lead and mentor a team of Billing Assistants across multiple clinic locations

• Oversee daily workflows, prioritize tasks, and manage performance

• Conduct weekly billing team meetings and 1:1 check-ins

• Coordinate with Clinic Directors and Operations to resolve billing concerns quickly

Revenue Cycle Management

• Ensure accurate submission of insurance and cash claims via ChiroHD and clearinghouses

• Monitor and reduce rejections, denials, and outstanding A/R

• Post payments (EOBs, EFTs, checks, cash) and reconcile accounts weekly

• Manage CareCredit, Cash Practice, and other patient financing platforms

• Submit pre-authorizations, verify benefits, and follow-up on treatment plan approvals

Compliance & Reporting

• Stay current on chiropractic-specific billing guidelines (CPT, ICD-10, modifier use, state law)

• Ensure all claims meet payer compliance requirements

• Generate and present weekly billing performance reports to leadership

• Track and report KPIs including:

• Clean Claim Rate

• Days in A/R

• Denial Rate

• % of Claims Paid Within 30 Days

Required Qualifications

• 3+ years of billing experience (chiropractic or physical therapy preferred)

• 1+ year of experience leading or mentoring a team

• Proficiency in EMRs (ChiroHD preferred), clearinghouses, and billing platforms

• Strong knowledge of CPT codes, ICD-10, chiropractic modifiers, and payer guidelines

• High attention to detail, accountability, and data-driven mindset

• Excellent communication and organizational skills

• Comfortable in a fast-paced, multi-location environment

Preferred Qualifications

• Experience with CareCredit and Cash Practice

• Familiarity with Slack, Gmail, and Google Workspace

• RCM certification or chiropractic billing course completion

What We Offer

• Competitive compensation

• Performance-based bonuses

• Opportunity to build and scale a growing billing department

• Supportive leadership and fast-paced, mission-driven culture

• Career path toward RCM Director or Compliance Officeras platform grows

To Apply: Submit your resume and a brief cover letter outlining your billing experience and leadership background.