Billing Specialist Team Leader

Colorado In Motion; California (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

Confluent Health, LLC is seeking a skilled Billing Team Lead to oversee claims billing for commercial and government insurances and to resolve complex issues following established procedures. You will guide staff, handle escalations, and ensure quality in account resolution.

The role emphasizes training, process adherence, and collaboration with supervisors and managers to maintain accurate and timely billing operations across multiple payer sources.

Qualifications

• High school diploma or GED required.
• Minimum 5 years of medical billing experience.
• Computer proficiency and experience in Windows-based technologies.
• Ability to be discreet and protect patient PHI.
• Prior work experience in a medical office setting preferred.
• Excellent problem-solving skills, attention to detail, management of multiple tasks and the ability to do so independently.
• Ability to handle difficult situations with a positive attitude.
• Good interpersonal, oral, and written communication skills.
• Must be able to work as part of a team with peers and leadership within the organization.

Responsibilities

• Resolve patient accounts through the correction of billing edits and clearinghouse rejections.
• Assist PFS Supervisor by providing training to staff on system functionality, as well as organizational policies and procedures.
• Serve as escalation point for staff with questions regarding account resolution.
• Participate in/conducts quality assurance audits of staff performance.
• Identify payer trends for escalation to PFS Supervisor and Manager as appropriate.
• Assist in generating periodic reports and worklists for staff.
• Handle escalated calls from patients and/or payers.
• Communicate clearly and in a positive manner with assigned staff.
• Serve as back-up as needed in Supervisor’s absence and as requested by Manager.
• Provide excellent customer service to team members and patients.
• Other duties as assigned by Supervisor or Manager.

Skills

Medical billing

Team leadership

Communication

Problem solving

Multitasking

Detail oriented

PHI protection

Interpersonal skills

Education

High school diploma or GED

Tools

Windows-based technologies

Job description

Overview

Responsible for the billing of claims and resolving claim issues for commercial and government insurances by following the approved processes, policies and procedures set by the Regional Billing Organization. The team lead is the first point of escalation for questions that arise from staff. The Team Lead will have their own assigned duties, as well as serving as a resource to staff in their assigned group.

Responsibilities

• Resolve patient accounts through the correction of billing edits and clearinghouse rejections.
• Assist PFS Supervisor by providing training to staff on system functionality, as well as organizational policies and procedures.
• Serve as escalation point for staff with questions regarding account resolution.
• Participate in/conducts quality assurance audits of staff performance.
• Identify payer trends for escalation to PFS Supervisor and Manager as appropriate.
• Assist in generating periodic reports and worklists for staff.
• Handle escalated calls from patients and/or payers.
• Communicate clearly and in a positive manner with assigned staff.
• Serve as back-up as needed in Supervisor’s absence and as requested by Manager.
• Provide excellent customer service to team members and patients.
• Other duties as assigned by Supervisor or Manager.

Qualifications

• High school diploma or GED required.
• Minimum 5 years of medical billing experience
• Computer proficiency and experience in Windows-based technologies
• Ability to be discreet and protect patient PHI.
• Prior work experience in a medical office setting preferred.
• Excellent problem-solving skills, attention to detail, management of multiple tasks and the ability to do so independently.
• Ability to handle difficult situations with a positive attitude.
• Good interpersonal, oral, and written communication skills.
• Must be able to work as part of a team with peers and leadership within the organization.

About

Confluent Health, LLC and its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to request an accommodation due to a disability, please contact us at [e-mail].