Billing Team Lead - Claims & Workflow Optimizer

Lehigh Valley Health Network; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Lehigh Valley Health Network, based at Mack Building in the Mack Blvd area, is seeking a capable leader to manage the Physician Billing team responsible for accurate and timely claims submission.

You will monitor work queues, resolve payer edits, and train staff to ensure clean submissions and efficient workflows within the Epic system. The role requires an Associate’s Degree and 2 years in healthcare, with knowledge of pre- and post-adjudication of claims.

Qualifications

• Associate’s Degree required.
• 2 years in the healthcare field or equivalent.
• Understanding of pre- and post-adjudication of claims processing in a physician practice or equivalent operations environment.

Responsibilities

• Monitors accurate and timely claims paper and electronic submission to maximize submission efficiency.
• Ensures accurate review and timely resolution of eligibility, claim, and payer edits.
• Builds a cohesive team that works well together to ensure the work is accomplished.
• Drives efficiencies in process and workflow to maximize the team’s ability to submit clean claims to the payer.
• Prioritizes work within Physician Billing and delegates to staff members.
• Provides the training necessary to ensure the physician billers are knowledgeable in the edits they are responsible for.

Skills

Healthcare experience

Claims processing

Leadership

Education

Associate’s Degree

Job description

Lehigh Valley Health Network, based at Mack Building in the Mack Blvd area, is seeking a capable leader to manage the Physician Billing team responsible for accurate and timely claims submission.

You will monitor work queues, resolve payer edits, and train staff to ensure clean submissions and efficient workflows within the Epic system. The role requires an Associate’s Degree and 2 years in healthcare, with knowledge of pre- and post-adjudication of claims.