Lead Billing Specialist

Intermountain Centers; Tucson (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

Intermountain Centers seeks a Lead Billing Submission Specialist to oversee claim submission across programs and payers. You will coordinate daily billing operations, manage rejections, and support ERA enrollment while training staff.

The role emphasizes improving clean claim rates, reducing delays, and aligning billing practices. Opportunity to grow within Revenue Cycle and related areas, with a focus on cross-training and process optimization.

Qualifications

• Minimum education: High School Diploma or GED.
• Preferred education with 2+ degrees in healthcare admin, business, finance or accounting.
• Minimum 3 years experience in healthcare billing or revenue cycle.
• Preferred 5 years in healthcare revenue cycle and AHCCCS, Medicare, commercial insurance knowledge.

Responsibilities

• Coordinate daily billing operations and work queues.
• Monitor claim submission performance and billing aging; review edits and rejections.
• Manage paper EOB receipt, tracking, sorting and assignment.
• Research payers with paper EOBs and support ERA enrollment.
• Serve as escalation point for complex billing issues.
• Assist with onboarding, training, and quality reviews.
• Support EHR stabilization and workflow improvements.
• Collect and route paper mail; manage Revenue cycle email.
• Collaborate with Billing, Prevention, Recovery, Revenue Integrity and Finance.

Skills

Billing experience

Staff training

Process improvement

EHR systems

Education

High School Diploma or GED

Associate's Degree in Healthcare Administration

Bachelor's Degree in Healthcare Administration

Bachelor's Degree in Business Administration

Bachelor's Degree in Finance

Bachelor's Degree in Accounting

Tools

ERA

EFT

AHCCCS

Medicare

PMPM

Case Rate

Job description

General Summary:

The Lead Billing Submission Specialist serves as the operational lead and subject matter expert for claim submission activities across multiple programs, payers, and funding sources. This position provides day-to-day workflow coordination, staff support, quality oversight, and training while maintaining an individual billing workload. Responsibilities include claim submission oversight, rejection management, paper EOB administration, ERA conversion efforts, payer issue resolution, and EHR workflow optimization. The Lead Billing Submission Specialist supports departmental goals by improving clean claim rates, reducing billing delays, and promoting consistent billing practices across the organization. As part of Revenue Cycle succession planning and professional development, this position will eventually cross-train within other Revenue Cycle functions, including Prevention Cycle, AR operations, Revenue Integrity, and Recovery Cycle after demonstrating proficiency in Billing submissions.

Job Responsibilities:

• Coordinate daily billing operations and work queues.
• Monitor claim submission performance and billing aging.Review and resolve claim edits, rejections, and billing exceptions.
• Manage paper EOB receipt, tracking, sorting, and assignment.
• Research payers sending paper EOBs and support ERA enrollment efforts.
• Serve as the first escalation point for complex billing issues.
• Assist with onboarding, training, and quality reviews.
• Support EHR stabilization, billing workflow optimization, and process improvement initiatives.
• Collect, sort and assign paper mail. Manage Revenue cycle email.
• Collaborate with Billing, Prevention Cycle, Recovery Cycle, Revenue Integrity, and Finance support functions.

Qualifications:

Minimum Required Education: High School Diploma or GED

Preferred Education: Associate's or Bachelor's Degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field

Minimum Required Experience: Three (3) years healthcare billing or revenue cycle experience. Experience working claim submissions, claim edits, and payer follow-up.

Preferred Experience: Five (5) years healthcare revenue cycle experience. Behavioral Health revenue cycle experience. Experience with ERA, EFT, reconciliation, and payment variance analysis. Experience with AHCCCS, Medicare, Commercial Insurance, PMPM, Case Rate, Tribal, and Grant-funded reimbursement models. Experience training and mentoring staff. EHR conversion or optimization experience.

Regulatory Requirements:

• Minimum 18 years of age.
• Valid AZ DPS Level I fingerprint clearance card (must maintain valid card throughout employment).

Questions about this position? Contact us at [e-mail].