Remote Medical Billing Claims Team Lead

Surgical Center Solutions, LLC; Lawrenceville (GA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health benefits

401(k) with company match

Paid time off

Job summary

Summit Spine and Joint Centers (SSJC) seeks a Medical Billing Claims Team Lead to guide a specialist team, perform audits, and coordinate month-end duties. The role collaborates with Billing Supervisors and management to ensure accurate, timely claims processing and staff development.

The position supports remote work with regional meetups and requires knowledge of CPT/ICD-10, payer guidelines, and detailed billing processes across multiple payers.

Qualifications

• Minimum of 3 years of experience as a Lead in medical billing or revenue cycle management within a medical setting.
• Experience with Medicare, Medicaid, commercial insurance plans, Workers’ Compensation, and Personal Injury cases.
• Experience submitting claims for office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management.
• Strong knowledge of medical billing rules, including coordination of benefits, modifiers, EOBs, and ANSI denial codes.
• Strong knowledge of CPT and ICD-10 coding and medical pre-certification protocols.
• Excellent computer skills and familiarity with Microsoft Office.

Responsibilities

• Supervise and coordinate the daily activities of the Medical Billing Claims Specialist team.
• Provide day-to-day guidance, support, and direction to Claims Specialists.
• Serve as the first point of escalation for staff regarding general day-to-day duties, workflow questions, and routine operational concerns.
• Perform audits of claims and batch submissions to ensure accuracy, completeness, and compliance with billing requirements.
• Assist with training and onboarding of new Claims Specialists.
• Coordinate and monitor completion of month-end responsibilities and ensure established deadlines are met.

Skills

Billing leadership

CPT/ICD-10 coding

Audits & QA

Training & coaching

Tools

eClinicalWorks

Job description

Summit Spine and Joint Centers (SSJC) seeks a Medical Billing Claims Team Lead to guide a specialist team, perform audits, and coordinate month-end duties. The role collaborates with Billing Supervisors and management to ensure accurate, timely claims processing and staff development.

The position supports remote work with regional meetups and requires knowledge of CPT/ICD-10, payer guidelines, and detailed billing processes across multiple payers.