Team Lead Medical Billing

ADP Middleware Test Company; Las Animas (CO); On-site; USD 70,000 - 90,000; Full time

Job summary

ADP Middleware Test Company in Colorado is seeking a Team Lead Medical Billing to oversee billing operations, ensure accuracy, and maintain compliance with healthcare regulations. You will lead a team responsible for processing patient data, insurance claims, and payments, coordinating workflow and resolving issues with other departments.

The role requires training and supporting team members, analyzing billing reports, and implementing best practices to optimize revenue cycle management,

Qualifications

• Proven experience in medical billing or healthcare revenue cycle management.
• Strong proficiency in alpha-numeric and numeric data entry with high accuracy.
• Certification in Phlebotomy or Phlebotomist Certification to understand clinical data relevant to billing.
• Excellent leadership and team management skills with the ability to motivate and guide staff.
• Familiarity with medical billing software and electronic health record (EHR) systems.

Responsibilities

• Lead, mentor, and supervise a team of medical billing specialists to achieve departmental goals and maintain high-quality standards.
• Oversee accurate entry of patient data into billing systems, ensuring completeness and correctness.
• Manage submission and follow-up of insurance claims, addressing denials and discrepancies to maximize reimbursement.
• Coordinate with healthcare providers and administrative staff to clarify billing information and resolve issues.
• Monitor billing workflows and performance metrics, generating reports and recommending process improvements.
• Ensure compliance with healthcare regulations, payer policies, and internal procedures.
• Provide training and ongoing support to team members on billing software and data standards.

Skills

Medical billing experience

Leadership

Data entry accuracy

Communication skills

Education

Phlebotomy certification

Tools

Billing software

EHR systems

Job description

The Team Lead Medical Billing role is pivotal in overseeing and managing the medical billing operations within our Colorado office to ensure accuracy, compliance, and efficiency. This position requires leading a team responsible for processing patient data, insurance claims, and payments while maintaining strict adherence to healthcare regulations and billing standards. The successful candidate will coordinate workflow, provide training and support to team members, and serve as a liaison between billing staff and other departments to resolve issues promptly. They will also analyze billing reports and metrics to identify areas for process improvement and implement best practices to optimize revenue cycle management. Ultimately, this role ensures that the medical billing function operates smoothly, contributing to the financial health of the organization and excellent service delivery to patients and providers.

About the Role

The Team Lead Medical Billing role is pivotal in overseeing and managing the medical billing operations within our Colorado office to ensure accuracy, compliance, and efficiency. This position requires leading a team responsible for processing patient data, insurance claims, and payments while maintaining strict adherence to healthcare regulations and billing standards. The successful candidate will coordinate workflow, provide training and support to team members, and serve as a liaison between billing staff and other departments to resolve issues promptly. They will also analyze billing reports and metrics to identify areas for process improvement and implement best practices to optimize revenue cycle management. Ultimately, this role ensures that the medical billing function operates smoothly, contributing to the financial health of the organization and excellent service delivery to patients and providers.

Job Responsibilities

• Lead, mentor, and supervise a team of medical billing specialists to achieve departmental goals and maintain high-quality standards.
• Oversee the accurate entry of alpha-numeric and numeric patient data into billing systems, ensuring completeness and correctness.
• Manage the submission and follow-up of insurance claims, addressing denials and discrepancies to maximize reimbursement.
• Coordinate with healthcare providers and administrative staff to clarify billing information and resolve any issues.
• Monitor billing workflows and performance metrics, generating reports and recommending process improvements.
• Ensure compliance with healthcare regulations, payer policies, and internal procedures related to medical billing.
• Provide training and ongoing support to team members on billing software, data entry standards, and certification requirements.

Minimum Qualifications

• Proven experience in medical billing or healthcare revenue cycle management.
• Strong proficiency in alpha-numeric and numeric data entry with high accuracy.
• Certification in Phlebotomy or Phlebotomist Certification to understand clinical data relevant to billing.
• Excellent leadership and team management skills with the ability to motivate and guide staff.
• Familiarity with medical billing software and electronic health record (EHR) systems.

Preferred Qualifications

• Experience working in a healthcare setting within Colorado or knowledge of state-specific billing regulations.
• Advanced training or certification in medical coding (e.g., CPC, CCS).
• Background in healthcare compliance and regulatory standards such as HIPAA.
• Strong analytical skills with experience in billing data analysis and reporting tools.
• Excellent communication skills for effective collaboration across departments.

Skills

The required skills in alpha-numeric and numeric data entry are essential for accurately inputting patient and billing information into electronic systems, which directly impacts claim processing and reimbursement. Phlebotomy certification provides a clinical understanding that enhances the accuracy of billing related to laboratory and diagnostic services. Leadership skills are applied daily to manage and support the billing team, ensuring deadlines are met and quality standards are upheld. Familiarity with billing software and healthcare regulations enables the team lead to troubleshoot issues, train staff effectively, and maintain compliance. Preferred skills such as medical coding knowledge and analytical abilities further empower the team lead to optimize billing processes and improve financial outcomes.