Medical Billing Team Lead

4 hours ago


India Care365 SOL Private limited Full time
Job Description:

Care365 SOL Private Limited seeks an accomplished Medical Billing Team Lead to join our team. This senior leadership position plays a pivotal role in driving the success of our billing operations.

As a Medical Billing Team Lead, you will be responsible for overseeing the day-to-day activities of the billing team, ensuring seamless claim submissions, and resolving complex billing issues. Your expertise will enable us to maintain strong relationships with clients while delivering exceptional service excellence.

Key Responsibilities:
  • Team Management & Leadership:
    • Lead and manage a team of skilled medical billing specialists to guarantee accurate, efficient, and timely claim processing.
    • Provide guidance, coaching, and support to team members on a daily basis.
    • Assign tasks based on workload and team strengths, ensuring adherence to deadlines and performance standards.
    • Conduct regular performance evaluations, deliver constructive feedback, and manage team development plans.
    • Foster a positive and productive team environment, focusing on motivation, collaboration, and professional growth.
  • Billing & Claims Oversight:
    • Oversee the submission of medical claims, ensuring compliance with payer rules and regulations.
    • Review and audit claims for completeness, accuracy, and compliance before submission.
    • Address and resolve billing discrepancies, rejected claims, and denials by analyzing root causes and ensuring timely re-submissions.
    • Ensure all claims are tracked and managed through the appropriate channels to guarantee reimbursement.
  • Client Management & Communication:
    • Act as the primary point of contact for clients regarding billing inquiries and issues.
    • Ensure client expectations are met by providing timely and clear communication about billing processes, claim statuses, and outstanding issues.
    • Collaborate with clients to resolve complex billing or payment concerns, providing solutions while maintaining strong, positive relationships.
Qualifications:
  • Education: Bachelor's degree
  • Experience: Minimum of 8 years of experience in medical billing, with at least 2 years in a supervisory or leadership role managing a billing team.
  • Skills: Strong knowledge of medical coding systems (CPT, ICD-10, HCPCS) and healthcare payer policies; demonstrated ability to handle complex billing issues and claim disputes.

We offer a competitive salary of $120,000 per annum, commensurate with experience, and a comprehensive benefits package that includes health insurance, retirement planning, and paid time off. If you have a passion for the healthcare industry and are eager to contribute to process improvements, this is a great opportunity for you to join our dynamic team.



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