About The Position

Under minimal supervision, this position will serve as a resource for the revenue cycle staff in areas including but not limited to manual charge entry, payor guidelines, payment posting and AR patient and Insurance collections. This position will work closely with the revenue cycle supervisor and management team in areas of workflow and day-to-day operations throughout the revenue cycle team. The Sr. medical billing specialist team lead is also responsible for assisting in overseeing workflows and processes as well as continuously looking for improvements in the revenue cycle. Supports the Revenue Cycle Supervisor and management team, responds positively to special projects and assigned responsibilities. Responsible for training any new hires in the various systems and workflows. The Sr. Medical Billing Specialist Lead will be responsible to work adhoc projects for the various teams and serve as subject matter expert in regards to processes. Perform other duties as assigned. Will assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues.

Requirements

  • High School Diploma or equivalent
  • 4+ years of experience in the healthcare field of revenue cycle and medical professional billing
  • Computer knowledge
  • Knowledge of EHR systems
  • Knowledge of billing practice management systems
  • Proficient in Excel
  • Proficient in Office
  • Proficient in Word
  • Knowledge of ICD-10 codes
  • Knowledge of CPT codes
  • Knowledge of HCPCS
  • Knowledge of HIPPA
  • Comprehensive knowledge in registration
  • Comprehensive knowledge in revenue cycle practices
  • Comprehensive knowledge in self-pay collections
  • Comprehensive knowledge in insurance billing
  • Comprehensive knowledge in payer regulations
  • Effective communicator
  • Critical thinking skills
  • Attention to detail
  • Proficient in Microsoft Word
  • Proficient in Excel
  • Proficient in Typing/Data Entry

Nice To Haves

  • Certified coder is preferred
  • Experience with billing and collections for providers in a multi-specialty setting

Responsibilities

  • Serve as a resource for revenue cycle staff in manual charge entry, payor guidelines, payment posting, and AR patient and insurance collections.
  • Work closely with the revenue cycle supervisor and management team on workflow and day-to-day operations.
  • Assist in overseeing workflows and processes and identify areas for improvement in the revenue cycle.
  • Support the Revenue Cycle Supervisor and management team with special projects and assigned responsibilities.
  • Train new hires on various systems and workflows.
  • Work on ad hoc projects for various teams and serve as a subject matter expert in processes.
  • Perform other duties as assigned.
  • Assist in identifying and reporting issues to help minimize re-work and address front-end process issues.
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