Billing Team Lead

Ocean Health Initiatives • Lakewood Township, NJ

19h • Hybrid

About The Position

Reporting to the Billing Manager, the Billing Team Lead supports daily billing operations while providing guidance and oversight to Billing Specialists and CPC staff. This role ensures timely and accurate claim submission, monitors team performance, and supports denial management and accounts receivable follow up.

The Billing Team Lead acts as a bridge between staff and leadership, reinforces compliance, and drives workflow improvements.

Requirements

• High School diploma or equivalent required.
• Certified Professional Coder (CPC)required
• Strong knowledge of coding guidelines, payer requirements, and denial workflows
• Proficiency in billing systems and EMR platforms
• Strong organizational skills, ability to manage multiple tasks, and proficiency in billing software, EHR, and Microsoft Office 365 is required

Nice To Haves

• Experience in medical billing within an FQHC or similar setting is preferred.
• Prior experience mentoring or leading staff preferred

Responsibilities

• Monitor daily claim submission for accuracy and timeliness.
• Review claims for coding and payer compliance before escalation.
• Ensure adherence to timely filing limits across all payers.
• Support resolution of claims on hold within required timelines.
• Guide staff in reviewing, correcting, and resubmitting denied claims.
• Track denial trends and escalate patterns to the Billing Manager.
• Ensure denials are addressed within30 days.
• Monitor aging reports and prioritize follow up on accounts over90 days.
• Support efforts to maintain AR benchmarks below 15 percent.
• Assist with oversight of payment posting and patient refund workflows.
• Provide daily guidance to Billing Specialists and CPC staff.
• Support onboarding and training of new team members.
• Assistwith staff education on coding accuracy and payer requirements.
• Reinforce workflows, policies, and performance expectations.
• Track team KPIs and productivity metrics.
• Assistwith scorecard reviews and performance improvement plans.
• Identifyworkflow gaps and recommend solutions to leadership.
• Ensure compliance with federal, state, and MCO requirements.
• Participate in CQI initiatives and process improvement efforts.
• Stay current on payer updates and communicate changes to staff.
• Support provider education on documentation and coding alignment.
• Assistwith resolving escalated billing and payer issues.
• Collaborate with clinical and administrative teams to improve workflows.
• Maintain strong proficiency in billing platforms and EMR systems.
• Utilizeclaimsscrubbers and reporting tools to reduce denials.
• Support workflow tracking and task management processes.

Benefits

• Medical, Dental, Vision and Life Insurance
• Flexible Spending Accounts with Medical and Dependent Care
• Voluntary Life Insurance
• 401(k) Salary Deferral and Match
• Paid Time Off
• Paid Holidays
• Employee Assistance Program
• Employee Discounts
• Employee Referral Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees