Business Office Lead-Biller

Surgery Partners•Beverly Hills, CA

16h

About The Position

The Business Office Lead-Biller performs the Ambulatory Surgery Center’s day-to-day billing functions while directly supervising assigned business office staff. The role maintains individual billing responsibilities and coordinates and monitors key business office functions, including accounts receivable, denial management, insurance verification and authorizations, and scheduling. The position oversees daily workflows, monitors performance and operational trends, supports staff development and accountability, and communicates concerns and unresolved matters to the Business Office Manager. It also maintains confidentiality and follows applicable HIPAA requirements, payer regulations, and organizational policies.

Requirements

High school diploma or equivalent required.
Previous experience in medical billing required.
Working knowledge of medical insurance processes, payer requirements, and billing procedures.
Knowledge of medical billing, claims processing, revenue cycle management, accounts receivable management, denial resolution, appeals, reimbursement processes, and insurance authorization requirements.
Understanding of insurance verification, scheduling, and financial-clearance workflows.
Ability to supervise staff, coordinate workloads, provide constructive feedback, and maintain accountability.
Strong organizational, communication, analytical, and problem-solving skills.
Ability to prioritize competing responsibilities, manage time effectively, and meet established deadlines.
Ability to maintain accuracy, confidentiality, professionalism, and attention to detail in a fast-paced office environment.

Nice To Haves

Ambulatory surgery center experience preferred.
Previous supervisory or team-lead experience preferred.

Responsibilities

Perform ASC billing functions, including claim review, submission, corrections, and payer follow-up.
Manage assigned accounts receivable, denials, appeals, and reimbursement discrepancies.
Monitor outstanding claims and identify opportunities to improve collections and reduce preventable denials.
Maintain accurate billing documentation and follow payer requirements and established billing procedures.
Oversee staff insurance verification and authorization workflows, ensuring financial-clearance activities are accurate and timely.
Coordinate with scheduling, clinical staff, and physicians’ offices to resolve issues affecting scheduled procedures.
Monitor authorization-related denials and help prevent avoidable delays and reimbursement issues.
Directly supervise assigned business office staff and coordinate daily workloads.
Set and communicate expectations for accuracy, productivity, timeliness, attendance, and professionalism.
Monitor staff performance and provide coaching, guidance, and training; address performance concerns and promote accountability.
Participate in performance evaluations and performance improvement plans with the Business Office Manager.
Promote teamwork, professionalism, and adherence to established workflows and departmental procedures.
Balance individual billing responsibilities with oversight of daily business office operations.
Monitor workflow completion, AR aging, denials, and authorization status; identify operational concerns and recommend process improvements.
Maintain an inventory of business office supplies and equipment and communicate supply needs.
Communicate performance trends, staffing concerns, workflow issues, and unresolved matters to the Business Office Manager.
Maintain confidentiality and comply with HIPAA requirements, payer regulations, and organizational policies.