Business Office Lead-Biller

Surgery Partners•Beverly Hills, CA

About The Position

The Business Office Lead & Biller performs the day-to-day billing functions of an Ambulatory Surgery Center (ASC) while providing direct supervision and oversight of assigned business office staff. The role maintains individual billing responsibilities while coordinating and monitoring accounts receivable, denial management, insurance verification and authorizations, and scheduling. The position handles ASC billing and revenue-cycle work, including claim review, submission, corrections, payer follow-up, accounts receivable, denials, appeals, and reimbursement discrepancies. It oversees assigned insurance verification and authorization workflows, supports timely financial clearance, and coordinates with scheduling, clinical staff, and physicians’ offices to resolve issues affecting scheduled procedures. The lead supervises assigned staff, coordinates workloads, communicates expectations, monitors performance, provides coaching and training, and promotes accountability and adherence to departmental workflows. The role also monitors operational indicators, identifies process improvements, maintains an inventory of business office supplies and equipment, and communicates performance trends, staffing concerns, workflow issues, and unresolved matters to the Business Office Manager. The position requires maintaining confidentiality and complying with 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, and revenue cycle management.
Knowledge of 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.
Medical billing, claims processing, and revenue cycle management knowledge within an ambulatory surgery center 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 insurance verification and authorization workflows assigned to business office staff.
Ensure authorizations and required financial clearance activities are completed accurately and on time.
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.
Establish 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 among assigned staff.
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 to increase efficiency and productivity.
Maintain an inventory of business office supplies and equipment and communicate supply needs as appropriate.
Communicate performance trends, staffing concerns, workflow issues, and unresolved matters to the Business Office Manager.
Maintain confidentiality and comply with applicable HIPAA requirements, payer regulations, and organizational policies.