Lead Biller

Schedule: Monday Friday 8:30 AM 5:00 PM Reports To: Revenue Cycle Manager

About the Role

Build Accuracy. Drive Clarity. Power Care.

Our client is seeking a detail-oriented and motivated Senior Medical Billing Specialist to support the financial operations that make their mission possible helping children and families thrive.

Youll play a key role in ensuring that billing claims and payments are handled with precision professionalism and care. As a senior member of the billing team youll manage complex cases guide colleagues and help maintain the accuracy and efficiency that keep a multi-disciplinary pediatric practice running smoothly.

What Youll Do

• Lead and oversee daily billing operations for therapy services ensuring timely and accurate claim submission and reimbursement
• Review prepare and submit complex insurance claims while supporting team members with escalated billing issues and claim resolution
• Monitor accounts receivable analyze aging reports and drive follow-up efforts on unpaid denied or underpaid claims
• Serve as the primary point of contact for billing staff questions providing training coaching and ongoing support to improve team performance and accuracy
• Coordinate insurance verification benefits review pre-authorizations and documentation requirements to minimize claim delays and denials
• Collaborate with insurance carriers to resolve claim discrepancies appeals and payment issues efficiently
• Communicate professionally with patients regarding balances billing concerns payment plans and insurance-related questions
• Maintain accurate records of billing activity payments adjustments and correspondence in compliance with HIPAA and organizational standards
• Identify opportunities to improve billing workflows reporting and revenue cycle efficiency making recommendations to leadership
• Stay informed on payer regulations billing requirements coding updates and compliance standards ensuring the billing team remains current and aligned
• Partner closely with therapists administrative staff and leadership to support operational and financial goals

Qualifications

• 7 years of medical billing experience preferably in behavioral health therapy or healthcare settings
• Prior leadership supervisory or mentoring experience within a billing or revenue cycle team strongly preferred
• Advanced knowledge of insurance verification claim submission denials management appeals pre-authorizations and accounts receivable processes
• Strong understanding of HIPAA compliance and payer regulations
• Excellent organizational analytical and problem-solving skills with high attention to detail
• Effective communication and interpersonal skills with the ability to support both patients and internal staff professionally
• Ability to manage multiple priorities work independently and lead collaboratively in a fast-paced environment
• Experience with EHR and medical billing software systems preferred
• Preferred: Associate degree or certification in medical billing and coding

What Our Client Offers

• Competitive pay and benefits package
• Medical dental and vision insurance (with HSA option)
• Company-paid life insurance and short-term disability
• 401(k) with employer match
• Generous paid time off and holidays
• Ongoing professional development and advancement opportunities
• A collaborative culture that values integrity accuracy and impact

Why Our Client

Every role contributes directly to the quality of care delivered. Join a mission-driven team and help ensure every claim and every family is cared for with excellence.