Medical Billing Team Lead

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RMLPH

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

📋 Description

• Lead and manage a team of medical billers and AR staff in processing end-to-end revenue cycle tasks, including charge entry, claim submission, insurance verification, and denial resolution. • Review billing output and audit claim submissions for accuracy, appropriate use of CPT and ICD-10 codes, and adherence to payer guidelines. • Ensure that claims are submitted promptly through the billing system and proactively monitor outstanding accounts receivables. • Investigate and resolve claim rejections or denials by coordinating with insurance companies and internal departments. • Manage daily work allocation, monitor productivity, and track key billing metrics (e.g., claim turnaround, denial rates, collections). • Conduct regular team meetings and training to keep the billing team updated on changes in policies, payer rules, or regulatory updates. • Act as the first point of escalation for complex or delayed claims, providing hands-on support for resolution. • Collaborate with the Billing Manager and cross-functional teams to implement process enhancements and meet revenue goals. • Provide coaching, feedback, and performance evaluations for billing staff; support the hiring, onboarding, and ongoing development of team members. • Ensure compliance with company policies, HIPAA regulations, and billing best practices. • Prepare and submit routine performance reports to management and support project-based initiatives.

🎯 Requirements

• All employees must undergo a background check, and continued employment is dependent on its outcome. • English proficiency is required. • Minimum of two years of experience in Medical Billing. • Strong knowledge of US healthcare billing practices, payer policies, and claims submission processes. • Hands-on expertise in CPT, ICD-10, and HCPCS coding; familiarity with Medicare, Medicaid, and commercial insurance guidelines. • Solid understanding of EHR and billing systems (e.g., Office Ally, Availity, Kareo, Prompt, or equivalent platforms). • Proficient in AR follow-up, denial management, and payment posting.

🏖️ Benefits

• Paid leave: Sick, Paternity, Annual, and Public holidays