Job Description
We are seeking a detail-oriented and experienced Lead Medical Biller to oversee our medical billing operations. This critical role ensures the accuracy and efficiency of our billing processes, driving timely reimbursements and maintaining compliance with healthcare regulations.
The ideal candidate will thrive in a fast-paced healthcare environment, demonstrate strong leadership capabilities, and possess a deep understanding of billing procedures, payer policies, and coding standards
Responsibilities:
- Lead and support a team of medical billers, providing training, guidance, and performance feedback
- Review and process medical claims for accuracy and completeness before submission
- Monitor claim denials and rejections; oversee timely follow-up and appeals
- Ensure compliance with payer guidelines, HIPAA regulations, and internal policies
- Collaborate with coding staff, providers, and administrative teams to resolve billing discrepancies
- Generate and analyze billing reports to identify trends, issues, and opportunities for improvement
- Stay current with changes in insurance policies, billing regulations, and reimbursement models
Qualifications:
- High school diploma or equivalent required
- Minimum 3–5 years of medical billing experience, with at least 1 year in a leadership role
- Strong knowledge of CPT, ICD-10, and HCPCS coding systems
- Proficiency in billing software
- Clearinghouse Rejections knowledge is a plus
- Excellent communication, organizational, and problem-solving skills
- Certification in medical billing or coding (e.g., CMRS, CPB, CPC) is a plus
About Company:
Our goal is to provide the best comprehensive mental health care in Southern Utah. From board-certified licensed psychiatrists using the latest science and research-based medicine, compassionate counseling, state-of-the-art TMS treatments, and everything in between for a better-balanced life.
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