Jr. Medical Billing Lead

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Full Time White Plains, NY, US

17 days ago Requisition

Salary Range: $55,000.00 To $58,000.00 Annually

Job Title: Jr. Medical Billing Lead
Reports to: National Billing Manager
Supervises: Billing Specialists assigned to portfolio

The Jr. Medical Billing Lead owns the financial performance, claim quality, and client relationships for an assigned portfolio of medical billing clients. This role manages a smaller portfolio than the Senior Regional Medical Billing Leads while maintaining established performance standards within the assigned portfolio. The Jr. Medical Billing Lead also provides day-to-day direction and support to Billing Specialists assigned to those accounts and helps maintain service levels as new client volume grows.

• Own collections performance for the assigned client portfolio, including underpayments and appeals.
• Work aged A/R based on revenue impact, prioritizing high-dollar balances and accounts at risk of timely filing.
• Identify revenue leakage from missed charges, underpayments, and payer contract variances.
• Escalate contract-level issues to the National Billing Manager.
• Review payment posting and adjustment accuracy for assigned accounts.

• Drive first-pass claim acceptance through front-end edits, payer rule maintenance, and scrubber configuration.
• Categorize denials by root cause and implement corrective action at the source rather than reworking claims individually.
• Maintain compliance with payer requirements, coding standards, and applicable billing regulations for assigned accounts.
• Escalate systemic compliance risks and high-dollar exposure to the National Billing Manager without delay.

• Absorb newly onboarded accounts and bring them to steady-state billing performance.
• Coordinate with implementation, credentialing, and coding teams to configure billing workflows for new accounts.
• Validate payer setup, fee schedules, and claim configuration before first submission and go-live.
• Document account-specific billing requirements and maintain accurate client records.

• Audit a monthly sample of Billing Specialist work for accuracy and adherence to billing standards.
• Provide day-to-day direction, training, and workflow support to assigned Billing Specialists.
• Address performance gaps directly and expedite unresolved issues to the National Billing Manager.
• Support onboarding and cross‑training of new billing staff.

• Lead scheduled client meetings for assigned accounts, with National Billing Manager support during initial account transitions and for escalated or at‑risk accounts.
• Deliver monthly performance reporting covering collections, denials, and A/R, including commentary on variances and corrective actions.
• Resolve billing disputes with clients and payers promptly and document resolutions.
• Escalate at‑risk accounts to the National Billing Manager as soon as risk is identified.

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field, or equivalent medical billing experience.

• Minimum of three years of experience in medical billing or revenue cycle, including direct ownership of client accounts and A/R follow‑up.
• Working knowledge of CPT, ICD‑10, and HCPCS coding.
• Knowledge of payer adjudication rules, denial management, and applicable billing regulations.
• Demonstrated ability to guide, train, and…