Billing Team Lead

3 hours ago

Ortigas Metro Manila, Philippines Acquire Intelligence Full time ₱600,000 - ₱800,000 per year
Key Responsibilities

Information Distribution & Communication

  • Ensures timely and accurate distribution of updates, policy changes, process improvements, and payer communications to all team members.
  • Maintains clear, consistent communication across the team to support aligned and efficient billing operations.

Reporting & Insight Generation

  • Provides meaningful insights and analytical reports to management and the campaign leadership, including trends in claim performance, denials, turnaround times, and customer inquiries.
  • Identifies patterns and operational gaps, offering recommendations to enhance billing effectiveness and customer service quality.

Team Oversight & Customer Inquiry Management

  • Supervises Billing Specialists responsible for responding to customer billing inquiries, ensuring professionalism, accuracy, and adherence to compliance standards.
  • Provides guidance on complex billing questions and escalations, acting as the point of contact for challenging cases.

Performance Monitoring & Team Development

  • Monitors individual and team performance, evaluating productivity, accuracy, quality, and adherence to KPIs.
  • Drives performance improvement through feedback, coaching, mentoring, and targeted development strategies.
  • Develops and delivers daily, weekly, and monthly action plans focused on agent growth, skill-building, and performance enhancement.

Subject-Matter Expertise in Billing & Coding

  • Possesses strong foundational knowledge of medical billing workflows, insurance processes, claim lifecycle, and medical coding concepts (ICD-10, CPT, HCPCS).
  • Acts as a Subject Matter Expert (SME) for billing processes, payer rules, and client-specific requirements, providing guidance to the team and other departments.

Leadership & Goal Alignment

  • Leads the team toward shared goals—even under aggressive timelines—by promoting accountability, collaboration, and a positive performance culture.
  • Fosters a coaching culture, encouraging continuous improvement, open feedback, and growth mindset within the team.

Training & Problem-Solving Development

  • Trains team members to develop logical and effective problem-solving skills, especially related to claim issues, denials, and customer concerns.
  • Conducts group performance reviews using performance reports and statistics; collaborates with the team to build action plans for improving low metrics.

Adaptability & Process Mastery

  • Quickly learns new campaign-specific processes, systems, and payer requirements.
  • Adapts easily to workflow changes, policy updates, and operational shifts, guiding the team through transitions with minimal disruption.

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