Lead PFS Medical Billing Specialist

📋 Description

• Serve as a proxy for the department manager when needed and provide leadership support for
• Participate in and coordinate productivity and quality program standards as required.
• Participate in and coordinate payer meetings and maintain effective communication with payer
• Act as a subject matter expert and resource for caregivers in resolving complex billing and account
• Monitor hospital and clinic compliance with applicable state and federal regulations and escalate
• Plan, coordinate, and implement onboarding activities for new caregivers.

🎯 Requirements

• Proven experience in professional fee services medical billing and revenue cycle operations.
• Strong knowledge of medical billing practices, payer requirements, reimbursement processes, and
• Demonstrated ability to analyze and resolve complex claim errors, denials, rejections, and account
• Strong understanding of timely filing requirements and payer-specific billing guidelines.
• Experience interpreting and applying state and federal healthcare compliance requirements.
• Ability to research payer policies, identify root causes, and develop effective solutions to

🎁 Benefits

• Leadership-oriented opportunity within a medical billing and revenue cycle environment.
• Opportunity to serve as a subject matter expert on complex billing and account resolution.
• Opportunities to mentor, coach, and train medical billing professionals.
• Exposure to payer relations, compliance, audits, reporting, and revenue cycle operations.
• Involvement in process improvement and initiatives designed to strengthen billing accuracy and
• Cross-functional collaboration with revenue cycle departments and organizational teams.