[Hiring] Billing Team Lead @Tobii Dynavox

Role Description

The Billing Team Lead is responsible for overseeing the daily operations of the Billing Department. This role provides leadership, guidance, training, and support to billing specialists while ensuring accurate claim submission, timely reimbursement, regulatory compliance, and exceptional customer service. The Team Lead serves as a subject matter expert for billing processes, payer requirements, and revenue cycle management activities.

Work Schedule: Monday–Friday, 8:00 AM–5:00 PM EST. This is a fully remote position with occasional travel, approximately 1–2 times per year.

As a Billing Team Lead, you will be responsible for:

• Leadership & Team Management
  • Lead, coach, and support DME Billing Specialists to achieve departmental goals and performance expectations.
  • Provide ongoing training and mentoring for new and existing team members.
  • Monitor workloads and assign tasks to ensure efficient operations and timely claim processing.
  • Conduct quality reviews and provide constructive feedback to improve accuracy and productivity.
  • Assist management with performance evaluations, employee development plans, and staffing recommendations.
  • Serve as the first point of escalation for billing-related issues and complex account resolutions.
  • Promote a positive, collaborative, and customer-focused work environment.
• Billing & Revenue Cycle Operations
  • Oversee the submission of clean claims to Medicare, Medicaid, commercial insurance carriers, workers' compensation plans, and other payers.
  • Ensure claims are processed accurately and within established billing timelines.
  • Monitor and resolve claim rejections, denials, and payer edits.
  • Analyze billing trends and identify opportunities for process improvement and revenue enhancement.
  • Review aging accounts receivable and prioritize collection efforts to ensure initial billing is timely.
  • Work with internal departments to resolve billing discrepancies and documentation issues.
  • Ensure appropriate modifiers, authorization requirements, and billing practices are applied.
• Compliance & Quality Assurance
  • Maintain compliance with Medicare, Medicaid, HIPAA, DMEPOS, and payer-specific regulations.
  • Monitor changes in billing regulations and communicate updates to staff.
  • Conduct routine audits to ensure billing accuracy and policy adherence.
  • Assist with internal and external audits as needed.
  • Support departmental quality initiatives and corrective action plans.
• Reporting & Process Improvement
  • Track and report key performance indicators (KPIs), including:
    • Claims billed
    • Clean claim rates
    • Denial rates
    • Accounts receivable aging
    • Cash collections
    • Productivity metrics
  • Analyze trends and recommend workflow improvements.
  • Participate in cross-functional projects to enhance billing efficiency and customer satisfaction.
  • Develop and update departmental policies and procedures.

Qualifications

• Minimum 3-5 years of healthcare billing experience required.
• Preferred DME billing experience.
• Prior leadership, mentoring, or supervisory experience preferred.
• Experience with Medicare, Medicaid, and commercial insurance billing.
• Experience managing billing denials, appeals, collections, and reimbursement processes.

Requirements

• Strong knowledge of DMEPOS billing guidelines and payer requirements.
• Understanding of HCPCS coding, modifiers, authorizations, and reimbursement methodologies.
• Proficiency with billing software, EMR systems, payor portals, and Microsoft Office applications.
• Strong analytical and problem-solving skills.
• Excellent collaboration, organizational, communication, and interpersonal skills.
• Ability to prioritize multiple tasks in a fast-paced environment.
• Ability to maintain confidentiality and compliance with HIPAA regulations.
• Strong attention to detail and commitment to quality.
• Ability to work in a fast-paced environment and handle multiple tasks at the same time.
• Able to maintain composure and professionalism under stressful situations.
• Ability to lead change management initiatives.

Physical Requirements

• Ability to sit for extended periods while working at a computer.
• Ability to communicate effectively via phone, video conferencing, and email.
• Occasional lifting of up to 15 pounds may be required.

Benefits

• Empowering individuals to reach their full potential.
• Flexible work culture that values collaboration and individuality.