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LEAD MEDICAL BILLING SPEC-REMOTE

May 7, 2026

To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition the team lead, will review coding & charges, ensure the completion of team members daily task, and follow-up with external and internal customers to ensure the remediation of customer issues that may arise. The team lead should communicate with the AR Manager concerning central billing issues, questions, concerns, corrective actions or training needs.

Team Leader Responsibilities and Duties:

The Medical Billing Specialist Team Leader is responsible for the entry of all data processed through the Accounts Receivable Office; including all system documentation, charges, payments (lockbox & mail), adjustment and other transactions. The Medical Billing Specialist performs daily, monthly and special system processing requirements (i.e. batch posting and balancing).

1) Coding/Charge Review
a) Ensure Team Members are completing tasks/job functions timely

Coders receive charges from centers
Coders code charges within 1 day/24 hours of receipt of charge from centers
Coded charges/charge slips to Charge Entry team same day as coding completed
Charge Review team defers any charge not accepted with notes indicating why the charge is deferred

b) Work with CBO AR Manager to develop a common (all CBO centers) way for each center to report charges (surgery, hospital rounding, etc.)
c) Work with CBO AR Manager/CBO Administrator to implement coding education for CBO staff
2) Customer Service
a) Faxes, mail and courier items distributed immediately (utilizing mail boxes at front door rather than interrupting staff at work stations)

Charges received via fax are batched using a Batch cover sheet
Batch is logged into the Extraction Log on the CBO Shred Drive
Batch is delivered to the correct coding staff member’s mailbox

b) Hardcopy and Secondary Claims printed daily
c) Verify BWC claim/info is correctly processed
3) Charge Entry
a) Ensure team members are completing tasks/job functions timely

Manual charge entry batches are being received promptly from coding
Charges are keyed into Epic within 1 day/24 hours of receiving from Coding
Extraction Log is completed once batch is keyed into Epic

b) Determine that work/charges to be keyed are evenly distributed to each team member

Each team member is expected to inform team leader when they are behind

c) Check/Spot check team members’ work for errors
4) Payment Posting
a) Ensure team members are completing tasks/job functions timely and according to guidelines

Payments are posted within 24 hours of deposit to bank
Payments batches are balanced to EPIC daily, utilizing the PB Payment Activities report
Spreadsheets are balanced to bank every Monday; if team member is off on Monday, balancing to be performed the day before PTO begins
Reconciliation items from previous month are posted prior to beginning current month’s payment posting

b) Verify that team members are saving their work to the CBO shared drive

Lockboxes- Daily
Bank balancing spreadsheet- Weekly
Spreadsheets- As updated

c) Check/Spot check team members’ work for errors
d) Perform audits as requested by CBO AR Manager/CBO Administrator and randomly (determine if payment posted has difficulty with balancing and audit frequently)
e) Work with ERA Claims Specialist to resolve missing ERAs for entire team

Verify that ERAs are posted using Check Member not just deposit amount

5) Follow Up
a) Ensure team members are completing tasks/job functions timely and according to guidelines

WQs are current according to guidelines
Credit WQs are being worked at least one hour per day
ROA payments are distributed within 24 hours of center collecting payment

b) Check /Spot check team members’ work for errors
c) Work with CBO AR Manager/CBO Administrator to redistribute responsibilities to accommodate new staff member and to ensure work is evenly distributed
d) Verify that information is being deferred correctly and all encounters that are deferred have notes indicating why it is deferred

6) All Team Functions
a) Report an updates, concerns, issues during weekly Team Lead meetings
b) Answer questions from team members and center staff
c) Educate/Inform staff regarding changes, updates, etc
d) Monitor team members use of work time to handle personal business

Socializing with co-workers
Personal phone calls

e) Communicate Roadblocks/Issues to CBO AR Manager
f) Ensure consistency among staff, workflow, etc.
g) Cross Train/ “Buddy Billers”

Other duties as assigned by CBO AR Managers/CBO Administrator

Qualifications
1. High School diploma or GED
2. Three to five years previous healthcare billing, collections experience, and/or managed care experience preferred.
3. Knowledgeable about third party billing regulations and CPT.4/ICD.9/10 coding
4. Routine CRT/data entry skills
5. Knowledge of spreadsheet applications
6. Proven record of dependability
7. Strong communication and decision-making skills

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...