Medical Billing & Eligibility Team Lead at PF Concepts

Fairfield, New Jersey, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Feb, 26

Salary

0.0

Posted On

19 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Eligibility Processes, Healthcare Regulations, HIPAA Compliance, Communication Skills, Interpersonal Skills, Problem-Solving, Attention to Detail, Microsoft Office, Team Support, Training, Mentoring, Quality Checks, Workflow Coordination, Client Reports, Escalation Handling

Industry

Wholesale

Description

Description Job Summary: The Medical Billing & Eligibility Team Lead is a working lead who supports the daily operations of our back-office client services team. This role focuses on coordinating workflow, providing subject-matter expertise, assisting with escalations, and supporting staff to ensure accurate, timely, and compliant work across billing and eligibility functions. Key Responsibilities: Serve as a subject-matter expert for Medical Billing, Medicaid, Charity Care, MVA, and Eligibility processes. Coordinate daily workflow and assist team members with task prioritization to meet goals and turnaround times. Provide guidance and support on complex cases, system navigation, and client-specific requirements. Handle escalated issues and assist with resolving complex billing or eligibility inquiries. Perform quality checks to ensure accuracy, compliance, and proper documentation. Assist with onboarding and training new team members. Monitor productivity trends and communicate issues or opportunities to management. Support process improvements and workflow updates. Assist with client reports, dashboards, and productivity summaries as needed. Serve as a liaison between the team and management to ensure consistent communication. Schedule: Monday-Friday 8:00AM-4:30PM Requirements Required Skills & Abilities: Strong knowledge of healthcare billing, eligibility, insurance regulations, and HIPAA compliance. Excellent communication and interpersonal skills with the ability to coach and support peers. Strong problem-solving skills and the ability to handle escalated cases. High attention to detail with the ability to identify trends and perform quality reviews. Proficient in Microsoft Office and relevant systems. Ability to work independently, organize workload, and support team productivity. Education & Experience: High School Diploma required. Associate’s or Bachelor’s degree in Business, Health Administration, or related field preferred. At least 3 years of experience in healthcare revenue cycle, medical billing, eligibility, or patient financial services. Experience in training, mentoring, or providing peer support preferred.

Responsibilities

The Medical Billing & Eligibility Team Lead coordinates workflow and provides subject-matter expertise to support the back-office client services team. This role involves handling escalated issues, performing quality checks, and assisting with training new team members.