Medical Billing Lead

We are seeking an experienced and detail-oriented Medical Billing Manager to lead our billing operations and ensure the accuracy, efficiency, and compliance of the revenue cycle. The ideal candidate will have a strong understanding of medical billing procedures, reimbursement cycles, payer rules, claim submissions, and denial management, along with proven experience managing billing teams in a healthcare environment within North America.Key ResponsibilitiesOversee and manage the complete medical billing lifecycle, including claims submission, payment posting, collections, denials, appeals, and patient billing.Ensure timely and accurate processing of claims to Medicare, Medicaid, and commercial payers in compliance with industry regulations (HIPAA, CMS, etc.).Monitor billing KPIs such as DSO, clean claim rate, denial rate, and collection targets to maximize revenue performance.Lead and support the billing team, including workload distribution, training, performance reviews, and day-to-day supervision.Identify and resolve billing bottlenecks, errors, and recurring claim issues by working closely with coding, front desk, and clinical teams.Stay current with payer policy changes, billing regulations, and reimbursement trends; update internal processes when needed.Oversee audits, ensure billing accuracy, and maintain compliance with federal, state, and payer guidelines.Manage relationships with external billing vendors, clearinghouses, and insurance representatives.Implement process improvements, automation, and best practices to boost efficiency and cash flow.Prepare and present weekly/monthly reports on billing performance, collections, aging, and denial trends to management.Required QualificationsBachelor’s degree in Healthcare Administration, Business, or a related field (or equivalent experience).Minimum 7 years of medical billing experience, including 2+ years in a supervisory or managerial role.Strong knowledge of medical billing, coding guidelines (ICD-10, CPT, HCPCS), payer rules, and reimbursement models.Hands-on experience with billing software (e.g., Kareo, Athena, DrChrono, AdvancedMD, or similar).Excellent analytical skills and attention to detail.Strong leadership, communication, and problem-solving abilities.Ability to manage multiple priorities in a fast-paced environment.Preferred QualificationsCertification such as CPB, CMRS, CPC, or RHITExperience in radiology, outpatient services, or specialty practice billingKnowledge of RCM workflows, denial prevention strategies, and payer contractingCore CompetenciesRevenue Cycle OptimizationClaims & Denial ManagementCompliance & Regulatory KnowledgeKPI Monitoring & ReportingTeam Leadership & TrainingProcess Improvement & AutomationSuccess Indicators (KPIs)High Clean Claim Rate (>95%)Reduced Days in A/RLower Denial and Rejection RatesImproved Monthly CollectionsTimely Claim Submission and Follow-UpAbout CHI TechnologiesWe want to be the leaders in remote monitoring, diagnosis, and real-time and predictive analysis in healthcare and are looking for candidates who share our passion regarding technology and its long-term impact on healthcare - be a part of an energetic team to realize our dream.Cognitive Healthcare International has offices in Hong Kong, Dubai, Lahore and NUST Islamabad. We are a team of 60+ highly motivated engineers and scientists. Please visit: https://chi-technologies.com/