Billing & Collections Team Lead (remote)

Remote Full-time
Billing & Collections Team Lead (remote)

SimiTree has an opening for a Billing & Collections Team Lead, fully remote position based in the United States. The Billing & Collections Team Lead is a dual-function role responsible for overseeing daily billing operations while serving as a senior subject-matter expert in complex Accounts Receivable (A/R) resolution. This role ensures accurate and timely claim submission, proactive quality assurance, and effective resolution of legacy and complex payer denials.

The position supports operational leadership by managing workflows, auditing work quality, coaching staff, and driving improvements across billing accuracy, collections performance, and denial prevention. The Team Lead works closely with internal departments, clients, and payers to ensure revenue cycle continuity and optimal cash flow.

About SimiTree
SimiTree provides client-centric services to home health, hospice, private duty, pediatrics, applied behavioral analysis, palliative care, and other post-acute organizations. Our organization is made up of clinical, operational, and revenue cycle experts who support our clients. SimiTree has developed a full suite of custom-designed services focusing on areas critical to quality improvement, operational efficiency, accurate reimbursement, and regulatory compliance.

To provide our clients with an opportunity to focus on core operations, SimiTree provides outsourcing services for Coding and OASIS reviews, Billing and Collections, and full Revenue Cycle services. SimiTree's client base ranges from small, community-based agencies to publicly traded national chains. We have both the technical expertise and the real-world experience to implement seamless solutions that assist agencies in a rapidly changing operational and regulatory environment.

Primary Responsibilities:
Billing Oversight & Quality Assurance
• Ensure all billing tasks, including out-of-norm or escalated items, are completed accurately and within required timelines
• Obtain, review, and process client census and billing data from internal and external sources
• Submit clean, accurate claims to payers in a timely manner
• Perform daily audits of claims billed to ensure compliance and accuracy
• Identify, troubleshoot, and correct billing errors prior to claim release
• Document all claim corrections, adjustments, deletions, and submissions within the billing system
• Track and report billing errors and corrective actions daily
• Collaborate with the Billing Manager on daily assignments, workload balancing, and priority management

Accounts Receivable & Denial Resolution
• Analyze and resolve complex, aged, or high-risk A/R, including legacy claims and challenging denials
• Demonstrate expertise in third-party payer billing and reimbursement practices, specifically within Behavioral Health
• Verify claim status, contact insurance carriers, and persistently pursue resolution until final disposition
• File and manage appeals, including follow-up and escalation as necessary
• Identify denial trends and recommend corrective actions to prevent recurrence
• Liaise with payer representatives to resolve systemic issues and support payer-specific projects
• Navigate payer guidelines and documentation requirements to support claim resolution

Leadership, Coaching & Collaboration
• Provide guidance, training, and support to billing and collections staff on denial management, billing accuracy, and best practices
• Support QA initiatives across billing and collections teams
• Collaborate with other departments (Coding, Authorizations, Posting, VOB, etc.) to resolve issues impacting the revenue cycle
• Communicate progress, risks, and trends to leadership clearly and proactively
• Assist in establishing and maintaining productivity and quality benchmarks

Competencies & Skills:
• Strong knowledge of Behavioral Health billing and collections
• In-depth understanding of commercial and government payer guidelines
• Proven analytical and problem-solving skills
• Excellent verbal and written communication skills
• High attention to detail with strong organizational abilities
• Ability to manage multiple priorities and meet deadlines consistently
• Proficiency with billing systems, databases, and Microsoft Office applications

Education & Experience Requirements:
• Associate's degree or equivalent combination of education and experience
• Minimum 3 years of experience in Revenue Cycle Management, with a focus on Accounts Receivable and denial resolution
• Behavioral Health billing and collections experience required
• Prior leadership, mentoring, or senior-level experience strongly preferred

Physical & Working Conditions:
• Prolonged periods of sitting and working at a computer
• Occasional lifting or moving of office equipment (5–15 pounds)
• Work performed in an office or remote environment with varying noise levels and conditions

The physical requirements are representative of those that must be met by an employee to successfully perform the essential function of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Salary Range/Benefits:
$47,000.00 - $65,000.00 annually

The compensation scale listed is a general salary range and is not intended to represent the actual annual or hourly compensation rate for this role. An offer will be made to the selected candidate at the conclusion of the interview process based on their relevant experience and the responsibilities of the position. SimiTree offers a competitive compensation package including health, vision, and dental insurance, PTO, retirement plans (401K), holiday paid time off, life insurance, sick time, and opportunities for professional development.

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