Billing Specialist Lead: Revenue Cycle Operations

Posted 10 Hours Ago
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Costa Mesa, CA, USA
In-Office
Mid level
Healthtech
The Role
Lead resource for revenue cycle staff handling manual charge entry, payment posting, AR patient and insurance collections. Train new hires, oversee workflows, support supervisor on process improvements, troubleshoot issues, and execute ad-hoc projects as subject matter expert in billing and revenue cycle operations.
Summary Generated by Built In
Primary Duties and Responsibilities

Under minimal supervision this position will serve as a resource for the revenue cycle staff in areas including but not limited to manual charge entry, payor guidelines, payment posting and AR patient and Insurance collections. This position will work closely with the revenue cycle supervisor and management team in areas of workflow and day-to-day operations throughout the revenue cycle team.

The Sr. medical billing specialist team lead is also responsible for assisting in overseeing workflows and processes as well as continuously looking for improvements in the revenue cycle. Supports the Revenue Cycle Supervisor and management team responds positively to special projects and assigned responsibilities.

Responsible for training any new hires in the various systems and workflows. The Sr. Medical Billing Specialist Lead will be responsible to work adhoc projects for the various teams and serve as subject matter expert in regards to processes.

Perform other duties as assigned.

Will assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues.

QualificationsEducation and Experience
  • High School Diploma or equivalent, 4+ years of experience in in the healthcare field of revenue cycle and medical professional billing High School diploma or higher, Computer knowledge, Knowledge of EHR systems billing practice management systems, Excel, Office, Word, knowledge of ICD-10 codes, CPT codes, HCPCs and HIPPA. Comprehensive knowledge in registration, revenue cycle practices, self-pay collections, insurance billing and payer regulations. Effective communicator, critical thinking skills, and attention detail.
  • Proficient in Microsoft Word, Excel, Typing/Data Entry
Preferred:
  • Certified coder is preferred. Experience with billing and collections for providers in a multi-specialty setting
License Required:

N/A

License Preferred:

N/A

Certifications Required:

N/A

Certifications Preferred:

N/A

About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

Skills Required

  • High School Diploma or equivalent
  • 4+ years experience in healthcare revenue cycle and medical professional billing
  • Knowledge of EHR systems and billing/practice management systems
  • Knowledge of ICD-10, CPT, HCPCS coding and HIPAA compliance
  • Proficient in Microsoft Excel and Microsoft Word (Microsoft Office)
  • Typing and data entry skills
  • Comprehensive knowledge of registration, self-pay collections, insurance billing and payer regulations
  • Effective communication, critical thinking skills, and attention to detail
  • Certified coder
  • Experience with billing and collections for providers in a multi-specialty setting

Hoag Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Hoag and has not been reviewed or approved by Hoag.

  • Healthcare Strength Health, dental, vision, mental health, disability, and wellness programs are extensive, with additions like FSAs and pet insurance. These offerings are presented as comprehensive and a meaningful component of total rewards.
  • Leave & Time Off Breadth Generous PTO, paid holidays and sick time, and parental leave feature prominently. These time-off provisions are described as supportive of work-life balance across roles, including fellowship programs.
  • Career-Linked Recognition & Rewards Tuition reimbursement, continuing education stipends, certification bonuses, and a clinical ladder link development to higher pay and broader involvement. Promote-from-within practices further connect performance and growth to compensation over time.

Hoag Insights

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The Company
HQ: Newport Beach, CA
7,000 Employees
Year Founded: 1952

What We Do

Since 1952, Hoag has been serving the local communities of Orange County by providing personalized health care services of an unsurpassed level. Hoag Digital Health is a new customer-centric product management, design, and engineering unit on a mission to bring together Hoag's nationally renowned care in key medical specialties with the everyday experience of primary, urgent, and preventative care and well-being through a variety of digital mediums.

Why Work With Us

To date, we have been helping fundamentally rethink the care experience for multiple customer groups with hybrid digital-physical solutions – from becoming go-to guides for first-time parents delivering at Hoag through re-imagining the primary care and annual wellness experience to improving Hoag’s “digital front doors,” including its websites.

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