Medical Billing Lead – eClinicalWorks Specialist

We are a growing multi-specialty medical practice providing comprehensive healthcare services including Internal Medicine, Primary Care, Wound Care, and Infectious Disease. We are seeking a Lead with strong expertise in eClinicalWorks.

The ideal candidate will have extensive knowledge in coding, insurance follow-up, and reconciliation processes while also being capable of leading billing operations and supporting providers and staff in a fast-paced healthcare environment.

Key Responsibilities:

• Lead and oversee day-to-day medical billing and revenue cycle operations across multiple specialties
• Review and verify CPT, ICD-10, HCPCS, and modifier coding accuracy for office visits, procedures, and specialty services
• Ensure all provider charges and billing data are entered accurately and timely in eClinicalWorks
• Perform coding reconciliation within 24 hours of services rendered
• Review patient charts, provider schedules, and encounters to ensure all charges are captured across all locations and places of service
• Communicate with providers regarding insufficient or unclear documentation within required timelines
• Audit clinical documentation and coded data to ensure compliance with insurance and governmental regulations
• Analyze denials, aging reports, and reimbursement trends to improve collections and reduce revenue leakage
• Respond to insurance carrier correspondence and resolve claim-related issues
• Monitor claim submission workflows, payment posting accuracy, and follow-up activities
• Train and support billing and front office staff on billing workflows and operational best practices
• Assist ownership and management with identifying operational inefficiencies and implementing process improvements
• Handle patient billing inquiries professionally and courteously
• Perform additional duties as assigned by ownership

Qualifications & Requirements:

• Strong working knowledge of CPT, ICD-10, modifiers, claim submissions, denials management, and insurance regulations
• Prior hands-on experience with eClinicalWorks is required
• Experience working in multi-specialty or high-volume medical practices preferred
• Strong leadership and team management skills
• Excellent organizational, analytical, and multitasking abilities
• Ability to work independently and collaboratively within a team environment
• Strong problem-solving and decision-making skills
• Professional phone etiquette and communication skills
• Proficiency in Microsoft Office Suite, especially Excel
• Knowledge of medical terminology required

Preferred Certifications:

• CPC – Certified Professional Coder
• AAPC Certification preferred
• Equivalent experience may be considered in place of certifications

Benefits:

• 401(k)
• Health Insurance
• Dental Insurance
• Paid Time Off
• Retirement Plan
• Employee discount
• Parental leave
• Referral program

Work Location: In person