Billing Lead - Training & Quality

At Falck US, Revenue Cycle Management isn’t just numbers – it’s how we help real people after some of the most stressful moments in their lives. Behind every claim is a patient and a colleague who made that claim possible. In Billing, you make that part of their journey easier – no blood, no needles, just smart, compassionate support.

Our RCM Billing organization is built around three pillars:

• Billing Managers – own performance and people in their markets.
• Billing Specialists – do the day-to-day work on claims.
• Billing Leads – design the way we work: training, tools and processes, so Billing Managers and specialists can win.

As a Billing Lead, you report to the Senior Billing Manager and work across all markets. You don’t manage people – you manage standards, methods and improvements. You partner closely with the three Billing Managers and with the RCM Support & Transformation team (analysts, academy, connectivity, compliance support, master data) to turn problems into better ways of working.

If you enjoy combining deep Billing knowledge with training, tools or process improvement – and you like helping others succeed – one of these roles could be a strong match.

The Billing Lead – Training & Quality makes sure our billers have the skills, standards and support they need to do high-quality, compliant work in a consistent way – from Specialist I to senior level.

You own Billing’s training programs, Billing-specific documentation and the quality/coaching loop. You work closely with the Billing Managers and with the Support & Transformation team’s academy and compliance resources to translate regulations, audit findings and real-world issues into practical training, standards and coaching.

In this role you will:

• Design and maintain Billing training paths
• Build and update structured training for new hires and existing staff – from insurance verification and PCR review to advanced coding and payer-specific rules for 911 and IFT.
• Define what “good” looks like for Billing Specialist I, II and III and support the progression between levels.
• Develop and maintain Billing SOPs, job aids, checklists and reference materials, aligned with the RCM Academy framework owned by the Support & Transformation team.
• Make sure documents are clear, current and reflect system workflows, payer policies and regulations.
• Design and oversee Billing quality reviews: what to sample, how to review and how to record findings.
• Work with Billing Managers and senior billers to turn quality findings into targeted coaching and simple improvement actions.
• Work with the Compliance Officer and academy resources to translate No-Surprises, CMS/Medicare/Medicaid rules and audit results into concrete training, standards and system/flow changes.
• Help with interviews and onboarding for new Billing Specialists.
• Provide train-the-trainer support so senior billers can coach their teams using common standards.

Qualifications:

• Typically 5+ years in Ambulance Billing/RCM or similar, with exposure from basic pre-bill work to more complex coding and compliance topics.
• Have already acted as a trainer, SME or go-to person others ask for help.
• Comfortable leading 1:1, small-group or virtual training and adapting to different learning styles.
• Understand key regulations (No Surprises Act, HIPAA, CMS rules) and basic CPT, ICD-10, HCPCS and modifiers.
• Enjoy building playbooks, checklists and guides that others can follow.
• Like partnering with Billing Managers, Support & Transformation team and Compliance.

Working conditions include small to medium office or shared workspace with varied shifts including days, nights, weekends and holidays. Physical demands may include sitting or computer use for long periods and lifting up to 25 lbs.

Falck is an Equal Opportunity Employer.