Document Review Lead

To provide daily assistance to the Document Review Manager/Supervisor. Has the ability and knowledge to provide training and support for Document Review staff. Assist in administration of day-to-day operations. Identify and report job performance shortfalls. Ensures customer expectations are met. Reviews client orders according to insurance guidelines to ensure accurate billing and reduce denials.

Main Job Tasks and Responsibilities

  • Receives batches from clients to ensure Medbill has received all orders from the client
  • Organizes the batch coversheets to use as receipts for the client
  • Prioritizes orders to review based on set guidelines from supervisor
  • Gives priority to document review specialist, ensures work is being completed in order.
  • Review and interpret insurance policy guidelines as it relates to the orders to review for the clients
  • Correctly code the orders for either data entry or billing confirmation
  • Communicate with clients on possible issues with orders
  • Work with client to arrive at acceptable changes that can be made to orders to bill
  • Communicate to client about the completed or actioned orders
  • Work with Billing and Accounts Receivable staff on resolving billing issues before submitting claims
  • Work with Billing and Accounts Receivable staff on finding error trends and client issues to be reported back to the client
  • Track time spent on each client daily
  • Track employee progress by checking batched and confirmed orders daily
  • Provides feedback for team members’ performance appraisals to management. Maintains efficient workflow by holding team mates accountable for quality and efficiency of their work
  • Train new employees and assist other staff with more difficult orders
  • Review document review specialist orders for accuracy before confirmation
  • Other duties as assigned


Education and Experience

  • Minimum Medical Billing Certificate/Diploma, Bachelor’s Degree preferred
  • 3 years of DME medical billing or equivalent experience
  • Extensive knowledge of all insurance payer guidelines
  • Ability to complete orders for all clients
  • Knowledge of regulatory standards and compliance requirements
  • Customer service experience
  • Billing and AR knowledge

Key Competencies

  • Extreme attention to detail
  • Excellent verbal and written communication skills
  • Reading comprehension and critical thinking skills
  • Represents Medbill in a positive manner
  • Organizational skills
  • Self-motivated with abilities to work well in a team
  • Supervisor experience and/or training

Salary Description