Position: Billing Specialist – Team Lead

Location: Remote

Company: Chiro 1st – Leading Chiropractic Group with Multi-Location Footprint

Schedule: Full-Time | Monday–Friday

About Us

Chiro 1st is a high-performance chiropractic platform with a mission to deliver exceptional patient outcomes through operational excellence. With multiple clinics and a rapidly growing footprint, we are looking for a Billing Specialist Team Lead to drive accuracy, compliance, and revenue cycle efficiency.

Position Summary

We are seeking an experienced Billing Specialist to lead our internal billing team and manage day-to-day revenue cycle operations. This is a hands-on leadership role responsible for overseeing billing assistants, ensuring claim accuracy, timely reimbursements, and driving KPIs like clean claim rate and days in A/R.

Key Responsibilities

Leadership & Oversight

    •    Lead and mentor a team of Billing Assistants across multiple clinic locations

    •    Oversee daily workflows, prioritize tasks, and manage performance

    •    Conduct weekly billing team meetings and 1:1 check-ins

    •    Coordinate with Clinic Directors and Operations to resolve billing concerns quickly

Revenue Cycle Management

    •    Ensure accurate submission of insurance and cash claims via ChiroHD and clearinghouses

    •    Monitor and reduce rejections, denials, and outstanding A/R

    •    Post payments (EOBs, EFTs, checks, cash) and reconcile accounts weekly

    •    Manage CareCredit, Cash Practice, and other patient financing platforms

    •    Submit pre-authorizations, verify benefits, and follow-up on treatment plan approvals

Compliance & Reporting

    •    Stay current on chiropractic-specific billing guidelines (CPT, ICD-10, modifier use, state law)

    •    Ensure all claims meet payer compliance requirements

    •    Generate and present weekly billing performance reports to leadership

    •    Track and report KPIs including:

    •    Clean Claim Rate

    •    Days in A/R

    •    Denial Rate

    •    % of Claims Paid Within 30 Days

Required Qualifications

    •    3+ years of billing experience (chiropractic or physical therapy preferred)

    •    1+ year of experience leading or mentoring a team

    •    Proficiency in EMRs (ChiroHD preferred), clearinghouses, and billing platforms

    •    Strong knowledge of CPT codes, ICD-10, chiropractic modifiers, and payer guidelines

    •    High attention to detail, accountability, and data-driven mindset

    •    Excellent communication and organizational skills

    •    Comfortable in a fast-paced, multi-location environment

Preferred Qualifications

    •    Experience with CareCredit and Cash Practice

    •    Familiarity with Slack, Gmail, and Google Workspace

    •    RCM certification or chiropractic billing course completion

What We Offer

    •    Competitive compensation

    •    Performance-based bonuses

    •    Opportunity to build and scale a growing billing department

    •    Supportive leadership and fast-paced, mission-driven culture

    •    Career path toward RCM Director or Compliance Officer as platform grows

To Apply: Submit your resume and a brief cover letter outlining your billing experience and leadership background.