Medical Billing Team Lead - Anesthesia Billing

Location: Gurugram – Work from Office

Experience: 5–6 Years in US Healthcare RCM

Team Lead Experience: Minimum 2 Years

Specialization: Core Anesthesia Billing Experience Required

Job Summary

We are looking for an experienced Medical Billing Team Lead with solid hands-on experience in US Anesthesia Billing to lead our Charges and Payments operations.

The ideal candidate should have a strong understanding of the end-to-end Anesthesia Revenue Cycle, with hands-on expertise in anesthesia charge entry, claim submission, payment posting, payer requirements, denials, adjustments, and payment reconciliation.

The candidate will be responsible for managing the day-to-day operations of the team, ensuring accuracy and productivity, maintaining client SLAs, resolving process escalations, and driving continuous improvement across the Anesthesia Billing process.

Key Responsibilities

Anesthesia Billing Operations

· Lead day-to-day Anesthesia Billing operations, with primary responsibility for Charges and Payments.

· Ensure accurate and timely anesthesia charge entry and claim submission.

· Review anesthesia billing workflows, payer requirements, and client-specific billing guidelines.

· Ensure accurate handling of anesthesia-specific billing information, including units, modifiers, time-based billing, applicable codes, and claim requirements.

· Monitor charge lag and ensure claims are submitted within defined turnaround times.

· Identify and resolve charge-related errors, rejections, and discrepancies.

· Work closely with Coding and AR teams to resolve billing and claim-related issues.





Payment Posting & Reconciliation· Supervise insurance and patient payment posting, including ERA and manual posting.

· Ensure accurate posting of payments, contractual adjustments, write-offs, refunds, and other financial transactions.

· Review payment variances and identify incorrect or missing payments.

· Monitor unapplied cash and ensure timely resolution and reconciliation.

· Identify trends in payment discrepancies and coordinate with AR and other teams for resolution.

Team Management· Lead, mentor, and manage a team of Medical Billing Associates handling Anesthesia Billing.

· Monitor daily productivity, quality, attendance, and adherence to process guidelines.

· Conduct regular performance reviews, coaching sessions, and feedback discussions.

· Set clear performance expectations and take corrective action where required.

· Support recruitment, onboarding, process training, and knowledge development of team members.

· Ensure adequate process coverage and effective allocation of workload.

Quality & Process Management· Conduct regular quality checks and audits of anesthesia billing transactions.

· Ensure compliance with HIPAA, payer requirements, client guidelines, and organizational policies.

· Monitor key operational metrics and identify gaps in productivity or quality.





· Analyze trends in denials, rejections, payment variances, charge errors, and billing discrepancies.

· Implement corrective and preventive actions to improve process accuracy and efficiency.

· Drive process improvement initiatives to reduce errors and improve turnaround time.

Client & Stakeholder Management· Act as the point of contact for operational and process-related escalations.

· Participate in client calls and provide updates on team performance, process issues, and improvement initiatives.

· Prepare and present daily, weekly, and monthly operational reports.

· Coordinate with AR, Coding, Quality, Credentialing, and Operations teams to resolve issues.

· Support process transitions, new client implementations, and process changes as required.

Required Qualifications & Experience· Graduate in any discipline; Healthcare/Management background preferred.

· 5–6 years of experience in US Healthcare RCM.

· Minimum 2 years of experience in a Team Lead/Supervisory role.

· Strong and relevant hands-on experience in US Anesthesia Billing is mandatory.

· Strong knowledge of Anesthesia Charge Entry and Payment Posting.

· Good understanding of anesthesia-specific billing processes, payer requirements, modifiers, units, and claim submission.

· Experience handling billing errors, rejections, denials, payment discrepancies, and adjustments.

· Hands-on experience with medical billing software and EMR/EHR platforms.

· Strong knowledge of MS Excel and operational reporting.

· Excellent communication, analytical, problem-solving, and people-management skills.

📌 Medical Billing Team Lead – Anesthesia Billing (Gurugram)
🏢 Cosentus
📍 Gurugram