Patient Billing Manager- 254273

About the Role

The role involves overseeing billing and collections staff, managing revenue cycle processes, and ensuring compliance with payer guidelines.

Responsibilities

• Departmental Leadership: Direct, mentor, and evaluate the performance of billing and collections staff. Manage hiring, onboarding, and continuous training initiatives for new and existing team members.
• Revenue Cycle Management: Oversee all accounts receivable (A/R) processes, including billing accuracy, third-party payer follow-up, cash posting, and account indexing.
• Systems Maintenance: Supervise financial system maintenance, database tables, and system claim edits to maximize billing workflows and troubleshoot routine IT processing disruptions.
• Payer Compliance & Optimization: Stay updated on CMS, Medicaid, and commercial payer guidelines. Interpret regulatory updates and translate them into clear workflow processes for internal teams.
• Performance Metric Tracking: Establish team goals, monitor daily productivity, and generate monthly financial/aging reports for departmental leadership to highlight trends and strategic reimbursement opportunities.
• Administrative Oversight: Ensure precise documentation of internal department metrics, including employee scheduling, time-off requests, and performance management records.

Qualifications

• Experience: 3+ years of experience in a supervisory or management capacity overseeing healthcare billing and collections.
• Scope of Practice: Direct, hands-on experience managing medical billing and collections for both facility-level and professional-level medical claims.
• Technical Proficiency: Deep working knowledge of enterprise-level medical billing software systems and clearinghouses.
• Regulatory Knowledge: Strong, up-to-date knowledge of CMS (Centers for Medicare & Medicaid Services) and Medicaid regulations, rules, and compliance guidelines.
• Systems Experience: Extensive hands-on experience handling software database programming, table maintenance, and system conversions within a revenue cycle environment.
• Physician Billing Experience

Required Skills

• Experience: 3+ years of experience in a supervisory or management capacity overseeing healthcare billing and collections.
• Scope of Practice: Direct, hands-on experience managing medical billing and collections for both facility-level and professional-level medical claims.
• Technical Proficiency: Deep working knowledge of enterprise-level medical billing software systems and clearinghouses.
• Regulatory Knowledge: Strong, up-to-date knowledge of CMS (Centers for Medicare & Medicaid Services) and Medicaid regulations, rules, and compliance guidelines.
• Systems Experience: Extensive hands-on experience handling software database programming, table maintenance, and system conversions within a revenue cycle environment.

Preferred Skills

• Advanced Education: A Bachelor’s degree in Healthcare Management, Business, Finance, or a related field is highly preferred (Associate degree required).
• Medical Coding Knowledge: Strong familiarity with standard healthcare coding methodologies, including CPT-4, HCPCS, and CCI edits.
• Diagnostic Coding: Knowledge of current ICD diagnosis coding standards (including ICD-9 and ICD-10 frameworks).

Pay range and compensation package

Mon-Fri 8-5

$60,000-$65,000 a year with full benefits offered

Equal Opportunity Statement

We are an equal opportunity employer and are committed to fostering a diverse and inclusive workplace.