Billing Manager
Position Overview:
We are seeking a skilled and strategic Billing Manager to lead and oversee the daily operations of a healthcare billing department. This role is responsible for managing billing workflows, supervising staff, and ensuring accurate and timely claims processing across multiple insurance types. The ideal candidate will bring leadership experience, a deep understanding of revenue cycle operations, and a commitment to driving performance and compliance.
Key Responsibilities:
- Supervise and mentor a team of billing professionals, promoting a culture of accountability, collaboration, and continuous improvement.
- Oversee departmental operations including claims submission, denial management, and revenue tracking.
- Ensure billing processes align with regulatory standards and payer requirements, including Medicare, Medicaid, and commercial insurance.
- Develop and maintain training programs and standard operating procedures (SOPs) for billing staff.
- Monitor team performance, conduct evaluations, and support professional development.
- Collaborate with finance and HR leadership to manage staffing, attendance, and disciplinary actions.
- Lead recruitment efforts for billing roles, including candidate screening and interview participation.
- Identify and resolve system issues in coordination with software vendors and payers.
- Analyze accounts receivable (A/R) aging reports, identify trends, and implement corrective actions to improve collections.
- Track key performance indicators (KPIs) and generate reports to support strategic decision-making.
- Ensure timely filing and clean claim submission to maximize revenue and minimize rejections.
- Respond to audit findings and implement process improvements to reduce billing and coding errors.
- Maintain compliance with HIPAA regulations and uphold patient confidentiality standards.
- Provide exceptional internal and external customer service and maintain a positive team environment.
Qualifications:
- Associate’s or Bachelor’s degree in healthcare administration, business, finance, or a related field preferred. Equivalent experience will be strongly considered.
- Medical Billing Certification preferred.
- Minimum of 3–5 years of experience in healthcare billing or revenue cycle management, with at least 2 years in a supervisory or leadership role.
- Strong knowledge of insurance billing practices, denial management, and regulatory compliance.
- Proficiency in billing software and data analysis tools.
- Excellent communication, organizational, and problem-solving skills.
Benefits:
- Competitive salary
- Health, dental, and vision insurance
- Paid time off and holidays
- Retirement plan options
- Professional development opportunities
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