Medical Billing Manager

Pedes Orange County7 months ago
Irvine, CA, United States
Hybrid
Full-time
Junior Level (1-3 years)

Job Description

Salary

$80-100k

Position Summary

The Medical Billing Manager will lead all aspects of the practices billing operations, ensuring timely, accurate, and compliant claim submissions, collections, and account reconciliations. This role requires a deep understanding of vascular and interventional radiology coding, payer guidelines, and reimbursement processes. The ideal candidate will combine hands-on billing expertise with strong leadership and analytical skills to maximize revenue and maintain high standards of financial performance.

Key Responsibilities

Billing & Revenue Cycle Management

  • Oversee the full revenue cycle process, including charge entry, claim submission, payment posting, appeals, and collections.
  • Ensure accurate coding and documentation for vascular and interventional radiology procedures (CPT, ICD-10, HCPCS).
  • Monitor accounts receivable (A/R) and implement strategies to reduce denials and improve cash flow.
  • Review and resolve billing discrepancies, payer rejections, and underpayments promptly.
  • Maintain compliance with Medicare, Medicaid, and commercial insurance billing regulations.

Leadership & Staff Management

  • Supervise and mentor billing staff, providing training on policies, coding updates, and payer requirements.
  • Establish performance metrics and conduct regular performance reviews.
  • Coordinate with clinical and administrative teams to ensure accurate charge capture and documentation.

Reporting & Analysis

  • Prepare and present monthly revenue cycle performance reports to leadership.
  • Analyze billing trends, identify revenue opportunities, and implement process improvements.
  • Stay updated on industry changes, payer guidelines, and compliance requirements.

Qualifications

  • Minimum 5 years of progressive medical billing experience, with at least 2 years in a leadership role.
  • Strong knowledge of vascular and interventional radiology coding, documentation, and reimbursement.
  • Proficiency in CPT, ICD-10, HCPCS, and modifier use.
  • Experience with Medicare, Medicaid, and commercial payer billing guidelines.
  • Familiarity with [EHR/Billing software you use] preferred.
  • Excellent leadership, communication, and problem-solving skills.
  • Detail-oriented with the ability to manage multiple priorities and deadlines.

Preferred Skills

  • Certified Professional Coder (CPC) or equivalent certification.
  • Experience in hospital-based and office-based interventional radiology billing.
  • Strong analytical skills and ability to create actionable reports.

Compensation & Benefits

  • Competitive salary based on experience.
  • Health, dental, and vision insurance.
  • Paid time off and holidays.
  • Retirement plans.
  • Professional development opportunities.

Required Skills

EHR/Billing Software
ICD-10 Coding
Revenue Cycle Management
CPT Coding
Problem-solving
Medical Billing
HCPCS Coding
Performance Analysis
Interventional Radiology Coding
Compliance
Vascular Coding
Staff Management