Medical Billing Manager

Medical Billing Manager Job Summary:

We are seeking an experienced Medical Billing Manager to oversee all aspects of our medical billing operations. This leadership role is responsible for managing the billing team, optimizing revenue cycle processes, and ensuring maximum reimbursement while maintaining compliance with healthcare regulations.

Medical Billing Manager Responsibilities:

• Supervise, train, and evaluate billing staff performance
• Establish productivity standards and quality metrics
• Conduct regular team meetings and provide ongoing education
• Implement process improvements and best practices
• Mentor and develop team members' skills
• Create and maintain billing department policies and procedures
• Monitor and analyze accounts receivable performance
• Set and achieve collection goals
• Oversee claim submission and denial management processes
• Implement strategies to reduce aging accounts
• Review and approve appeals for complex denied claims
• Ensure timely filing requirements are met
• Monitor key performance indicators (KPIs) and create action plans
• Ensure compliance with billing regulations and coding guidelines
• Stay current with insurance policy changes and updates
• Maintain documentation standards
• Conduct internal audits
• Implement and monitor quality control measures
• Ensure HIPAA compliance
• Prepare or review monthly financial reports and analysis
• Monitor and report on department performance metrics
• Identify revenue improvement opportunities
• Develop and manage department budget
• Track and analyze billing trends

Medical Billing Manager Knowledge & Experience:

• 5+ years of medical billing experience
• 3+ years of supervisory experience
• Strong knowledge of CPT, ICD-10, and HCPCS coding
• Thorough understanding of Medicare, Medicaid, and commercial insurance billing
• Experience with medical billing software and EMR systems
• Knowledge of healthcare regulations and compliance requirements

Preferred Qualifications:

• Bachelor's degree in Healthcare Administration, Business, or related field
• Medical Billing Certification (CMRB, CRCP, or similar)
• Experience with Centricity/Athena Practice, eClinical Works, Tebra
• Background in revenue cycle consulting or training

Medical Billing Manager Skills and Competencies:

• Strong leadership and team-building abilities
• Excellent analytical and problem-solving skills
• Advanced proficiency in Microsoft Office Suite
• Outstanding written and verbal communication
• Strong project management capabilities
• Ability to multitask and prioritize effectively

Medical Billing Manager Pay & Schedule:

• Full-time position
• May require occasional evening/weekend availability
• Professional office environment
• Some travel may be required for training or conferences

Equal Employment Opportunity (EEO), Affirmative Action, and E-Verify Statement:

Integrated Human Capital is an equal opportunity employer committed to fostering diversity and providing employment opportunities to all qualified individuals without regard to race, color, religion, sex, national origin, age, disability, or any other protected status. We actively promote affirmative action by encouraging minorities, women, individuals with disabilities, and veterans to apply for positions for which they are qualified. Additionally, Integrated Human Capital participates in the E-Verify program to verify the identity and employment eligibility of all newly hired employees, ensuring compliance with immigration laws. Candidates are required to present documents confirming their identity and eligibility to work in the United States during the employment verification process.