Billing Manager, Multi-state Healthcare System

Why USA Clinics Group? Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we've grown into the nation's largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home. We're building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we're even more excited about what's ahead, and the team we're building to get there. We look forward to meeting you! Why You'll Love Working with us: 🚀 Rapid career advancement 💼 Competitive compensation package 🤝 Positive, team-oriented environment 🏥 Work with cutting-ed technology 🌟 Make a real impact on patients' lives 📈 Join a fast-growing, mission-driven company Position Summary The Billing Manager is responsible for overseeing billing operations to ensure accurate and timely claim submission, claim correction, billing workflow management, and resolution of claim-related issues. This position supports the Revenue Cycle Management team by maintaining efficient billing processes, ensuring compliance with payer requirements, monitoring claim activity, and supporting operational initiatives that improve claim accuracy and billing efficiency. Position Details Location: Corporate Office in Northbrook, ILSchedule: Full-timeCompensation: $75,000 -$85,000 based on experience and qualifications. Key Responsibilities Billing Operations Oversee daily billing activities to ensure accurate and timely claim submissionMonitor billing workflows, work queues, and claim processing activitiesEnsure claims are submitted in accordance with payer requirements and internal standardsReview clearinghouse reports and payer responses to identify and resolve submission issuesCoordinate claim corrections, rebills, and resubmissions as necessaryMaintain efficient billing workflows and operational proceduresEscalate system or workflow issues affecting claim submission and processing Coding Claims & Error Resolution Review and resolve claim edits, rejections, and billing exceptionsInvestigate claim submission issues and coordinate corrective actionsMonitor rejected claims to ensure timely correction and resubmissionTrack unresolved billing issues through completionEnsure billing-related errors are resolved accurately and promptlySupport initiatives designed to improve claim accuracy and reduce submission errors. Coding & Charge Review Support Review billing-related coding edits affecting claim submissionCoordinate coding corrections required for claim processingEnsure charges are billed accurately in accordance with established proceduresSupport implementation of coding, billing, and payer-required updatesAssist with review of charge discrepancies and claim editsMaintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements related to billing operations. Compliance & Process Management Ensure compliance with payer guidelines, billing regulations, and company policiesMaintain billing procedures, workflows, and standard operating proceduresParticipate in system testing, billing updates, and workflow enhancementsSupport internal audits and billing quality reviewsMaintain HIPAA compliance and safeguard patient and financial informationAssist with departmental projects and process improvement initiatives. AI & Automation Responsibilities Utilize AI-enabled tools to identify claim errors and prioritize billing activitiesMonitor automated claim scrubbing and billing workflow processesSupport implementation of automation technologies that improve billing efficiency and accuracyParticipate in testing and deployment of revenue cycle technology enhancementsPromote utilization of technology solutions that streamline claim submission and error resolution Additional Duties Support departmental goals and operational initiativesParticipate in meetings, audits, projects, and process improvement activitiesProvide cross-functional support within the Revenue Cycle Management departmentPerform other duties as assigned Requirements Required Associate's or Bachelor's degree preferred, or equivalent combination of education and experienceMinimum three (3) years of healthcare billing or revenue cycle experienceStrong knowledge of physician billing practices and claim submission workflowsWorking knowledge of CPT, HCPCS, and ICD-10 coding as related to billing operationsExperience with insurance carriers, clearinghouses, and practice management systemsStrong analytical, organizational, and problem-solving skillsProficiency in Microsoft Excel and Microsoft Office applicationsAbility to manage multiple priorities in a fast-paced environment Preferred Certified Professional Biller (CPB), CPC, or other related certificationExperience in a multi-site physician practice environmentExperience utilizing revenue cycle automation and AI-enabled workflow tools Benefits Health - BCBS of ILHSADentalVisionPTO401k