Billing Manager (Remote)

About the role

The organization operates within the healthcare revenue cycle management space, focusing on billing and collections. It addresses challenges related to efficient billing processes, accounts receivable reduction, and compliance with healthcare regulations such as HIPAA. By managing billing operations and implementing process improvements, the organization aims to optimize cash flow and maintain regulatory standards.

The BILLING MANAGER role is responsible for leading the billing department within the revenue cycle, emphasizing collections, accounts receivable reduction, and compliance. This position plays a critical role in team development and process enhancement to meet departmental goals and drive financial performance. The manager ensures alignment across facilities, oversees billing workflows, and serves as a key liaison between billing staff and executive leadership.

Responsibilities

• Oversee daily billing team operations including workflow, staffing, training, and disciplinary actions.
• Coordinate billing needs and onboarding for new centers and facilities.
• Monitor payment trends and adjust billing and collections strategies to improve cash flow.
• Ensure compliance with HIPAA and timely implementation of regulatory updates.
• Resolve complex billing and reimbursement issues with payers.
• Collaborate with operations to communicate billing requirements across facilities.
• Manage month-end close processes and departmental reporting.
• Optimize patient account to staff ratio.
• Escalate reimbursement issues proactively to senior leadership.
• Contribute to departmental budget adherence.
• Stay informed on industry trends, federal guidelines, and payer policy changes.
• Continuously improve billing processes and systems.
• Develop and implement staff training programs on compliance and billing regulations.
• Conduct staff evaluations, set performance goals, and manage development plans.
• Maintain knowledge of organizational policies including safety and security.
• Promote professional development through coaching and mentorship.
• Foster collaboration to enhance efficiency and outcomes.
• Serve as communication link between executive leadership and billing staff.
• Address and resolve employee relations matters timely.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Minimum 5 years medical billing experience with at least 3 years in supervisory or management roles, preferably in behavioral health.
• Strong knowledge of medical billing codes (ICD-10, CPT, HCPCS) and relevant federal regulations.
• Proficiency with billing, EMR systems, and financial reporting tools.
• Professional certification such as CPC, CCS, or CPB preferred.
• Demonstrated leadership skills with experience managing and developing teams.
• Strong organizational, analytical, and problem-solving abilities.
• Excellent written and verbal communication skills.

Qualifications

• Experience with federal ESRD Prospective Payment System or behavioral