Manager - Billing

About the role

This role oversees day-to-day billing operations and supports the performance, development, and efficiency of the billing team. It partners cross-functionally to ensure timely and accurate claims processing, payment posting, denial management, appeals, and reconciliation activities across the revenue cycle.

Responsibilities

• Oversee revenue cycle workflows including pre-billing, claims processing, appeals, denial management, payment posting, and monthly reconciliation activities.
• Support timely and accurate prior authorization submission processes, including researching payer requirements and maintaining billing system updates related to authorization workflows.
• Monitor denials and denial trends to identify root causes, recommend process improvements, and support reimbursement optimization efforts.
• Serve as the primary liaison for billing software vendors, including issue resolution, maintenance coordination, testing, and system updates.
• Partner with Managed Care and cross-functional teams to investigate claims processing issues for contracted and non-contracted payers and support resolution efforts.
• Oversee patient billing activities including statements, payment inquiries, and financial assistance processes.
• Monitor billing performance metrics, productivity, and workflow effectiveness to support operational goals and service standards.
• Support onboarding, training, coaching, and ongoing development of billing team members.
• Absorb and respond to billing-related audits, reporting, and special projects as assigned.

Requirements

• Strong written and verbal communication skills.
• Demonstrated leadership experience, including coaching, staff development, and performance management.
• Ability to adapt quickly in a fast-paced and evolving environment while maintaining a strong sense of urgency.
• Strong organizational skills with exceptional attention to detail.
• Ability to manage competing priorities and deadlines effectively.
• Experience analyzing data, monitoring key performance metrics, and identifying operational improvement opportunities.
• Working knowledge of specialty billing practices, including payer requirements, CPT/ICD-10 coding, claims workflows, and CMS regulations.
• Ability to maintain confidentiality and appropriately handle sensitive financial and patient information.
• Strong problem-solving skills with the ability to navigate challenging or escalated situations professionally.
• Ability to collaborate effectively across departments and external partners.

Qualifications

• Undergraduate Degree preferred
• 5+ years of progressive billing or revenue cycle experience, including leadership or supervisory responsibilities.
• Experience within fee-for-service medical billing required; laboratory billing experience strongly preferred.
• Experience managing escalated billing or customer service issues preferred.
• Experience with payer portals, billing systems, clearinghouse platforms, and revenue cycle technology tools preferred.

Skills

• Strong written and verbal communication skills.
• Demonstrated leadership experience, including coaching, staff development, and performance management.
• Ability to adapt quickly in a fast-paced and evolving environment while maintaining a strong sense of urgency.
• Strong organizational skills with exceptional attention to detail.
• Ability to manage competing priorities and deadlines effectively.
• Experience analyzing data, monitoring key performance metrics, and identifying operational improvement opportunities.
• Working knowledge of specialty billing practices, including payer requirements, CPT/ICD-10 coding, claims workflows, and CMS regulations.
• Ability to maintain confidentiality and appropriately handle sensitive financial and patient information.
• Strong problem-solving skills with the ability to navigate challenging or escalated situations professionally.
• Ability to collaborate effectively across departments and external partners.

Benefits

• Compensation range: $80,000 - $91,000
• Discretionary Bonus opportunity
• Comprehensive health coverage: Medical, Dental, and Vision Insurance
• Short/Long Term Disability and Life Insurance
• Financial benefits: 401(k), Flex Spending Account
• 120 hours of annual vacation
• 72 hours of paid sick time off
• 11 paid holidays + 3 floating holidays
• Employee Assistance Program
• Voluntary Benefits
• Employee recognition program

Pay

Compensation range: $80,000 - $91,000

Schedule

Hybrid 3 days on-site | 2 days remote