Mgr Billing & Collections (hybrid)

At Baylor Scott & White Health, we promote the well-being of all individuals, families, and communities. As the largest not-for-profit healthcare system in Texas, we empower you to live well through our core values: serving faithfully, striving for better, supporting one another, and making an impact.

Benefits

Our benefits are designed to help you live well at every stage of your journey. Offerings may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based on position type and/or level.

About the Role

Manages the staff and day-to-day operations of assigned departments within the Denial Resource Center (DRC) to ensure timely and effective denial resolution. Responsibilities include intake and setup of new denials, submission of appeals to payers, and follow-up collections. Collaborates with other departments on account research and resolution while maintaining high situational awareness of department operations.

Responsibilities

• Cultivate a supportive, respectful, and engaging work environment where team members feel valued and empowered.
• Demonstrate empathetic leadership, coaching, and support of direct reports.
• Manage team productivity and success, ensuring timely and accurate appeal and collection functions through hands-on management and trend analysis.
• Maintain professional relationships with Revenue Cycle departments, external organizations, payers, vendors, and quality/provider review organizations.
• Collaborate with other DRC managers and supervisors on process improvements to achieve high-quality, timely appeals and prevent revenue loss.
• Review and analyze account-level activity to resolve challenges within DRC work queues and between departments.
• Identify workflow and training gaps, advocating for resources and professional development opportunities.
• Conduct frequent meetings with direct reports and participate in huddles and team meetings, providing presentations as needed.
• Accomplish projects within allocated timelines with minimal oversight.
• Apply in-depth knowledge of Revenue Cycle operations and managed care contracting to guide teams in developing successful workflows.

Requirements

• Associate’s degree or 6+ years of relevant experience
• CRCR (Certified Revenue Cycle Representative) certification preferred
• 4+ years of experience in medical billing, revenue cycle operations, or denial and appeals management
• Experience within a hospital or health system revenue cycle environment
• Working knowledge of payer guidelines, reimbursement methodologies, and denial/appeal processes
• Familiarity with clinical workflows and strong relationship-building skills with clinical teams (a plus)
• Proficiency in Microsoft Office and revenue cycle systems; Epic experience required
• Strong analytical skills to interpret remits, payer responses, and supporting documentation
• Effective written and verbal communication skills for drafting professional correspondence and presentations
• Ability to work independently, manage priorities, and meet deadlines in a high-volume environment