Billing Manager

JOB SUMMARY

The Billing Manager uses strong analytical skills, industry expertise, and sound decision-making to identify process improvements, reduce denials, and support organizational goals. The role requires the ability to lead teams, innovate workflow enhancements, and champion a culture of accuracy, accountability, and customer centered service. The core responsibility of the Billing Manager is to ensure all claims are accurate and submitted or mailed in a timely manner. Manage denials and appeals processes. The Billing Manager will oversee the Pre billers, Coders, and Collectors, providing leadership, guidance, and motivation to ensure optimal billing performance. Will use creativity, critical thinking, and industry experience to succeed in this role.

ESSENTIAL JOB FUNCTIONS

• Provides leadership, oversight, and strategic direction for the Prebilling, Coding, and Collections/Collector teams, ensuring productivity, accuracy, and compliance with organizational and regulatory requirements.

• Establishes daily, weekly, and monthly performance goals for Prebilling, Coding, and Collections, and evaluates team performance to promote accountability and development.

• Reviews aging reports and collaborates with the Collections team to ensure timely follow‑up, escalation, and recovery of outstanding balances.

• Monitors trends across Prebilling, Coding, and Collections, identifying training needs and recommending workflow improvements.

• Ensures all claims are submitted accurately and efficiently; oversees resolution of rejected or denied claims and ensures documentation best practices.

• Ensures all payer‑requested documentation is provided accurately and promptly; reinforces “clean claim on first submission” expectations.

• Maintains current knowledge of payer requirements, billing regulations, and compliance changes; ensures staff training reflects updates.

• Prepares and provides weekly operational and performance reporting to the CEO, including payer trends, workflow issues, and department metrics.

• Recommends updates to guidelines, workflows, billing system functionality, productivity tools, and team training opportunities.

• Ensures compassionate and professional communication when interacting with patients, external partners, and internal staff.

• Performs other job‑related duties as assigned.

ADDITIONAL DUTIES

The Billing Manager may be assigned one or more additional duties. These duties include, but are not limited to, the following:

• Provides timely notifications to leadership regarding updates, issues, or discrepancies within the billing department.

• Supports the Collections function by reviewing escalated issues, identifying systemic problems, and partnering on solutions to improve reimbursement outcomes.

• Attends all mandatory meetings.

• Demonstrates professionalism and respect in all interactions with staff, leadership, patients, and external clients.

• Attends appropriate Continuing Education Classes as required.

• Reports system or operational issues promptly and assists in investigations as needed.

• Perform other job-related duties as assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The individual in this position must possess the following qualifications:

• Excellent interpersonal and communication skills; able to work effectively across departments and with external partners

• Must have computer competency including proficiency with Microsoft Suite, and proficient understanding of medical billing systems.

• Strong organizational skills, attention to detail, and ability to manage multiple priorities.

• Ability to consistently deliver outstanding customer service to all internal and external customers.

• Highly dependable with the ability to consistently meet internal deadlines.

• Flexible and adaptable to rapidly changing priorities or payer updates.

• Five or more years of medical billing experience, including at least three years in a supervisory or management capacity.

• Must have the ability to work independently as well as in groups. Ability to maintain a professional manner and appearance at all times.

TRAINING & EDUCATION

The individual in this position must possess the following education requirements:

• High school diploma or general education degree (GED) required; bachelor’s degree preferred.

• Completed Medical Billing or Medical Assisting certificate program preferred.

*Salary $95,000 - $105,000