Billing Manager

Were looking for an experienced detail-oriented Billing Manager to lead our billing operations and drive timely accurate and compliant reimbursement across all services we provide. This is a hands-on leadership role for someone who knows how to run a high-performing billing department improving revenue cycle performance reducing claim denials accelerating cash collections and keeping us compliant with Medicaid Medicare and other payer requirements.

Youll manage billing staff set operational standards streamline workflows track key performance metrics and partner closely with Finance Clinical Operations and Accounts Receivable to maximize reimbursement while protecting revenue integrity.

Billing Operations

Lead day-to-day operations of the Billing Department

Supervise coach and develop a team of billing specialists

Ensure timely accurate submission of electronic and paper claims

Oversee claim edits reconciliation payment posting coordination and QA

Build and maintain SOPs for billing operations

Monitor productivity and resolve workflow bottlenecks

Revenue Cycle Management

Ensure accurate billing/reimbursement across Medicaid Medicare MCOs and commercial payers

Track claim status and drive prompt follow-up on unpaid claims

Reduce denials through proactive quality reviews and staff training

Partner with Accounts Receivable to improve collections and reduce aging

Spot reimbursement trends and recommend corrective action

Validate billing accuracy before claim submission

Compliance & Regulatory Oversight

Ensure compliance with federal state Medicaid Medicare HIPAA and payer regulations

Stay current on reimbursement policies and billing guidelines

Support payer audits ADRs and reimbursement appeals

Confirm documentation supports billed services

Help implement billing compliance initiatives and internal controls

Reporting & Performance

Build billing performance dashboards and management reports

Monitor clean claim rate first-pass acceptance rate denial rate days in A/R turnaround time collection rate and outstanding receivables

Analyze trends and recommend process improvements

Provide regular updates to the CFO

Process Improvement

Streamline billing workflows and drive efficiency

Collaborate with Finance and IT on billing systems and automation

Support system upgrades and software implementations

Build corrective action plans for recurring issues

Days 130: Assess current workflows staffing and compliance; deliver an initial Billing Operations Assessment to the CFO

Days 3160: Standardize procedures implement QA reviews improve first-pass acceptance launch performance dashboards

Days 6190: Improve turnaround times reduce denials launch KPI reporting roll out staff training and long-term recommendations

Required

Bachelors degree in Healthcare Administration Business Administration Accounting Finance or related field

5 years of healthcare billing experience

3 years of supervisory or management experience

Strong knowledge of Medicaid and Medicare billing regulations

Experience with EMR and billing software

Strong analytical organizational and leadership skills

Excellent communication and problem-solving abilities

Proficiency in Microsoft Excel and reporting tools

Preferred

Certified Professional Biller (CPB) or equivalent certification

Home Health or Hospice billing experience

Experience managing payer audits and ADRs

Knowledge of reimbursement methodologies and fee schedules

Track record implementing billing process or revenue cycle improvements

Familiarity with multi-site healthcare operations

Competitive executive salary

Medical insurance

Paid time off / holidays