Medical Billing Manager

We are seeking an experienced and detail-oriented Medical Billing Manager to oversee all aspects of the revenue cycle process for a fast-paced healthcare organization. This position is responsible for managing billing operations, coding compliance, claims submission, denial management, payer follow-up, and staff oversight to maximize reimbursement and ensure accurate, timely billing practices.

The ideal candidate will possess strong leadership skills, in-depth knowledge of medical coding and insurance regulations, and the ability to improve operational efficiency within a growing clinical environment.

Required Qualifications

• Current coding certification required: CPC (Certified Professional Coder), CCS, or equivalent certification
• Minimum 3–5 years of medical billing and coding experience
• Minimum 2 years of leadership or management experience in healthcare revenue cycle operations
• Strong understanding of ICD-10, CPT, and HCPCS coding
• Insurance claims processing
• Denial management and appeals
• Medicare, Medicaid, and commercial payer guidelines
• Experience with electronic medical records (EMR/EHR) and practice management systems
• Strong analytical, organizational, and communication skills

Preferred Qualifications

• Experience in urgent care, primary/outpatient care, and OBGYN billing
• Knowledge of occupational medicine and workers’ compensation billing
• Experience with credentialing and payer enrollment
• Familiarity with KPI reporting and revenue cycle analytics

Essential Duties and Responsibilities

• Manage daily medical billing and coding operations
• Oversee claim submission, payment posting, denial management, and accounts receivable follow-up
• Ensure accurate coding and compliance with all federal, state, and payer regulations
• Monitor and improve key revenue cycle metrics including days in A/R, clean claim rate, denial rate, and net collection rate
• Train, supervise, and support billing staff
• Conduct coding audits and provide education to clinical staff as needed
• Work closely with providers and leadership to resolve billing issues and optimize reimbursement
• Maintain up-to-date knowledge of coding and payer changes
• Assist with reporting, budgeting, and operational improvement initiatives

Physical Requirements

• Prolonged periods of sitting and computer use
• Ability to occasionally lift up to 15 pounds

Benefits

• Competitive salary
• Health, dental, and vision insurance
• Paid time off
• 401K Retirement plan with match
• Supportive team environment

We are an equal opportunity employer and value diversity within our organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic.