We are seeking an experienced Billing Manager to oversee all aspects of the revenue cycle for our growing primary care physician group. This role is responsible for managing billing operations, ensuring accurate and timely claims submission, and optimizing reimbursement across multiple payers. This position plays a key role in maintaining financial health of the organization by reducing denials, improving collections, and ensuring billing practices are efficient, accurate, and patient-friendly.

Responsibilities include overseeing day-to-day billing operations such as charge capture, claim submission, payment posting, and accounts receivable follow-up. Ensure claims are submitted accurately and on time to Medicare, Medicaid, and commercial insurance payers. Monitor and manage claim denials, rejections, and appeals. Review aging reports and reduce outstanding accounts receivable. Supervise, train, and support billing staff. Collaborate with front office and clinical staff to resolve billing issues, eligibility errors, and documentation gaps. Ensure proper coding practices in collaboration with providers and coding staff (CPT, ICD-10, HCPCS). Stay current on payer policies and compliance requirements. Implement process improvements, prepare performance reports, manage patient billing inquiries, support audits, and assist with credentialing and payer enrollment.

Qualifications:

High school diploma required; Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
3-7+ years of medical billing experience, including 1-2 years supervisory experience.
Experience with primary care billing and E/M coding; family practice experience preferred.
Experience with EHR and practice management systems (Veradigm experience preferred).
Strong knowledge of revenue cycle management, HIPAA regulations, and healthcare compliance.
Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) preferred.

Competencies include adaptability, customer service, dependability, diversity awareness, ethics, communication, organizational support, strategic thinking, teamwork, and written communication.

Physical demands: occasional lifting up to 10 pounds, close vision required.

Specialized equipment: computer and phone system.