Medical Billing Manager

Job Description

Job Description

ENGLEWOOD ORTHOPEDIC ASSOCIATES

JOB DESCRIPTION

Department: Billing

Title : Medical Billing Manager

Location: Englewood Cliffs

Supervision Received : Practice Administrator

Position Summary:

The Medical Billing Manager oversees and coordinates all billing operations within a healthcare organization to ensure accurate and timely submission of claims, optimal reimbursement, and compliance with regulatory requirements. This role manages billing staff, implements best practices, and maintains efficiency in revenue cycle processes.

Key Responsibilities:

Billing Operations

• Oversee daily billing functions, including claim submission, follow-up, and denial management.
• Ensure accurate coding and billing in compliance with payer requirements and federal/state regulations.
• Monitor accounts receivable and develop strategies to minimize claim denials and outstanding balances.
• Review and approve patient statements, refunds, and adjustments.

Team Management

• Supervise, train, and evaluate billing staff performance.
• Assign workloads and set productivity goals to maintain efficiency and accuracy.
• Provide ongoing training and support to billing and coding teams.

Revenue Cycle Management

• Analyze revenue cycle reports to identify trends, errors, and opportunities for improvement.
• Work with clinical and administrative teams to resolve billing issues and improve workflow.
• Maintain payer relationships and oversee contract compliance.

Compliance and Quality Control

• Ensure adherence to HIPAA, Medicare, Medicaid, and other payer regulations.
• Keep up to date on billing and coding changes (ICD-10, CPT, HCPCS).
• Implement internal audits to ensure accuracy and compliance.

Reporting and Communication

• Prepare regular reports on billing performance.
• Communicate with leadership regarding revenue cycle performance and areas for improvement.

Qualifications:

Education:

• Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field (preferred).
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent certification (required).

Experience:

• 3–5 years of experience in medical billing, coding, or revenue cycle management.
• 2+ years of supervisory or management experience in a healthcare setting.

Skills:

• Strong knowledge of insurance processes, payer requirements, and reimbursement methodologies.
• Proficiency in medical billing software and EHR systems (e.g., Epic, Athena).
• Excellent analytical, organizational, and leadership skills.
• Strong communication and problem-solving abilities.

Benefits:

• Medical
• Dental
• Vision
• Flexible spending account
• Health saving account
• Life insurance
• Paid time off
• 401 (k)