Billing Manager
spineandsportsmed · Glen Rock, New Jersey, United States · hybrid
Duties and Responsibilities:
- Manage daily operations for assigned Accounts Receivable teams.
- Monitor and prioritize work queues to ensure timely account resolution.
- Oversee claim follow-up, denial management, appeals, and collection activities.
- Identify and resolve reimbursement issues impacting cash collections.
- Ensure timely resolution of payer and patient account inquiries.
- Monitor payer-specific trends and implement corrective action plans.
- Collaborate with operational teams to improve reimbursement outcomes.
- Drive achievement of monthly collection goals.
- Monitor and reduce Days in Accounts Receivable (AR).
- Develop strategies to reduce aged balances and increase cash collections.
- Analyze denial trends and implement recovery initiatives.
- Monitor underpayments and pursue recovery opportunities.
- Ensure compliance with payer guidelines and billing regulations.
- Directly supervise assigned supervisors, team leads, and billing staff.
- Establish performance expectations and accountability measures.
- Conduct regular staff meetings, coaching sessions, and performance reviews.
- Develop staff through training, mentoring, and cross-training opportunities.
- Foster a positive, collaborative, and results-oriented work environment.
- Analyze department performance metrics and productivity trends.
- Prepare monthly reports for Revenue Cycle leadership.
- Track collection performance, AR aging, denial rates, and productivity.
- Utilize data to identify opportunities for operational improvement.
- Ensure compliance with all payer requirements, HIPAA regulations, and company policies.
- Maintain accurate documentation and billing records.
- Support internal and external audits as required.
Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred.
- Minimum of 5 years of healthcare billing, collections, or revenue cycle experience.
- Minimum of 2 years of leadership experience in a medical billing environment.
- Strong knowledge of medical billing practices, reimbursement methodologies, and payer regulations.
- Experience with electronic medical records (EMR) and practice management systems.
- Proficiency in Microsoft Excel and reporting tools.
- Experience within Physical Therapy, Chiropractic, Orthopedic, or Outpatient Healthcare settings.
- Experience managing Accounts Receivable teams.
- Knowledge of Medicare, Commercial, Workers' Compensation, No-Fault, and Patient Billing processes.
Benefits:
- Medical, Dental, Vision Insurance
- Life & Disability Insurance
- Paid vacation, sick time, and holidays
- 401(k) match
- Access to Rain – flexible earned wage advance benefit
- Hybrid work schedule
- Competitive base salary + Bonus