Billing & Coding Manager

Company Overview

SJH Derm is a physician-driven and employee-owned organization comprised of four dermatology practices within the local area. Our commitment to outstanding customized care and community engagement makes us a leader in patient satisfaction.

Position Summary:
The RCM Manager oversees daily operations of the Revenue Cycle Management team across 4 dermatology practices in the Chicagoland area. This role ensures timely and accurate billing, collections, and reimbursement for professional and ancillary services. The Billing Manager leads a team of RCM professionals, drives efficiency and compliance in all billing activities, and collaborates closely with providers and leadership to optimize financial performance and the patient experience.

Key Responsibilities:

• Supervise and mentor a team of 10 Billing and Coding professionals, fostering accuracy, accountability, and collaboration.
• Oversee all billing operations, including charge capture, accurate coding, claims submission, payment posting, A/R follow-up, and patient collections.
• Manage daily workflows ensuring timely and compliant submissions.
• Monitor key performance indicators (A/R days, denial rates, collection percentages) to drive efficiency and continuous improvement.
• Ensure accurate coding for dermatology procedures (medical and cosmetic) and compliance with CPT, ICD-10, and modifier guidelines.
• Identify and resolve trends in denials, underpayments, and rejections through process improvement and staff training.
• Maintain current knowledge of payer regulations, Medicare, BCBS, UHC, Cigna, Humana, Aetna and commercial insurance requirements.
• Conduct regular billing and coding audits to ensure compliance and accuracy.
• Collaborate with leadership and providers to streamline workflows, maximize revenue capture, and improve financial performance.
• Assist with payer credentialing, contract updates, and fee schedule maintenance.
• Communicate billing policy updates and foster strong relationships with clinical, administrative, and payer partners.

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
• 5+ years of medical billing or RCM experience, with at least 2 years in a supervisory/lead or management role.
• Dermatology or specialty practice billing experience strongly preferred.
• In-depth knowledge of CPT, ICD-10, and modifier use for dermatology procedures.
• Familiarity with payer rules, prior authorization processes, and reimbursement methodologies for both medical and cosmetic services.
• CPC Required.
• Proficiency with practice management and EHR software, preferably Nextech.
• Strong leadership, analytical, and communication skills with a focus on accuracy and efficiency.

Job Type: Full-time

Pay: $70,000.00 - $300,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person