Medical Billing and Revenue Cycle Manager

The Center for Sleep Medicine is seeking an experienced Billing and Revenue Cycle Manager. This position is a working manager role, responsible for overseeing billing and revenue cycle operations across our organization.

This role is responsible for ensuring timely and accurate reimbursement, managing the billing team, and supporting excellent patient service while maintaining compliance with payer and regulatory requirements.

The Billing and Revenue Cycle Manager partners closely with clinical staff, scheduling, and leadership to support financial performance and continuous improvement.

Full-Time Schedule: Monday - Thursday (8 AM - 6 PM)

Key Responsibilities:

• Lead, train, onboard, and supervise billing staff to ensure accurate and timely revenue cycle operations.
• Oversee end-to-end revenue cycle workflows (financial clearance, charge capture/coding coordination, claim submission, payment posting, denials/appeals, patient collections) to ensure timely, accurate reimbursement.
• Oversee insurance verification, authorizations, and patient eligibility processes
• Working knowledge of CPT/HCPCS/ICD-10 as applicable to sleep studies and DME; collaborate with clinical staff to ensure documentation supports billed services.
• Maintain working knowledge of commercial and Medicare billing guidelines.
• Submit insurance claims and manage follow‑up, appeals, and additional documentation.
• Process insurance and patient payments and manage refunds as needed
• Track and improve Days in A/R, % A/R > 90 days, denial rate, appeal overturn rate, clean claim rate, cash collections.
• Respond to patient billing inquiries with professionalism and strong customer service.
• Maintain accurate payment documentation for accounting and audit purposes.
• Review payer payments for underpayments and support contract variance follow-up/escalations.
• Monitor fee schedules, reimbursement trends, and out‑of‑pocket pricing.
• Create and distribute weekly billing and revenue cycle reports.
• Collaborate with leadership to identify revenue improvement and cost‑saving opportunities.
• Assist with payer credentialing and maintain EMR and EDI accuracy.
• Ensure ongoing compliance with HIPAA and regulatory requirements.

Qualifications:

• Bachelor’s degree or equivalent healthcare revenue cycle experience.
• Strong Excel skills (pivot tables, lookups) and experience with EDI/ERA workflows; experience with Aprima preferred but not necessary.
• Three to five years of healthcare billing or revenue cycle experience required.
• Prior supervisory or management experience preferred. Experience with sleep medicine or DME billing strongly preferred.
• Strong understanding of Medicare guidelines and payer authorization requirements.
• Revenue cycle or coding certification preferred.
• Advanced organizational, analytical, and communication skills.

Skills and Attributes:

• Strong written and verbal communication skills.
• Excellent attention to detail and follow‑through.
• Ability to manage multiple priorities independently.
• Customer service and conflict resolution skills.
• Proficiency with billing systems, EMR platforms, and standard office applications.
• Professional and diplomatic approach with patients and staff.

Why Join Us:

• We are a 100% employee-owned company
• 4-day work week
• Stable healthcare organization, focused on quality patient care.
• Leadership role with visibility and impact on financial performance.
• Collaborative environment with cross‑departmental support.
• Opportunity to influence process improvements and revenue optimization.

This opportunity offers competitive compensation, a four-day work week, and a generous benefits package that includes sleep center OWNERSHIP after only one year. Studies have shown that as an employee-owned company, our team members can potentially receive between 5% and 12% more in wages, and 2.5x greater wealth in retirement accounts when compared to similar positions in centers that are not employee owned. Employee-owned companies, like ours, are also more successful in recruiting talented, committed staff. If that's you, we look forward to discussing this opportunity with you.

This pay range reflects the Company's current estimate for this position at the time of posting. In accordance with applicable law, actual compensation will be determined based on relevant experience and other job-related qualifications or skills. The Company reserves the right to modify this pay range at any time.

For this role, benefits include health, dental, and vision insurance; 401(K), ESOP; vacation days; paid time off (PTO); sick days; and voluntary life, short-term disability (STD), and long-term disability (LTD) insurance.

Equal Employment Opportunity

The Center for Sleep Medicine is an Equal Opportunity Employer. We make all employment decisions without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected characteristic under federal, state, or local law. We are committed to a diverse and inclusive workplace, and reasonable accommodation is available for individuals with disabilities.

NO PHONE CALLS WILL BE ACCEPTED

Pay: $55,000.00 - $75,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Education:

• Bachelor's (Preferred)

Experience:

• Revenue Cycle Management: 3 years (Preferred)
• Medical Billing: 3 years (Preferred)

Work Location: In person