Medical Billing Manager

The Healthcare Billing Manager is responsible for overseeing all aspects of the medical billing and revenue cycle operations to ensure timely and accurate reimbursement for healthcare services. This role manages billing staff, monitors claims processing, ensures compliance with healthcare regulations, and works collaboratively with clinical and administrative teams to optimize financial performance and patient satisfaction.

Key Responsibilities

• Manage and oversee daily healthcare billing operations, including claim submission, payment posting, denials management, and collections.
• Supervise, train, mentor, and evaluate billing staff to ensure productivity and high-quality performance.
• Ensure accurate coding and billing practices in compliance with federal, state, and payer regulations, including HIPAA guidelines.
• Monitor accounts receivable aging reports and implement strategies to reduce outstanding balances and improve cash flow.
• Review and resolve denied or rejected claims in a timely manner.
• Collaborate with insurance companies, patients, and internal departments to resolve billing discrepancies and payment issues.
• Develop and maintain billing policies, procedures, and internal controls.
• Analyze billing trends, financial data, and key performance indicators to identify opportunities for process improvement.
• Prepare and present revenue cycle and billing performance reports to leadership.
• Stay informed of changes in healthcare regulations, insurance requirements, and reimbursement guidelines.
• Assist with audits and ensure documentation supports billing accuracy and compliance.
• Support system implementations, upgrades, and workflow enhancements related to billing operations.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field preferred.
• Minimum of 5 years of healthcare billing or revenue cycle experience, with at least 2 years in a supervisory or management role.
• Strong knowledge of medical billing procedures, insurance claims processing, CPT/ICD-10 coding, and reimbursement methodologies.
• Experience with electronic medical records (EMR) and billing software systems.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
• Excellent leadership, organizational, analytical, and problem-solving skills.
• Strong communication and interpersonal abilities.
• Proficiency in Microsoft Office Suite, particularly Excel.

Preferred Qualifications

• Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR) certification preferred.
• Experience in a hospital, physician practice, or healthcare system environment.
• Familiarity with revenue cycle analytics and reporting tools.

Key Competencies

• Leadership and team management
• Attention to detail and accuracy
• Financial and analytical acumen
• Regulatory compliance knowledge
• Customer service orientation
• Time management and multitasking
• Process improvement mindset

Pay: From $89,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Chicago, IL 60606