Medical Billing Manager

Job Summary
We are seeking an experienced Revenue Cycle / Billing Manager professional with strong ASC, pain management, orthopedic, spine, and multi-specialty billing experience to help lead and optimize our remote billing operations.

The ideal candidate has deep knowledge of insurance billing workflows, denials management, payer requirements, No Surprises Act compliance, and multi-EHR environments including Tebra and eClinicalWorks (eCW).

This is a high-ownership role for someone who wants long-term growth, operational influence, and the opportunity to help improve and scale billing processes across multiple specialties and entities.

Responsibilities

• Oversee daily billing and revenue cycle operations across multiple specialties including ASC, pain management, orthopedic, spine, and neuromonitoring services.
• Manage insurance claim submission, payment posting, denial management, appeals, collections, and accounts receivable follow-up to ensure timely and accurate reimbursement.
• Monitor and improve key revenue cycle metrics including claim acceptance rates, denial trends, AR aging, collections performance, and reimbursement turnaround times.
• Ensure compliance with payer guidelines, federal and state billing regulations, and No Surprises Act requirements.
• Review and resolve complex billing issues, claim denials, underpayments, and payer escalations while identifying root causes and implementing corrective actions.
• Maintain strong working knowledge of commercial insurance, Medicare, Medicaid, workers compensation, and out-of-network billing processes.
• Collaborate with providers, clinical staff, operations, and leadership teams to improve billing accuracy, workflow efficiency, and revenue cycle performance.
• Develop, implement, and maintain billing policies, procedures, and standard operating processes to support scalability and operational consistency.
• Train, mentor, and support billing staff while promoting accountability, professionalism, and continuous process improvement within a remote work environment.
• Identify opportunities for workflow automation, operational efficiencies, and process improvements to reduce denials and optimize collections.
• Prepare and present regular reporting related to billing performance, payer trends, collections activity, and operational KPIs.
• Stay current on payer updates, industry regulations, coding changes, and healthcare billing best practices impacting ASC and specialty billing operations.
• Support audits, credentialing coordination, documentation reviews, and payer-related requests as needed.

Requirements

• Minimum of 10 years of medical billing and revenue cycle experience, preferably within ASC, pain management, orthopedic, spine, and multi-specialty healthcare environments.
• Strong working knowledge of insurance billing processes, claims management, denial resolution, appeals, payment posting, and accounts receivable follow-up.
• Experience managing complex billing operations involving commercial insurance, Medicare, Medicaid, workers compensation, and out-of-network billing.
• Thorough understanding of healthcare billing regulations, payer requirements, and No Surprises Act compliance.
• Hands-on experience using Tebra and eClinicalWorks (eCW) within a multi-provider or multi-specialty practice environment.
• Strong understanding of ASC billing workflows, surgical billing processes, and specialty procedure reimbursement.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification strongly preferred.
• Working knowledge of CPT, ICD-10, HCPCS, modifier usage, and medical coding compliance standards.
• Experience identifying and resolving billing discrepancies, underpayments, payer issues, and reimbursement challenges.
• Ability to analyze billing data, monitor KPIs, identify trends, and implement operational improvements that increase collections and reduce denials.
• Excellent organizational skills with the ability to manage multiple priorities, deadlines, and workflows in a fully remote environment.
• Strong communication and problem-solving skills with the ability to collaborate effectively across clinical, operational, and leadership teams.
• Leadership experience supporting, mentoring, or guiding billing team members in a professional and accountable manner.
• High level of accuracy, attention to detail, professionalism, and confidentiality when handling sensitive patient and financial information.
• Proficient in Microsoft Office, including Excel reporting and spreadsheet management.
• Self-motivated, dependable, and capable of working independently with minimal supervision in a remote setting.

Pay: $35.00 - $40.00 per hour

Benefits:

• 401(k) matching
• Health insurance
• Paid time off
• Professional development assistance

Work Location: Remote