Office Manager

Now hiring

Chiropractic Office Manager

Full-Time · In-Office · $19–$25/hr + Quarterly KPI Bonuses

About the role

We are a cash-based chiropractic practice seeking a highly motivated and experienced Office Manager to lead our day-to-day operations. Our model is straightforward — patients pay directly at the time of service or in advance, and we provide superbills upon request. Insurance billing is limited exclusively to Personal Injury Protection (PIP) and personal injury cases, which also requires active coordination with law offices and adjusters. This is a key leadership role requiring someone who is detail-oriented, professional, and thrives in a fast-paced clinical environment.

Compensation & benefits

Base pay

$19 – $25/hr

Based on experience

Bonuses

Quarterly KPI

Performance-based incentives

Schedule

Full-Time

Monday – Friday

KPI bonus metrics include: patient retention rate, superbill accuracy and turnaround time, PIP collections ratio, case file organization and response time to legal/adjuster requests, appointment fill rate, and patient satisfaction scores.

Key responsibilities

Oversee all front and back-office daily operations

Process patient payments and manage daily cash reconciliation

Generate accurate superbills upon patient request using correct CPT and ICD-10 codes

Submit and manage PIP and personal injury insurance claims from open to close

Serve as primary point of contact for law offices, attorneys, and insurance adjusters

Maintain organized, complete, and timely case documentation for all PI/PIP patients

Track lien statuses and follow up on outstanding balances with legal representatives

Respond promptly to records requests, demand letters, and legal correspondence

Supervise, train, and schedule front desk and support staff

Maintain EHR records, patient documentation, and reporting in Chiro HD

Track KPIs and prepare regular performance reports for the doctor/owner

Maintain HIPAA compliance and patient confidentiality across all communications

Manage inventory, office supplies, and vendor relationships

Foster a welcoming, professional patient experience from check-in to checkout

Important — our billing model

We are a cash-based clinic. We do not bill health insurance. All standard patients pay at the time of service. Superbills are generated on request so patients may seek their own reimbursement. Insurance claims are submitted only for PIP and personal injury cases. Candidates must be comfortable operating in this model and have a clear understanding of how cash-pay and PI billing coexist in a single practice.

Required qualifications

Minimum 2+ years of chiropractic or healthcare office management experience

Proficiency in superbill generation using correct CPT and ICD-10 coding for chiropractic services

Demonstrated experience managing PIP and personal injury billing from intake to settlement

Comfortable communicating professionally with plaintiff attorneys, defense counsel, and insurance adjusters

Prior supervisory or management experience leading a team of 2 or more

Exceptional punctuality, reliability, and organizational skills — you set the standard for the team

Understanding of lien-based care, demand packages, and medical records requests in PI cases

Proficiency with EHR/practice management software and Microsoft Office / Google Workspace

Strong understanding of HIPAA regulations, including proper handling of records releases to legal parties

Excellent written and verbal communication skills — professional, composed, and responsive

Preferred qualifications

Experience with Chiro HD EHR software — highly preferred

Prior experience in a cash-pay or hybrid chiropractic practice

Certified Professional Coder (CPC) or equivalent medical billing certification

Bilingual (English/Spanish) — a plus in serving our diverse patient community

Who you are

You are a self-starter who doesn't need to be micromanaged. You understand the nuances of a cash-based practice — you can explain the superbill process clearly to patients, keep PI case files airtight for legal review, and handle attorney calls with professionalism and composure. You lead by example, arriving on time every day and holding your team to the same standard. You take pride in a well-run office where nothing slips through the cracks — not a missing signature, not an unanswered email, not an unreconciled payment. You are honest, solutions-oriented, and genuinely invested in the success of the practice.

How to apply

Please submit your resume along with a brief cover letter outlining your experience with cash-pay chiropractic billing, superbill generation, PIP case management, and legal coordination. References from a previous chiropractic or personal injury medical office are strongly encouraged. Qualified candidates will be contacted for an initial phone screening.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or veteran status.

Pay: $17.00 - $25.50 per hour

Work Location: In person