medical billing manager

Keystone Kinetic Technologies Solution

Key Responsibilities:<ul><li>Manage the full-cycle physician billing process for multiple Canadian provinces, including Ontario, British Columbia, Alberta, Quebec, and others</li><li>Submit claims accurately and timely through provincial billing platforms such as OHIP, MSP, AHCIP, RAMQ, and related systems</li><li>Identify, investigate, and resolve claim rejections, denials, or underpayments promptly</li><li>Maintain up-to-date knowledge of changes in provincial billing codes, policies, and regulatory requirements</li><li>Generate detailed billing performance reports and ensure monthly reconciliation accuracy</li><li>Collaborate closely with physicians, clinic staff, and administrative teams to optimize workflows and improve billing efficiency</li><li>Train, supervise, and mentor junior billing staff to enhance team capabilities (if applicable)</li></ul>Required Qualifications:<ul><li>Minimum 3 years of hands-on experience with Canadian physician billing processes</li><li>Strong familiarity with billing systems such as OHIP (Ontario Health Insurance Plan), MSP (Medical Services Plan of BC), AHCIP (Alberta Health Care Insurance Plan), RAMQ (R&eacute;gie de l'assurance maladie du Qu&eacute;bec), etc.</li><li>Working knowledge of Electronic Medical Records (EMRs) and billing software, including but not limited to Oscar, Accuro, Telus Health, MD Billing</li><li>Excellent analytical skills with strong attention to detail and problem-solving ability</li><li>Effective communication skills and ability to work independently and manage responsibilities proactively</li></ul>Preferred Qualifications:<ul><li>Experience managing multi-specialty physician billing</li><li>Prior leadership or team management experience in healthcare billing or revenue cycle operations</li><li>Certified Medical Billing or related professional certification</li></ul>Job Types: Full-time, PermanentPay: &#8377;50,000.00 - &#8377;60,000.00 per monthEducation:<ul><li>Master's (Required)</li></ul>Experience:<ul><li>OHIP, MSP, AHCIP, RAMQ: 3 years (Required)</li><li>Claim Submission &amp; Reconciliation: 3 years (Required)</li><li>Billing codes, regulatory updates, fee schedules: 3 years (Required)</li><li>Billing Software(Oscar, Accuro,Telus Health,MD Billing): 3 years (Required)</li><li>EMR systems &amp; Report Generation: 3 years (Required)</li><li>Problem-Solving/ Communication: 3 years (Required)</li><li>Attention to Detail: 3 years (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>License/Certification:<ul><li>Certified Medical Billing/ Professional Certification (Required)</li></ul>Work Location: Remote

Canadian Medical Billing Manager

NuScript Data Solutions

Job Title:Medical Billing Operations Manager (Night Shift - US RCM)Location:Coimbatore, Tamil Nadu, India (Primarily on-site; remote candidates considered with willingness to relocate) Job Type: Full-Time | On-site (Possibly Remote) | Night Shift Industry: Healthcare Revenue Cycle Management (RCM) Experience Level: Manager / 7+ years experienceAbout Us:NuScript is a rapidly growing medical billing company based in Coimbatore, providing comprehensive revenue cycle management (RCM) solutions to healthcare providers across the United States. Our success is driven by a commitment to accuracy, compliance, and exceptional client service. As we continue to expand, we are seeking a strong leader to manage our night shift operations, reporting directly to the RCM Manager at our US office.Work Timing:Night Shift &ndash; US Central Time (7:00 PM to 4:00 AM IST) (Monday to Friday)Job Summary:We are hiring an experienced Medical Billing Operations Manager (US RCM) to oversee our night shift operations. The ideal candidate must have a strong background in US medical billing and RCM, with proven experience managing a team of at least 25 billing professionals and direct interaction with US-based clients or teams.Key Responsibilities:<ul><li>Lead and manage a team of 25+ billing professionals (charge entry, payment posting, AR follow-up, denial management).</li><li>Serve as the primary point of contact for operational escalations during the night shift.</li><li>Coordinate directly with US-based clients or teams for issue resolution and performance reviews.</li><li>Ensure accurate and timely submission of claims and follow-ups.</li><li>Monitor KPIs and team performance; implement corrective actions when needed.</li><li>Maintain compliance with HIPAA, CMS, and payer-specific billing requirements.</li><li>Conduct training sessions, audits, and regular team performance evaluations.</li></ul>Mandatory Requirements:<ul><li>7+ years of experience in US medical billing and RCM.</li><li>3+ years in a managerial role, handling a team of 25 or more.</li><li>Direct, regular interaction with US-based clients or operational teams.</li><li>Strong understanding of the complete billing cycle (charge entry to AR collections).</li><li>Proficiency in RCM tools and software (e.g., AdvancedMD, Kareo, eClinicalWorks).</li><li>Excellent English communication (verbal and written).</li><li>Willingness to work full-time night shift (US Central Time).</li></ul>Preferred Qualifications:<ul><li>AAPC/AHIMA certifications (CPC, CPB, etc.).</li><li>Experience across multiple specialties (Internal Medicine, Pediatrics, Behavioral Health, etc.).</li><li>Background in BPO/KPO or similar offshore delivery environments.</li></ul>Compensation:<ul><li>Salary Range: &#8377;7,00,000 &ndash; &#8377;9,00,000 per annum (negotiable for highly experienced candidates).</li><li>Additional Benefits:</li><li>Performance-based incentives</li><li>Shift allowances for night duty</li><li>Leadership development &amp; internal growth opportunities</li><li>Exposure to US healthcare systems and clients</li><li>Supportive and collaborative work culture</li></ul>How to Apply:Submit your updated resume via email to careers@nuscript.in along with a short cover letter outlining your experience, leadership background, and alignment with the role. Only candidates meeting the mandatory requirements will be contacted.Job Type: Full-timePay: &#8377;700,000.00 - &#8377;900,000.00 per yearBenefits:<ul><li>Leave encashment</li><li>Paid time off</li><li>Provident Fund</li><li>Work from home</li></ul>Application Question(s):<ul><li>Are you willing to relocate to Coimbatore?</li></ul>Experience:<ul><li>Manager: 3 years (Required)</li></ul>Location:<ul><li>Remote (Preferred)</li></ul>Willingness to travel:<ul><li>25% (Preferred)</li></ul>Work Location: RemoteApplication Deadline: 31/08/2025 Expected Start Date: 01/09/2025

Medical Billing Manager (US RCM)

BLMS SMC PVT LTD

Job PurposeThe RCM Manager is responsible for overseeing the entire revenue cycle management process for the organization, focusing on medical billing, claims processing, payment posting, denial management, and compliance. This role ensures that the company maximizes revenue while maintaining accuracy, efficiency, and compliance with healthcare regulations.Key Responsibilities<ul><li>Lead, manage, and mentor the revenue cycle team, including billing specialists and AR follow-up staff.</li><li>Develop and implement policies and procedures for efficient billing and collections.</li><li>Monitor and analyze key performance metrics (e.g., AR days, denial rates, collections).</li><li>Oversee claim submissions, payment posting, and follow-up to ensure timely reimbursement.</li><li>Collaborate with providers, payers, and internal teams to resolve billing discrepancies and denials.</li><li>Ensure compliance with federal, state, and payer-specific billing regulations.</li><li>Prepare financial and operational reports for senior management.</li><li>Identify process improvement opportunities to optimize revenue cycle performance.</li><li>Stay current with industry changes, payer requirements, and best practices in medical billing and RCM.</li></ul>Requirements<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).</li><li>5+ years of experience in medical billing and revenue cycle management.</li><li>Strong knowledge of healthcare reimbursement, payer rules, and compliance standards.</li><li>Proficiency in medical billing software and electronic health record (EHR) systems.</li><li>Excellent leadership, communication, and analytical skills.</li><li>Ability to work in a fast-paced, results-driven environment.</li></ul>Performance Expectations<ul><li>Maintain AR days below industry benchmarks.</li><li>Achieve a high rate of clean claim submissions.</li><li>Reduce denial rates through proactive management and root cause analysis.</li><li>Improve overall collection rates and financial performance.</li></ul>Job Type: Full-timePay: Rs150,000.00 - Rs300,000.00 per monthWork Location: In person

RCM Manager/Lead

PROVAIL

<div>Join an empowered team that is making a difference in our community!

Are you passionate about Inclusion, and looking for a way to make a difference? Do you have excellent interpersonal skills and the ability to constantly provide top notch customer service? If so, we want to hear from you!

PROVAIL has an exciting opportunity for a Billing Manager to join our team! The Billing Manager is responsible for overseeing the billing operations for PROVAIL's Mobility&amp;. Communication Program, ensuring accurate and timely submission of claims, partnering with Clinic and Accounting staff, and maintaining compliance with State and Federal regulations. The Billing Manager will create and maintain billing policies and procedures, ensure compliance with regulatory requirements, and develop strategies to improve billing efficiency and accuracy.

About Us
PROVAIL was founded in 1942 by parents of children with cerebral palsy. They created some of the first community services for individuals with cerebral palsy and other severe disabilities in the area. Our mission is supporting people with disabilities to fulfill their life choices. We help people decide how they want to live their life in the community and then provide the support services they need to act on those choices. We are one of the state&rsquo;s largest private, multi-service agencies dedicated to meeting the needs of children and adults with all types of disabilities.

What we offer:
<ul><li>Competitive pay, $30.29-$32.21 per hour, DOE</li>
<li>Comprehensive medical, dental, vision insurance with highly subsidized employer contribution for the employee. Dependent coverage for qualified family members is available.</li>
<li>Employer Funded Health Reimbursement Account (HRA) when enrolled in a medical plan.</li>
<li>Flexible Spending Accounts (FSA) - Health Care and Dependent Care</li>
<li>Employee Assistance Program</li>
<li>104 hours paid vacation plus incremental increases based on years of service</li>
<li>Twelve paid personal holidays</li>
<li>403(b) retirement plan</li>
<li>Referral bonus program</li>
<li>Monthly cell phone stipend and mileage reimbursement</li>
<li>Extensive paid training and professional development opportunities</li>
</ul>
ESSENTIAL DUTIES

Billing Operations Management
<ul>
<li>Responsible for all aspects of Mobility &amp;. Communication (M&amp;.C) medical billing activities, such as claims, clearinghouse, appeals, accounts receivable, patient statements, &amp; audits</li>
<li>Responsible for all aspects of M&amp;:C non-medical billing activities, such as private pay contracts and invoices to individuals, businesses, schools, &amp;: government entities including ALTSA, ODHH, DVR, and ODA</li>
<li>Responsible for the entirety of the Medical Practice Management System (MPMS)</li>
<li>Approves vendor invoices with proper general ledger codes for accounts payable process</li>
<li>Utilizes Clearinghouse functions for first-pass denials, insurance-level denials, and claim payment functions, including both ERA and manual paper posting</li>
<li>Independently able to set up processes &amp; actions for entering non-medical billing activities, including those with zero charges, into the medical practice management system, such as work performed on grants, collaborative projects, and private groups.</li>
<li>Independently sets up and performs grant billing documents, provider website data-entry, and reconciliation for grant activities</li>
<li>Works in collaboration with the grant manager, clinical staff, and director to ensure grant reporting submissions are complete, accurate, and timely</li>
<li>Works in collaboration with clinical staff and director to manage production and time spent on grant work by all M&amp;C parties involved</li>
<li>Works in collaboration with the PROVAIL accounting department to ensure smooth process, data flow, and reconciliation activities, including creating or modifying policies and processes as needed to improve efficiency and accuracy</li>
<li>Independently performs and oversees billing reconciliations and month-end process review</li>
<li>Monitors the schedule and alerts the director of any issues with scheduling, production, high cancel rates, and other preventable scheduling issues</li>
<li>Prepares and analyzes various reports, identifying trends and areas for improvement</li>
<li>Extracts and prepares data for department dashboards, metrics, forecasting, and budgeting cycles</li>
<li>Works in collaboration with and provides support for the Director of Mobility &amp; Communication</li>
</ul>
Insurance and Authorizations
<ul>
<li>Responsible for insurance verifications, benefit checks, and input of relevant insurance information into the client files or MPMS tables with particular attention to coverage based on client age, diagnosis code, concurrent home health, and benefit maximums</li>
<li>Manages all aspects of initial and ongoing authorizations to ensure continued coverage and payment</li>
</ul>
Claim Cycle
<ul>
<li>Ensures all electronic and paper claims are sent &amp; received by payors timely</li>
<li>Monitors and manages claims to meet billing requirements per payor, claim type, service type, client age, diagnoses, taxonomy codes, and all relevant modifiers</li>
<li>Sets up all healthcare payors to deliver processing via ERA where possible; manages, tracks, and works all processing from other sources</li>
<li>Pulls processing and performs all ERA and manual posting with attention to EFT and/or manual deposit date for smooth reconciliation processes with Accounting</li>
<li>Performs or ensures all primary processing forwards correctly to secondary or tertiary insurances and that they process in a timely manner</li>
<li>Coordinates with the Accounting department to set up &amp; ensure payors are set for EFT payment wherever possible</li>
<li>Coordinates with the Accounting department for manual check payments from non-healthcare payors and performs all manual invoice and private pay posting timely to deposit date</li>
</ul>
A/R
<ul>
<li>Actively tracks and follows up on any unprocessed or unpaid claims, invoices, or statements to keep all primary-processing A/R under 90 days</li>
<li>Monitors accounts receivable and implements strategies to reduce outstanding balances</li>
<li>Uses independent judgment to take appropriate actions on processed unpaid claims such as rebilling, insurance issues, appeals, corrected claims write-offs, and adjustments</li>
<li>Notifies the director in a timely manner of any processing or nonpayment issues, particularly for clients with current ongoing services</li>
<li>Notifies the director and clinicians of any issues with non-payment due to documentation or non-administrative error</li>
<li>Facilities the set-up of peer-to-peer and other medical-necessity reviews</li>
</ul>
Medical Practice Management System (MPMS)
<ul>
<li>Independently monitors, updates, and maintains the MPMS such as the dashboard Scheduler, Patient Files, Ledger, Tables, Utilities, EMR modules, etc.</li>
<li>Works in collaboration with the director and clinical staff to create and/or improve documentation module for greater efficiency and accuracy when charting</li>
</ul>
Contracts &amp; Credentialing
<ul>
<li>Oversees and ensures provider credentialing is initiated, maintained, and up to date. Keeps the MPMS updated with current provider and provider credentialing</li>
<li>Reviews non-healthcare payor contracts, makes recommendations, and uploads or updates the MPM system in all relevant areas; sets up new or updated documenting, scheduling, charge posting, and billing procedures as needed</li>
<li>Updates &amp; manages healthcare payor contracts to ensure they are current and active and all compliance with contract is maintained</li>
<li>Monitors regularly all provider sites for updates to insurance policies such as updates or changes to LCDs, LMN requirements, coverage, and limitations; communicates relevant changes or information to the director and M&amp;C staff as well as takes all necessary actions in the</li>
</ul>
Compliance &amp; Regulatory Management
<ul>
<li>Ensures all billing and documenting activities comply with federal, WA state, and local King County regulations, including HIPAA, DOH, and S. Code of Federal Regulations (CMS Conditions of Participation)</li>
<li>Sets up and maintains all passwords and access to all provider sites and medical systems, including, but not limited to, Noridian and Provider One.</li>
<li>Conducts regular audits of the entire MPMS to ensure accuracy and compliance in documenting, billing, &amp; compliance requirements</li>
<li>Conducts timely audits of the administrative portion of documentation required by Title 42 Subpart H Conditions of Participation</li>
<li>Works in collaboration with the director and any other member of PROVAIL regarding any and all other regulatory requirements, conditions of participation, and</li>
<li>Point of contact for all medical audits, certification &amp; re-certifications, and reviews including medical records review &amp; provision, audit tracking &amp; communication, and working with the director on major audit projects and findings</li>
<li>Tracks, notifies staff, and notifies director of any issues with compliance in all provider-required areas such as licensure, background checks, and trainings such as CPR, handwashing, mandatory reporting, fraud, waste, and abuse, etc.</li>
</ul>
REQUIRED QUALIFICATIONS

Required Experience:
<ul>
<li>Minimum of ten (5) years experience with full revenue cycle medical billing</li>
<li>Minimum of three (3) years experience full-cycle billing for outpatient occupational, speech, physical, and neurodevelopmental therapy
<ul><li>Experience with Telehealth billing for Washington State outpatient therapies preferred</li>
<li>Experience with ABA/Mental Health / Counseling I Psychology/ Neuropsychology / sensory-feeding billing desired</li>
</ul></li><li>Minimum of three (3) years experience updating, maintaining, and creating content or new modules for Medical Practice Management systems, including tables, ledgers, billing, posting, scheduling, and EMR
<ul><li>Experience with Raintree medical practice management system preferred</li>
</ul></li><li>Minimum of three (3) years experience with full-cycle billing for both pediatric and adult populations
<ul><li>Deep understanding of the intricacies of the differing requirements based on client age, diagnosis code, service type, and insurance plan type preferred</li>
</ul></li><li>Experience with Jurisdiction F Noridian Medicare, Medicare Replacement and Dual-complete plans, Washington State Medicaid, Apple Health ACA, and Medicaid managed-care plans.</li>
</ul>
Required Skills:
<ul>
<li>Good judgment and the ability to recognize when to take initiative and when consultation is</li>
<li>Thorough and accurate attention to</li>
<li>Proven ability to meet strict deadlines, particularly month-end close, timely filing, medical record responses, and other critical deadlines.</li>
<li>Ability to analyze patient ledgers, medical claim ft clearinghouse data, scheduling reports, dashboard data, as well as various custom and standard reports and data to make informed decisions and recommendations</li>
</ul>
PROVAIL is committed to diversity &amp; inclusion and continually working to build an organizational culture and climate in which every voice is valued, staff have a sense of belonging and connection with one another and to the organization, and staff feel empowered to do their best work. We specifically encourage people of color, individuals who identify as LGBTQ and individuals with disabilities to apply for this position.

PROVAIL is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law.
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.</div>

Billing Manager

Srimeru Super Speciality Hospitals

Job Title: Hospital Manager &ndash; Insurance &amp; Package Billing OperationsDepartment: Administration / Billing &amp; Revenue Cycle Management Reports To: Hospital Administrator / CEO / Director &ndash; Operations Experience: 5&ndash;10 years in hospital administration or revenue cycle management with TPA/insurance exposure Education: Bachelor's/Master's degree in Hospital Administration, Healthcare Management, or related fieldJob Summary:We are seeking a detail-oriented and experienced Hospital Manager with a strong understanding of package billing, insurance, and TPA operations within the Indian healthcare ecosystem. The role involves managing and streamlining end-to-end package billing processes, ensuring compliance with government and private insurance providers, and maximizing revenue realization for the hospital.Key Responsibilities:1. Package Billing Management<ul><li>Oversee the end-to-end billing process for cashless and reimbursement packages, including Ayushman Bharat (PMJAY), CGHS, ECHS, state schemes, and corporate insurance packages.</li><li>Ensure accurate mapping of treatment packages as per TPA/Insurance empanelment agreements.</li><li>Monitor pre-authorisation, enhancement, and final billing processes.</li><li>Validate documentation and clinical coding to ensure compliance with the package definition.</li></ul>2. Insurance &amp; TPA Coordination<ul><li>Liaise with all empanelled insurance companies, TPAs, and government health schemes.</li><li>Submit necessary documentation for pre-authorization, follow-ups, discharge summaries, and post-treatment bills.</li><li>Ensure timely submission of claims and reduce rejections/denials by improving documentation quality.</li><li>Coordinate with medical, nursing, and billing teams for smooth processing of claims.</li></ul>3. Revenue Cycle &amp; Claims Management<ul><li>Supervise claim generation, submission, tracking, and reconciliation.</li><li>Monitor outstanding dues and follow up for payments with insurers and TPAs.</li><li>Analyze denial reasons and initiate corrective measures to prevent future rejections.</li><li>Ensure TAT (Turnaround Time) adherence for discharge billing and claim submissions.</li></ul>4. Compliance &amp; Audit<ul><li>Ensure billing complies with IRDAI, NABH, and government regulatory norms.</li><li>Prepare for internal/external audits of insurance and package billing.</li><li>Maintain records and logs for transparency and reporting.</li></ul>5. Reporting &amp; MIS<ul><li>Generate daily, weekly, and monthly MIS reports for package utilization, claims submitted, payments received, and pending.</li><li>Provide input for strategic pricing decisions and package negotiations.</li><li>Present insights to management for revenue improvement.</li></ul>6. Team Management &amp; Training<ul><li>Lead and manage a team of billing executives and coordinators.</li><li>Train staff on billing protocols, documentation standards, and system updates.</li><li>Develop SOPs for package billing and insurance processing.</li></ul>Key Skills &amp; Competencies:<ul><li>In-depth knowledge of TPA operations, insurance billing, and healthcare packages in India.</li><li>Understanding of billing code wise with insurer and TPAs'</li><li>Familiarity with healthcare IT systems (HIS/ERP), e-filing portals, and TPA software.</li><li>Strong communication and coordination skills with medical and non-medical teams.</li><li>Good understanding of hospital finance, compliance, and revenue leakage control.</li><li>Analytical skills with proficiency in Excel and MIS reporting.</li></ul>Preferred Qualifications:<ul><li>Experience working in NABH-accredited hospitals.</li><li>Exposure to state/central government health schemes (PMJAY, CGHS, etc.).</li><li>Certification in Medical Billing/Coding (optional but preferred).</li></ul>Salary &amp; Benefits:<ul><li>Competitive salary [Specify Range] based on experience.</li><li>Performance-based incentives.</li><li>Health insurance and additional staff welfare benefits.</li></ul>Job Types: Full-time, PermanentPay: Up to &#8377;45,000.00 per monthWork Location: In person

Hospital Billing Manager

eServMD Pvt. Ltd.

The Billing Team Lead is responsible for supervising the day-to-day operations of the billing team, which includes Medical Billers, Denials Management Specialist and AR Specialists. This role ensures the timely, accurate, and compliant submission of claims, resolution of denials, and follow-up on unpaid claims. The Billing Team Lead also provides coaching and performance oversight while driving continuous improvements in billing workflows and revenue cycle performance.<ul><li>Lead and manage a team of medical billers and AR staff in processing end-to-end revenue cycle tasks, including charge entry, claim submission, insurance verification, and denial resolution.</li><li>Review billing output and audit claim submissions for accuracy, appropriate use of CPT and ICD-10 codes, and adherence to payer guidelines.</li><li>Ensure that claims are submitted promptly through the billing system and proactively monitor outstanding accounts receivables.</li><li>Investigate and resolve claim rejections or denials by coordinating with insurance companies and internal departments.</li><li>Manage daily work allocation, monitor productivity, and track key billing metrics (e.g., claim turnaround, denial rates, and collections).</li><li>Conduct regular team meetings and training to keep the billing team updated on changes in policies, payer rules, or regulatory updates.</li><li>Act as the first point of escalation for complex or delayed claims, providing hands-on support for resolution.</li><li>Collaborate with the Billing Manager and cross-functional teams to implement process enhancements and meet revenue goals.</li><li>Provide coaching, feedback, and performance evaluations for billing staff; support the hiring, onboarding, and ongoing development of team members.</li><li>Ensure compliance with company policies, HIPAA regulations, and billing best practices.</li><li>Prepare and submit routine performance reports to management and support project-based initiatives.</li><li>Strong knowledge of US healthcare billing practices, payer policies, and claims submission processes.</li><li>Hands-on expertise in CPT, ICD-10, and HCPCS coding; familiarity with Medicare, Medicaid, and commercial insurance guidelines.</li><li>Solid understanding of EHR and billing systems</li><li>Proficient in AR follow-up, denial management, and payment posting.</li><li>Excellent leadership and team management skills with the ability to coach and mentor staff.</li><li>Strong analytical and problem-solving skills with attention to detail and accuracy.</li><li>Effective verbal and written communication skills.</li><li>Ability to handle multiple priorities and deadlines in a fast-paced environment.</li><li>Commitment to maintaining confidentiality and professionalism in handling patient data and records.</li></ul>Job Type: Full-timeTiming: 5:00 PM to 2:00 AM (PST)Shift: NightWork Location: In personJob Type: Full-timeWork Location: In person

Medical Billing Team Lead

Caris Life Sciences

<div>At Caris, we understand that cancer is an ugly word&mdash;a word no one wants to hear, but one that connects us all. That&rsquo;s why we&rsquo;re not just transforming cancer care&mdash;we&rsquo;re changing lives. 
We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: &ldquo;What would I do if this patient were my mom?&rdquo; That question drives everything we do. 
But our mission doesn&rsquo;t stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare&mdash;driven by innovation, compassion, and purpose. 
Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.
Position Summary
The Patient Billing Manager is responsible for leading the daily operations of the patient billing function, ensuring accurate, timely, and compliant billing and collections. This role also oversees the financial assistance programs, working closely with patients to ensure accessibility and affordability of care. The Manager will supervise billing staff, optimize workflows, and collaborate cross-functionally to support revenue integrity and patient satisfaction.
Job Responsibilities
&bull; Oversee all aspects of patient billing, including patient statements, payment processing, and collections.
&bull; Respond to and resolve complex patient billing inquiries with professionalism and empathy.
&bull; Manage the Financial Assistance program and respond to related audit requests
&bull; Monitor team performance and key performance indicators (KPIs) such as billing turnaround times, denial rates, and patient collection metrics.
&bull; Ensure billing processes adhere to applicable federal, state, and payer regulations, including HIPAA, CMS, and private insurer guidelines.
&bull; Train, develop, and evaluate billing team members, fostering a culture of accountability, collaboration, and service excellence.
&bull; Collaborate with internal departments (payer relations, compliance, customer service) to improve billing workflows and resolve revenue cycle issues.
&bull; Assist with implementation and maintenance of billing software and systems, driving automation and efficiency.
&bull; Partner with cross functional teams to support account reconciliation, audits, and reporting requirements.
Required Qualifications
&bull; Bachelor&rsquo;s degree in Healthcare Administration, Finance, Business, or a related field; or industry certification (e.g., CHAM, CRCR, HFMA) is preferred.
&bull; Minimum 7 years of experience in healthcare billing or revenue cycle management, preferably within diagnostics, pathology, or laboratory services.
&bull; At least 5 years of management or supervisory experience.
&bull; Experience managing patient financial assistance programs is strongly preferred.
&bull; Strong understanding of medical billing regulations, reimbursement methodologies, and payer policies.
&bull; Proficiency with billing systems and Microsoft Office tools.
&bull; Excellent leadership, interpersonal, and communication skills.
&bull; Patient-centered mindset with a commitment to equitable access to care.
Preferred Qualifications
&bull; Experience managing patient financial assistance programs is strongly preferred.
&bull; Familiarity with CPT/HCPCS coding and medical necessity documentation.
&bull; Experience with Xifin, Epic, Cerner, or other enterprise-level billing and revenue cycle systems.
&bull; Demonstrated success in leading patient billing teams through system transitions, mergers, or organizational change.
&bull; Familiarity with interpretation of EOB's and calculation of patient responsibility
&bull; Proven ability to use data analytics tools (e.g., Tableau, Power BI) to drive performance improvement.
&bull; Bilingual proficiency (e.g., Spanish) to support diverse patient populations
Physical Demands
&bull; Will work at a computer when not travelling and meeting clients; must possess ability to sit and/or stand for long periods of time.
Training
&bull; All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.
Other
&bull; This position requires periodic travel and some evenings, weekends and/or holidays.
Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions ) and reference verification.
This job description reflects management&rsquo;s assignment of essential functions. Nothing in this job description restricts management&rsquo;s right to assign or reassign duties and responsibilities to this job at any time. 
Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.</div>

Patient Billing Manager

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