Role Overview:

As the L7 - Assistant Manager - Medical Billing, you will be responsible for managing the medical billing team and ensuring the accuracy and efficiency of billing operations. You will oversee the entire billing process, from claim generation to payment posting, while ensuring compliance with industry regulations and company policies. Your role will involve strategic oversight, process improvement, and coordination with other departments to optimize revenue cycle management.

Key Responsibilities:

Team Leadership: Supervise and mentor a team of medical billing professionals. Provide training, performance feedback, and support to ensure high standards of billing accuracy and efficiency.
Billing Operations: Oversee the daily operations of the medical billing department, including claim generation, submission, follow-up, and payment posting. Ensure timely and accurate processing of all billing activities.
Process Improvement: Identify and implement improvements to billing processes to enhance efficiency and accuracy. Develop and enforce best practices to streamline billing operations.
Compliance & Risk Management: Ensure all billing practices comply with healthcare regulations, payer requirements, and internal policies. Conduct regular audits and address any compliance issues.
Cross-Departmental Coordination: Collaborate with all departments to resolve billing issues and ensure accurate claim submissions.
Performance Monitoring: Track and analyze key performance indicators (KPIs) related to billing operations. Prepare and present reports to management, highlighting performance metrics, trends, and areas for improvement.
Problem Resolution: Address and resolve complex billing issues, including claim denials, appeals, and discrepancies. Implement corrective actions to prevent recurrence of issues.
Customer Service: Ensure high levels of customer service by addressing patient and payer inquiries, resolving billing-related concerns, and maintaining positive relationships with external stakeholders.

Desired Candidate Profile:

Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or a related field.
Certification in medical billing or coding (e.g., CPC, CCS) is preferred.
Minimum of 6+ years of experience in medical billing, with at least 2 years in a supervisory or managerial role.
Strong knowledge of medical billing processes, healthcare regulations, and payer requirements.
Proven leadership and team management skills.
Excellent analytical, organizational, and problem-solving abilities.
Effective communication skills, with the ability to collaborate across departments and interact with patients and payers.
Proficiency in medical billing software and electronic health record (EHR) systems.

What You Can Expect:

Full-time, salaried position with a competitive compensation package.
Comprehensive benefits, including health insurance, retirement plans, and paid time off.
Opportunities for professional development and career advancement.

A dynamic and supportive work environment focused on continuous improvement and teamwork.

As a full-service Revenue Cycle Management firm dedicated to serving Ancillary providers across the country that has been custom tailored to fit the special needs of your facility.