Medical Billing Manager (Plastic Surgery Practice)
9 days ago
West Orange
Job Description Do Not Apply If You Have No Plastic Surgery Experience. We are seeking an experienced Billing Manager who is detail-oriented, proactive, and highly organized to lead our billing operations. Qualifications • Minimum 3–5 years of medical billing experience in plastic surgery., • Certified Professional Coder or similar certification is required, • Strong understanding of cosmetic vs. reconstructive billing workflows, • Proficiency in insurance verification, coding, prior authorizations, and appeals, • Experience with EHR/PM systems and electronic claims submission, • Proficiency in Microsoft Office (particularly Word and Excel) is required, • Experience with Nextech and Epic is preferred Oversee the full revenue cycle, including coding, charge posting, payments, adjustments, and A/R follow-up. * Verify insurance eligibility, run prior authorizations, and initiate predeterminations for surgical procedures. * Prepare and submit accurate claims, appeals, HCFA forms, and supporting documentation. * Manage patient and insurance payment posting, refunds, recoupments, and collections activity. * Generate Good Faith Estimates and create internal financial agreements for cosmetic patients. * Handle the Federal IDR process, No Surprises Act compliance, and communication with attorneys on billing disputes. * Provide patients with itemized statements, medical records, and billing-related assistance. * Maintain provider enrollment, credentialing, and payer updates for the practice. * Educate staff on billing workflows, policies, and documentation requirements. * Ensure compliance, accuracy, and timeliness across all billing operations in a high-volume plastic surgery practice. Benefits • Competitive salary (DOE), • Health, dental, and vision benefits, • PTO and paid holidays, • Supportive, team-oriented environment