Medical Billing Manager
6 days ago
Englewood Cliffs
Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION Department: Billing Title: Medical Billing Manager Location: Englewood Cliffs Supervision Received: Practice Administrator Position Summary: The Medical Billing Manager oversees and coordinates all billing operations within a healthcare organization to ensure accurate and timely submission of claims, optimal reimbursement, and compliance with regulatory requirements. This role manages billing staff, implements best practices, and maintains efficiency in revenue cycle processes. Key Responsibilities: Billing Operations • Oversee daily billing functions, including claim submission, follow-up, and denial management., • Ensure accurate coding and billing in compliance with payer requirements and federal/state regulations., • Monitor accounts receivable and develop strategies to minimize claim denials and outstanding balances., • Supervise, train, and evaluate billing staff performance., • Assign workloads and set productivity goals to maintain efficiency and accuracy., • Analyze revenue cycle reports to identify trends, errors, and opportunities for improvement., • Work with clinical and administrative teams to resolve billing issues and improve workflow., • Maintain payer relationships and oversee contract compliance. Compliance and Quality Control • Ensure adherence to HIPAA, Medicare, Medicaid, and other payer regulations., • Keep up to date on billing and coding changes (ICD-10, CPT, HCPCS)., • Prepare regular reports on billing performance. Education: • Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field (preferred)., • 3–5 years of experience in medical billing, coding, or revenue cycle management., • Strong knowledge of insurance processes, payer requirements, and reimbursement methodologies., • Proficiency in medical billing software and EHR systems (e.g., Epic, Athena)., • Excellent analytical, organizational, and leadership skills., • Strong communication and problem-solving abilities. Benefits: • Medical, • Dental, • Vision, • Flexible spending account, • Health saving account, • Life insurance, • Paid time off, • 401 (k)