Medical Billing Manager (Plastic Surgery Practice)
10 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