Billing Manager

Billing Manager Health Alliance Global Jacksonville, FL Job Details Full-time 1 day ago Qualifications Microsoft Excel Healthcare staff management Medicare Team leadership Operational management CMS Research Scalable systems CMS regulatory compliance Bachelor's degree Medicare regulations Scalability Centers for Medicare & Medicaid Services (CMS) billing regulations Healthcare financial management Medical claims submission Medicaid Productivity software

Full Job Description Job Title:

Billing Manager Work Location:

Jacksonville, FL Job Type:

Full-Time, On-Site Reports to: Chief Administrative Officer About Our Company At Health Alliance Global (Heal All), we're on a mission to make high-quality healthcare accessible to everyone, everywhere. We build advanced, technology-driven solutions that bridge gaps in care, improve outcomes, and reduce the cost of healthcare at scale. We're a team of builders, strategists, and problem-solvers united by one belief: that where you live shouldn't determine the care you receive. Our work is evidence-driven and grounded in high standards, built on aligned partnerships, and fueled by a commitment to limitless learning. Headquartered in Jacksonville, Florida, we operate at the intersection of technology and care delivery, working with partners across the country to bring FDA-cleared diagnostics and intelligent clinical services directly to the communities that need them most. Position Summary If you're a great medical Billing Manager, congratulations! You've met our Greens Fee! Now let's talk about propelling your career in a truly impactful way…. Heal All is seeking an experienced Billing Manager capable of serving in a unique but critical role -- to lead our revenue cycle operations while bridging the gap between billing and the cutting-edge delivery of our virtual healthcare services. Grounded in a thorough understanding of our technology and how the platform and its diagnostics are used, you will be expected to become the "go-to expert" on all company billing matters: what and how we bill for our services while remaining in full compliance with all laws and billing regulations, even as our technology evolves and telehealth rules change. You must become confident and articulate explaining in simplistic terms to physician practice management, sales team members, and even potential customers. At the operations level, in support of our affiliated physician practice you will be responsible for designing and implementing accurate, compliant processes for direct billing of customers while also overseeing a third-party insurance billing partner. The ideal candidate brings demonstrated experience in multi-payer healthcare billing, a strong grasp of regulatory requirements, the aptitude to rapidly learn our technology as it relates to billing, and the operational agility to build and scale billing infrastructure in a fast-growing organization. This position reports to the Chief Administrative Officer and works full time on site at our Jacksonville, Florida office. Essential Job Functions and Responsibilities Become the "go-to expert" on all company billing matters for physician practice management, company staff, and customers: what and how we bill for our unique services; compliance with federal and state billing regulations, including evolving telehealth reimbursement rules and place-of-service codes; payer policies; and internal procedures across all states in which the company operates. Develop expert understanding of Corporate Practice of Medicine (CPOM) laws and required MSO-PC model of clinical service delivery through an affiliated physician practice, so as to understand billing requirements. Design and implement scalable billing and collections processes for direct-billing of customers for fees not billed through insurance payers by third party billing partner (e.g., co-pays, encounters with patients covered by plans in which affiliate physician practice does not participate, and uninsured patients). Oversee quality and compliance of work, and manage relationship with, third party insurance billing company responsible for the preparation and submission of claims across Medicaid, Medicare, the VA, and commercial payers. Create easy-to-understand reference materials for use by Sales team. Remain current on evolving telehealth reimbursement rules; conduct deep-dive research and work with legal and compliance advisors to interpret "grey areas" as they relate to our business. Maintain billing records and documentation in accordance with HIPAA requirements. Lead billing audits, payer audit responses, and internal quality control reviews, coordinating with compliance and legal as needed. Own the tracking and reporting of department's key performance metrics related to all billing. Work with others as necessary on continuous improvement. Partner with finance and leadership to support revenue cycle reporting, cash flow projections, and strategic planning as the company scales into new markets and service lines. When required by growth, work with Human Resources to recruit, onboard, and develop billing staff. Other duties as assigned. Minimum Skills and Qualifications Bachelor's degree in health information management, healthcare administration, business, or a related field. 5+ years of progressive experience in medical billing, with at least 2 years in a lead role overseeing the billing function in a healthcare setting. Experience managing multi-payer revenue cycles, including Medicaid, Medicare, VA, and commercial insurers. Knowledge of CMS billing guidelines, taxonomy codes, modifiers, place-of-service codes, and electronic claims submission requirements. Ability to quickly learn our technology - how it's used and billing ramifications. Ability to design and implement scalable internal systems and processes for direct billing of customers. Confident and articulate in explaining billing processes and answering questions in easy-to-understand terms. Proficiency with Microsoft Office, particularly Excel, for reporting, analysis, and operational tracking. Preferred Skills Experience managing billing under "Under Arrangement" agreements in SNF settings, including Medicare Part A consolidated billing and Part B carve-out exceptions. Experience with telehealth billing and remote patient monitoring reimbursement, including familiarity with evolving CMS and state payer policies. Familiarity with SNF-specific billing scenarios involving physician services and the interplay between facility and professional component billing. Certified Professional Biller (CPB), Certified Professional Coder (CPC), or Certified Revenue Cycle Professional (CRCP) credential. Experience working with a third party billing company. Experience working in a startup or small-company environment where processes are still being built. Physical Demands & Work Environment This is a sedentary position. The Billing Manager will work primarily at a desk for extended periods, operating a keyboard, mouse, and standard office equipment. The role requires close vision and the ability to adjust focus for prolonged computer and screen use. The employee must be able to communicate clearly in person and by telephone. Occasional lifting of up to 10 lbs may be required. Work is performed in an indoor, climate-controlled office environment with quiet noise levels. No travel is required for this role. The physical demands and work environment described above are representative of those that must be met by an employee to successfully perform the essential functions of this position. Heal All will provide reasonable accommodations to qualified individuals with disabilities to perform the essential functions, provided such accommodation does not impose an undue hardship on the organization. Health Alliance Global, Inc., and all its subsidiaries are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable federal, state, or local law. Health Alliance Global, Inc., and all its subsidiaries are an E-verify employer. Your eligibility to work in the United States will be verified through the E-verify system if you apply and are selected for a position.