JOB SUMMARY

Specialty Orthopedic Group is seeking an experienced Billing Manager to lead and optimize revenue cycle operations across our growing, multi-location orthopedic practice. This position oversees billing operations, accounts receivable, claims, reimbursement, denials, collections, reporting, and billing staff while identifying opportunities to improve workflows, technology, and overall revenue-cycle performance. The ideal candidate is a proactive, solutions-focused leader who can analyze data, identify root causes, improve processes, and use technology and automation to strengthen collections, reduce denials, and increase efficiency.

•Please do not call in to Specialty Orthopedic Group about this position.

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JOB RESPONSIBILITIES

Lead, supervise, train, and develop billing staff while establishing performance and productivity expectations. Oversee billing, coding, charge entry, claims submission, payment posting, denial management, A/R, collections, and patient account workflows. Monitor key revenue-cycle metrics, including days in A/R, collections, denial rates, aging, clean claim performance, and reimbursement trends. Identify recurring billing issues, investigate root causes, and implement solutions to improve reimbursement and operational efficiency. Ensure accurate and timely claims submission to commercial payers, Medicare, Medicaid, Workers' Compensation, and other third-party payers. Develop and maintain consistent billing workflows, procedures, and best practices across all locations. Evaluate EMR, practice management, clearinghouse, payer portal, and reporting workflows to identify opportunities for improvement. Identify and implement technology, automation, and AI-supported solutions that reduce manual work and improve accuracy and productivity. Maintain compliance with payer requirements, HIPAA, federal and state regulations, and applicable billing and coding standards. Partner with providers, clinic leadership, front office teams, and organizational leadership to resolve billing issues and improve communication and workflows. Provide leadership with meaningful revenue-cycle reporting, trends, recommendations, and measurable improvement initiatives.

JOB QUALIFICATIONS

Associate's degree required; bachelor's degree in Healthcare Administration, Business Administration, Finance, Information Systems, or related field preferred. Minimum of 5 years of medical billing or revenue cycle experience required. Leadership or management experience strongly preferred. Orthopedic billing and multi-location healthcare experience strongly preferred. Strong knowledge of CPT, ICD-10, HCPCS, modifiers, payer guidelines, denial management, appeals, reimbursement, and accounts receivable. Experience with EMR and practice management systems, clearinghouses, payer portals, reporting tools, and spreadsheets. Strong analytical, problem-solving, leadership, and communication skills. Ability to translate revenue-cycle data into practical solutions and measurable improvements. Comfortable adopting new technology, automation, and AI-supported tools to improve billing operations. 77h1OpyV74