Billing Manager

Billing Manager Location:

Pottstown (On-Site) We are seeking an experienced and results-driven Billing Manager to lead our revenue cycle operations team. The incumbent will be responsible for overseeing billing, collections, payment posting, denial management, accounts receivable, and team performance. The ideal candidate will have strong leadership skills, a deep understanding of healthcare revenue cycle management, and a proactive approach to problem-solving and process improvement.

Responsibilities:

Leadership & Team Management Lead, mentor, and develop a team of 15 or more billing and revenue cycle associates. Foster a culture of accountability, collaboration, and continuous improvement. Conduct regular performance reviews, coaching sessions, and training initiatives. Hold team members accountable for assigned responsibilities and performance expectations. Perform regular audits to ensure procedures are followed and associates demonstrate competency and understanding.

Revenue Cycle Management:

Oversee and actively participate in payment posting, denial management, claims resolution, and accounts receivable follow-up. Review insurance denials and coordinate appeals to maximize reimbursement. Monitor and manage patient accounts receivable and collections efforts. Conduct outbound patient outreach regarding outstanding balances and payment arrangements. Investigate and resolve claim rejections, billing errors, and A/R issues. Manage insurance overpayments, recoupments, and refund processes. Support credentialing activities as needed.

Training & Process Improvement:

Train and educate team members and cross-functional departments on billing software systems, patient engagement best practices, insurance processes, and revenue cycle workflows. Identify opportunities for process improvement and operational efficiencies. Proactively recommend solutions and improvements before escalating issues. Develop and implement training programs to address performance gaps and improve outcomes.

Performance Monitoring & Compliance:

Establish, monitor, and report on key performance indicators (KPIs) related to billing, collections, denial management, accounts receivable, productivity, and quality. Analyze trends and implement corrective actions to improve departmental performance. Ensure compliance with HIPAA regulations and all applicable healthcare billing requirements. Maintain accurate documentation and adherence to organizational policies and procedures.

Qualifications:

Minimum of 5 years of healthcare billing and revenue cycle management experience. Demonstrated experience leading and managing a large team.

Extensive knowledge of:

Payment posting Insurance denial management and appeals Revenue cycle operations Patient accounts receivable and collections Insurance overpayments and recoupments Strong organizational, multitasking, and prioritization skills. Excellent analytical and problem-solving abilities. Ability to take initiative and identify opportunities for team development and process improvement. Thorough understanding of HIPAA regulations and compliance requirements. Strong communication, leadership, and interpersonal skills.

Preferred Education and Experience:

Knowledge of dermatology CPT and ICD-10 coding. Experience with AdvancedMD and EMA software. Credentialing experience. Bachelor's degree in healthcare administration, Business Administration, Finance, or a related field preferred.