Billing Manager
- Full Time/Exempt
- Coastal Healthcare Watsonville Community Hospital
- 3.7 Watsonville, CA Job Details Full-time $70,000
- $100,000 a year 3 days ago Qualifications Staff supervision Healthcare staff management Team leadership Medical Coding Certification Medical Billing Certification Full Job Description Billing Manager
- Full Time/Exempt
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Coastal Healthcare Job Summary :
The Billing Manager is responsible for overseeing all aspects of billing and revenue cycle operations, including claims processing, staff oversight, and compliance with payer requirements. This role ensures accurate and timely submission of claims, including review of claim errors, denial management, reconsiderations, adjustments, CIFs, refunds, and appeals. In addition to Billing Manger responsibilities, the Billing Manager supports key operational and clerical functions such as review of patient demographics, processing payments and deposits, handling medical records requests, and responding to subpoenas. The position plays a critical role in managing inquiries related to claims and patient balances from patients, staff, and providers. The Billing Manager also leads workflow optimization, reporting, and system support efforts, contributing to improved efficiency, compliance, and overall organizational performance. This position will work very closely with Director and clinic supervisors/managers.
Education, Certifications/Licensure, and Experience:
Required:
Billing/Coding certification 2+ years medical billing experience 2+ year in a Supervisory or lead role
Preferred:
EHR experience (Athena preferred)
Bilingual Spanish/English Required Skills/Abilities:
Knowledge of billing, coding, and payer regulations Strong leadership and organizational skills Analytical and problem-solving ability Proficiency in EHR and payer systems
Essential Duties and Responsibilities:
Revenue Cycle Oversight Manage claims processing: submission, denials, appeals, adjustments, and collections Ensure timely, accurate clean claims and resolve discrepancies Monitor A/R, patient balances, and denial trends Billing Staff Supervision Oversee daily operations and staff assignments Train, support, and evaluate billing staff performance Maintain productivity and workflow standards Coding, Compliance & Audits Oversee
CPT, ICD-10, HCPCS
updates and coding accuracy Quality/MIPs claims reporting Conduct chart reviews and staff training Support internal and external audits (HEDIS, HMS, etc.) Payer & Credentialing Maintain payer policies, fee schedules Entity and Provider Data Management/Attestations (Payer Portal PDM and CAQH) Manage PAR/Non-PAR, MPN lists, and provider credentialing Track provider expirable (DEA, licenses, COI) Systems & Reporting Manage Athena EMR workflows, templates, and user access Oversee EDI/EFT, payer portal administration and system interfaces (HIE, labs, CAIR) Generate and analyze reports; train staff on report usage Operations Support Assist with workflows, training, and cross-department coordination Support budgeting, vendor management, and supply ordering Handle deposits, mail distribution, and administrative functions
