Manager Billing

The Billing Manager is responsible for overseeing patient accounts receivable, billing, collections, customer service, and revenue cycle activities to ensure timely and accurate reimbursement for hospital services. This position supervises 14 patient account representatives and a supervisor. Works collaboratively with clinical, registration, coding, and finance departments to optimize cash flow, resolve account issues, and enhance patient financial experience.

• Revenue Cycle Management

  Manage daily operations of patient billing, collections, and accounts receivable functions. Monitor account work queues, aging reports, denials, and reimbursement trends. Ensure timely submission of claims to Medicare, Medicaid, commercial payers, and self-pay accounts. Oversee resolution of billing edits, claim rejections, and payer denials. Monitor and improve key revenue cycle performance indicators. Manage outsourcing vendors

• Accounts Receivable Management

  Review A/R aging reports and establish action plans for high-balance and aged accounts. Ensure collection efforts comply with hospital policies and regulatory requirements. Analyze root causes of delayed payments and implement corrective actions. Manage bad debt and charity care processes in collaboration with financial counseling staff.

• Team Leadership

  Supervise, train, and mentor patient account representatives. Establish productivity and quality standards for staff. Conduct performance evaluations and coaching sessions. Promote a culture of accountability, customer service, and continuous improvement.

• Patient Financial Services

  Assist patients with billing inquiries and account resolution. Support financial assistance and payment plan programs. Escalate and resolve complex patient and payer issues. Ensure compliance with hospital billing transparency requirements.

• Compliance and Quality

  Maintain compliance with Medicare, Medicaid, HIPAA, and other regulatory requirements. Develop and implement policies and procedures related to patient accounting. Assist with internal and external audits. Ensure accurate documentation of account activities.

• Reporting and Analytics

  Prepare monthly reports on days in Accounts Receivable, Cash Collections, Denial Rates, Bad Debt, Productivity Metrics, and Patient Satisfaction Trends. Present operational results and recommendations to leadership.

• Minimum 5 years of healthcare revenue cycle, billing, collections, or patient financial services experience required.
• 6-10 years preferred.
• 2+ years of supervisory or management experience preferred.

• High School Diploma/GED required
• Bachelor's degree preferred
• Experience will be considered in lieu of Bachelor's degree

• Experience with hospital billing systems and electronic health records.
• Strong understanding of Medicare and Medicaid reimbursement, Commercial insurance billing, Hospital revenue cycle operations, Denial management, Healthcare regulations and compliance.
• Excellent leadership, communication, and problem-solving skills.
• Strong analytical and organizational abilities.
• Epic experience preferred.