Medical Billing Manager

May 18, 2026
Application ends: August 16, 2026

Job Description

REQUIREMENTS

  • Minimum of 10 years of medical billing and revenue cycle experience, preferably within ASC, pain management, orthopedic, spine, and multi-specialty healthcare environments.
  • Strong working knowledge of insurance billing processes, claims management, denial resolution, appeals, payment posting, and accounts receivable follow-up.
  • Experience managing complex billing operations involving commercial insurance, Medicare, Medicaid, workers compensation, and out-of-network billing.
  • Thorough understanding of healthcare billing regulations, payer requirements, and No Surprises Act compliance.
  • Hands-on experience using Tebra and eClinicalWorks (eCW) within a multi-provider or multi-specialty practice environment.
  • Strong understanding of ASC billing workflows, surgical billing processes, and specialty procedure reimbursement.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification strongly preferred.
  • Working knowledge of CPT, ICD-10, HCPCS, modifier usage, and medical coding compliance standards.
  • Experience identifying and resolving billing discrepancies, underpayments, payer issues, and reimbursement challenges.
  • Ability to analyze billing data, monitor KPIs, identify trends, and implement operational improvements that increase collections and reduce denials.
  • Excellent organizational skills with the ability to manage multiple priorities, deadlines, and workflows in a fully remote environment.
  • Strong communication and problem-solving skills with the ability to collaborate effectively across clinical, operational, and leadership teams.
  • Leadership experience supporting, mentoring, or guiding billing team members in a professional and accountable manner.
  • High level of accuracy, attention to detail, professionalism, and confidentiality when handling sensitive patient and financial information.
  • Proficient in Microsoft Office, including Excel reporting and spreadsheet management.
  • Self-motivated, dependable, and capable of working independently with minimal supervision in a remote setting.

RESPONSIBILITIES

  • Oversee daily billing and revenue cycle operations across multiple specialties including ASC, pain management, orthopedic, spine, and neuromonitoring services.
  • Manage insurance claim submission, payment posting, denial management, appeals, collections, and accounts receivable follow-up to ensure timely and accurate reimbursement.
  • Monitor and improve key revenue cycle metrics including claim acceptance rates, denial trends, AR aging, collections performance, and reimbursement turnaround times.
  • Ensure compliance with payer guidelines, federal and state billing regulations, and No Surprises Act requirements.
  • Review and resolve complex billing issues, claim denials, underpayments, and payer escalations while identifying root causes and implementing corrective actions.
  • Maintain strong working knowledge of commercial insurance, Medicare, Medicaid, workers compensation, and out-of-network billing processes.
  • Collaborate with providers, clinical staff, operations, and leadership teams to improve billing accuracy, workflow efficiency, and revenue cycle performance.
  • Develop, implement, and maintain billing policies, procedures, and standard operating processes to support scalability and operational consistency.
  • Train, mentor, and support billing staff while promoting accountability, professionalism, and continuous process improvement within a remote work environment.
  • Identify opportunities for workflow automation, operational efficiencies, and process improvements to reduce denials and optimize collections.
  • Prepare and present regular reporting related to billing performance, payer trends, collections activity, and operational KPIs.
  • Stay current on payer updates, industry regulations, coding changes, and healthcare billing best practices impacting ASC and specialty billing operations.
  • Support audits, credentialing coordination, documentation reviews, and payer-related requests as needed.

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