Medical Billing Manager
On-siteSpringfield, Pennsylvania, United States
Job Summary
Manage the daily operations of the billing department, overseeing claims for Medicare, Medicaid, commercial insurance, managed care, and healthcare facilities. Ensure accurate and timely claim submission, payment posting, and collections while monitoring accounts receivable to reduce aging. Review denials, identify trends, and oversee appeals and corrective actions to maintain compliance with CMS regulations, payer guidelines, HIPAA, and applicable state and federal requirements. Supervise, coach, and develop billing staff while collaborating with Operations, Dispatch, Clinical, and Finance teams to improve billing accuracy and reimbursement. Develop reports and monitor key revenue cycle performance indicators.
Required Qualifications
- Minimum 3-5 years of medical billing management experience
- Thorough knowledge of Medicare, Medicaid, commercial insurance, and facility billing
- Strong understanding of revenue cycle management, claims processing, denials management, and collections
- Experience with electronic billing systems and healthcare software
- Excellent leadership, communication, analytical, and organizational skills
Desired Qualifications
- Experience with ambulance billing regulations and CMS guidelines
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