Healthcare Billing Manager- Multi-Site

Schedule: Full-time Compensation: $80,000 -$90,000 based on experience and qualifications.

Key Responsibilities: Billing Operations Oversee daily billing activities to ensure accurate and timely claim submission. Monitor billing workflows, work queues, and claim processing activities. Ensure claims are submitted in accordance with payer requirements and internal standards. Review clearinghouse reports and payer responses to identify and resolve submission issues. Coordinate claim corrections, rebills, and resubmissions as necessary. Maintain efficient billing workflows and operational procedures. Escalate system or workflow issues affecting claim submission and processing. Coding Claims & Error Resolution Review and resolve claim edits, rejections, and billing exceptions. Investigate claim submission issues and coordinate corrective actions. Monitor rejected claims to ensure timely correction and resubmission. Track unresolved billing issues through completion. Ensure billing-related errors are resolved accurately and promptly. Support initiatives designed to improve claim accuracy and reduce submission errors. Coding & Charge Review Support Review billing-related coding edits affecting claim submission. Coordinate coding corrections required for claim processing. Ensure charges are billed accurately in accordance with established procedures. Support implementation of coding, billing, and payer-required updates. Assist with review of charge discrepancies and claim edits. Maintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements related to billing operations. Compliance & Process Management Ensure compliance with payer guidelines, billing regulations, and company policies. Maintain billing procedures, workflows, and standard operating procedures. Participate in system testing, billing updates, and workflow enhancements. Support internal audits and billing quality reviews. Maintain HIPAA compliance and safeguard patient and financial information. Assist with departmental projects and process improvement initiatives. AI & Automation Responsibilities Utilize AI-enabled tools to identify claim errors and prioritize billing activities. Monitor automated claim scrubbing and billing workflow processes. Support implementation of automation technologies that improve billing efficiency and accuracy. Participate in testing and deployment of revenue cycle technology enhancements. Promote utilization of technology solutions that streamline claim submission and error resolution. Additional Duties Support departmental goals and operational initiatives. Participate in meetings, audits, projects, and process improvement activities. Provide cross-functional support within the Revenue Cycle Management department. Perform other duties as assigned.