Billing Manager

Billing Manager

Join our team as a Billing Manager and play a critical role in ensuring the financial health and operational success of a leading pathology services organization. We are seeking a strategic, detail-oriented leader who is passionate about revenue cycle management, process improvement, and team development. In this role, you will oversee all aspects of pathology billing operations, ensuring the accurate and timely submission of claims, client invoicing, regulatory compliance, and reimbursement optimization. Working closely with laboratory teams, insurance providers, and regulatory agencies, you will lead a high-performing billing team, drive workflow efficiencies, and help maximize revenue while supporting exceptional patient and client service. If you thrive in a fast-paced healthcare environment and enjoy making a measurable impact, we invite you to join us.

Responsibilities include:

• Supervise and lead the pathology billing team, including training, performance evaluations, and workflow management for both an in office and remote workforce.
• Ensure timely and accurate submission of client invoices, patient statements and medical claims to insurance carriers, Medicare, and Medicaid.
• Review and resolve denied or rejected claims and ensure prompt follow-up for resubmission or appeals.
• Monitor accounts receivable and manage all collections processes.
• Ensure compliance with HIPAA, CPT, ICD-10, and all payer-specific billing regulations.
• Collaborate with pathologists, laboratory staff, and coders to ensure proper documentation and coding practices are being followed.
• Maintain and update billing software as needed.
• Prepare reports on billing activity, collections, and key performance indicators (KPIs) for management.
• Develop and implement policies and procedures to streamline billing and collections operations with focus on automating these processes.
• Stay current with industry trends, payer requirements, and changes in pathology billing regulations.
• Other duties as needed by the company.

Qualifications:

• Bachelor's degree in Business or a related field (or equivalent experience).
• 5+ years of experience in medical billing, with at least 2 years in supervisory role or management.
• Strong knowledge of pathology billing procedures, medical coding (CPT, ICD-10), and payer guidelines.
• Experience with laboratory information systems and medical billing software. Experience with Telcor is a plus