Billing Manager

Job Description

Job Description

SportsMed Physical Therapy is a leading outpatient physical therapy provider in the Northeast delivering high-quality, multidisciplinary care across orthopedic, sports, neurological, vestibular, and rehabilitation populations.

Our facilities feature state-of-the-art equipment for the effective treatment of a variety of orthopedic and sports-related injuries.

Position Summary

The Billing Manager is responsible for overseeing designated Accounts Receivable (AR) teams and ensuring optimal reimbursement through effective billing, collections, denial management, and follow-up activities. This role provides day-to-day leadership, coaching, and performance management for assigned staff while driving accountability for revenue cycle metrics and collection goals.

The Billing Manager serves as a key operational leader within the Revenue Cycle department and is responsible for improving financial performance, reducing aged receivables, enhancing staff productivity, and supporting a culture of continuous improvement.

Duties and Responsibilities

Revenue Cycle Operations

• Manage daily operations for assigned Accounts Receivable teams.
• Monitor and prioritize work queues to ensure timely account resolution.
• Oversee claim follow-up, denial management, appeals, and collection activities.
• Identify and resolve reimbursement issues impacting cash collections.
• Ensure timely resolution of payer and patient account inquiries.
• Monitor payer-specific trends and implement corrective action plans.
• Collaborate with operational teams to improve reimbursement outcomes.

Financial Performance

• Drive achievement of monthly collection goals.
• Monitor and reduce Days in Accounts Receivable (AR).
• Develop strategies to reduce aged balances and increase cash collections.
• Analyze denial trends and implement recovery initiatives.
• Monitor underpayments and pursue recovery opportunities.
• Ensure compliance with payer guidelines and billing regulations.

Leadership and Team Management

• Directly supervise assigned supervisors, team leads, and billing staff.
• Establish performance expectations and accountability measures.
• Conduct regular staff meetings, coaching sessions, and performance reviews.
• Develop staff through training, mentoring, and cross-training opportunities.
• Foster a positive, collaborative, and results-oriented work environment.

Reporting and Analytics

• Analyze department performance metrics and productivity trends.
• Prepare monthly reports for Revenue Cycle leadership.
• Track collection performance, AR aging, denial rates, and productivity.
• Utilize data to identify opportunities for operational improvement.

Compliance

• Ensure compliance with all payer requirements, HIPAA regulations, and company policies.
• Maintain accurate documentation and billing records.
• Support internal and external audits as required.

Qualifications

Required

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred.
• Minimum of 5 years of healthcare billing, collections, or revenue cycle experience.
• Minimum of 2 years of leadership experience in a medical billing environment.
• Strong knowledge of medical billing practices, reimbursement methodologies, and payer regulations.
• Experience with electronic medical records (EMR) and practice management systems.
• Proficiency in Microsoft Excel and reporting tools.

Preferred

• Experience within Physical Therapy, Chiropractic, Orthopedic, or Outpatient Healthcare settings.
• Experience managing Accounts Receivable teams.
• Knowledge of Medicare, Commercial, Workers' Compensation, No-Fault, and Patient Billing processes.

Benefits

• Medical, Dental, Vision Insurance
• Life & Disability Insurance
• Paid vacation, sick time, and holidays
• 401(k) match
• Access to Rain – flexible earned wage advance benefit
• Hybrid work schedule
• Competitive base salary + Bonus

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