Mgr, Billing

OverviewOversee day-to-day billing operations for hospital and professional (HB/PB) services, ensuring accurate, timely, and compliant claim production and submission. This role ensures accurate, timely, and compliant claim production and submission, drives clean-claim performance and first-pass acceptance, accelerates cash, reduces billing-driven denials and avoidable write-offs, and operationalizes standardized workflows, controls, and performance management across facilities and service lines. Qualifications• Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.• Experience: Minimum of 3 to 4 years of progressive revenue cycle experience, including at least 1 to 2 years in billing operations (HB and/or PB) within a hospital or multi-site health system with a two-year degree.• Minimum of 3 years of supervisory experience in hospital and/or professional billing operations.• A formal degree may be substituted with 6+ years of direct, hands-on revenue cycle and supervisory experience.• Demonstrated experience with Epic and revenue cycle technologies.• Proven success leading teams through organizational change and process improvement initiatives.• License/Certification/Registration: Not required.• Deep knowledge of:Hospital Billing (HB) and Professional Billing (PB) workflowsPayer billing rules and regulationsUB-04 and CMS-1500 claim formsNCCI editsMedically Unlikely Edits (MUEs)Local Coverage Determinations (LCDs)National Coverage Determinations (NCDs)Timely filing requirements• Strong operational leadership and performance management discipline, including:Key Performance Indicators (KPIs)Operational cadenceAccountability measures• Proven success in:Improving clean claim ratesIncreasing first-pass claim acceptanceReducing denialsLowering accounts receivable (A/R)• Excellent communication, cross-functional collaboration, and stakeholder management skills.• Demonstrated change leadership and a continuous improvement mindset, including experience implementing:Standardized operational playbooksAutomation initiativesProcess optimization strategies• Strong analytical proficiency with reporting tools and the ability to translate data into actionable operational improvements.• Working knowledge of:HIPAA privacy and compliance requirementsBilling audit practicesRevenue cycle regulatory expectations.