Billing Manager

Billing Manager – Vascular Surgery
Position Overview The Billing Manager is responsible for overseeing the end-to-end revenue cycle operations of a busy vascular surgery practice. This role ensures accurate and timely billing, collections, and reimbursement processes while providing leadership to the billing team. The Billing Manager develops policies, monitors key financial metrics, resolves escalated issues, and works collaboratively with providers, administrative staff, and payers to support the financial health and compliance of the practice. This is a full-time, in-person position based at the practice.
Key Responsibilities

• Leadership & Oversight
  
  
  
  • Supervise, train, and mentor the billing and accounts receivable team.
  
  
  • Assign and monitor workloads to ensure efficiency, accuracy, and timely completion of tasks.
  
  
  • Conduct performance reviews and provide ongoing staff development.
  
  


• Billing & Revenue Cycle Management
  
  
  
  • Oversee claim preparation, review, and submission to insurance carriers, government payers, and patients.
  
  
  • Ensure timely and accurate posting of all payments, adjustments, and refunds.
  
  
  • Monitor accounts receivable aging and direct follow-up strategies for outstanding balances.
  
  
  • Manage denial prevention, root-cause analysis, and appeals processes.
  
  


• Compliance & Reporting
  
  
  
  • Ensure billing practices remain compliant with HIPAA, payer guidelines, and regulatory requirements.
  
  
  • Develop, implement, and update billing policies and procedures.
  
  
  • Prepare and present monthly financial and productivity reports, including AR metrics, denial trends, and collection performance.
  
  
  • Support internal and external audits.
  
  


• Collaboration & Communication
  
  
  
  • Work closely with providers, coders, and administrative staff to ensure accurate documentation and coding.
  
  
  • Serve as the point of contact for escalated patient billing concerns, handling them with professionalism and empathy.
  
  
  • Collaborate with leadership on financial strategy and revenue improvement initiatives.
  
  

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field (preferred).


• 5+ years of progressive experience in medical billing, accounts receivable, or revenue cycle management, including at least 2 years in a supervisory or management role.


• Strong knowledge of CPT, ICD-10, and HCPCS coding, as well as payer claim processes.


• Familiarity with Medicare, Medicaid, and commercial insurance reimbursement for surgical specialties.


• Proficiency with electronic health record (EHR) and practice management systems (e.g., eClinicalWorks, Epic, Athenahealth, NextGen). Most importantly, eClinicalWorks.


• Proficiency with clearinghouses: Trizetto and Waystar.


• Excellent organizational, leadership, and problem-solving skills.


• Strong communication skills with the ability to lead a team and interact effectively with providers, staff, payers, and patients.

Skills

• Revenue cycle and AR management


• Team leadership and staff development


• Insurance follow-up and denial management


• Payment posting and reconciliation oversight


• Financial analysis and reporting


• Healthcare compliance and audit readiness


• Patient relations and customer service