• Bachelor’s degree in Business Administration, Healthcare Administration, or a related field.
• At least 7 years of experience in medical billing, with 3–5 years in a supervisory or managerial capacity.
• In-depth knowledge of the Revenue Cycle Management (RCM) process, including charge entry, payment posting, AR follow-up, and denial management.
• Strong understanding of HIPAA regulations, payer rules, and compliance protocols.
• Proficiency in Practice Management Software (PMS) and Electronic Health Record (EHR) systems.
• Excellent leadership skills with proven ability to manage, train, and motivate billing teams.
• Advanced skills in Excel and data reporting for financial analysis and productivity tracking.
• Strong communication and problem-solving skills for resolving complex billing and insurance issues.
• Demonstrated ability to implement process improvements that enhance accuracy, efficiency, and cash flow.
• Highly organized, detail-oriented, and capable of managing multiple priorities in a deadline-driven environment.

Key Responsibilities:

• Provide strategic leadership and direction for the medical billing department to ensure accuracy, efficiency, and compliance with regulatory standards.
• Oversee end-to-end Revenue Cycle Management (RCM), including charge entry, payment posting, AR follow-up, and denial management.
• Develop, implement, and monitor policies, procedures, and best practices to optimize billing operations and maximize cash flow.
• Lead, mentor, and evaluate billing supervisors and associates, fostering a culture of accountability, collaboration, and continuous improvement.
• Ensure strict compliance with HIPAA regulations, payer requirements, and federal/state healthcare billing guidelines.
• Analyze financial and operational data to prepare detailed reports on billing performance, reimbursement trends, and aging accounts.
• Partner with senior leadership, clinicians, and insurance providers to resolve escalated billing issues and improve payer relationships.
• Identify areas for automation or system improvements within Practice Management Software (PMS) and EHR platforms.
• Monitor key performance indicators (KPIs) such as collections, denial rates, AR days, and reimbursement turnaround times, and implement corrective action when needed.
• Lead training and development programs to enhance the technical and regulatory knowledge of the billing team.
• Participate in audits and ensure readiness for internal and external compliance reviews.
• Contribute to long-term business planning by forecasting billing volumes, staffing needs, and revenue goals.