BILLING HEALTHCARE MANAGER

TRI-CITY CARDIOLOGY CONSULTANTS PC•Mesa, AZ

2d•$80,000 - $125,000•Onsite

About The Position

The Billing Manager oversees daily revenue cycle operations for Tri-City Cardiology and Tri-City Surgical Center, including Charge Entry, Billing, Eligibility, Authorization, Payment Posting, and Accounts Receivable. Working collaboratively with department supervisors and under the direction of the Director of Revenue Cycle Management, the Manager ensures consistent daily operations, supervisor accountability, timely escalation resolution, staff performance, and achievement of established operational goals.

Requirements

Bachelor’s degree in business or a related field is required.
Minimum five (5) years of healthcare revenue cycle experience, including charge entry, billing/accounts receivable and eligibility/authorization operations, required.
Minimum two (2) years of experience in supervision required.
Proficiency in physician practice and ambulatory surgery center (ASC) revenue cycle operations, including charge entry, eligibility and benefit verification, referrals and authorizations, billing, accounts receivable, denials, collections, payment posting, and operational reporting.
Knowledge of ICD and CPT codes and billing practices.
Extensive knowledge of Excel, Word, Power Point, and other position specific software.
Excellent professional written and verbal communication/interpersonal skills.
Ability to develop and deliver effective presentations.
Energy with high ethical standards and an appropriate professional image.
Flexible and efficient time management and ability to prioritize workload.
Able to handle high levels of stress satisfactorily while being congenial to employee manager and physicians.
Typing 40 wpm.
All employees must be able to provide proof of their identity and their right to work in the United States.

Nice To Haves

Cardiology and ambulatory surgery center revenue cycle experience.
Experience with NextGen, SIS, and Waystar preferred.
Previous experience overseeing billing, eligibility, and authorization supervisors is highly desirable.

Responsibilities

Oversees daily revenue cycle operations for Tri-City Cardiology and Tri-City Surgical Center, including charge entry, claims processing, eligibility and benefits verification, referrals and authorizations, payment posting, denials, collections, and accounts receivable follow-up.
Provides operational oversight of Charge Entry, Billing, Eligibility, and Authorization, working collaboratively with department supervisors and in coordination with the Director to ensure appropriate staffing, workload distribution, employee development, training, quality monitoring, performance management, and timely resolution of operational issues.
Responsible for achieving established Revenue Cycle Management (RCM) key performance indicators (KPIs) across both organizations.
Works collaboratively with department supervisors to monitor performance, identify operational deficiencies, implement corrective actions, and achieve departmental performance goals.
Monitors daily and weekly productivity, accuracy, work queues, charge and claim lag, timely filing, authorization turnaround times, payment posting, denials, and accounts receivable performance for both organizations against goals established by the Director.
Serves as the primary operational escalation point for supervisors and staff; resolves routine day-to-day billing and revenue cycle issues, identifies recurring problems, and elevates material risks or decisions outside the Manager’s authority to the Director.
Ensures teams consistently follow approved policies, procedures, workflows, payer-specific instructions, quality controls, and compliance requirements.
Reinforces and maintains changes established and implemented by the Director.
Works with supervisors to maintain daily staffing coverage, prioritize work, address backlogs, support staff coaching and training, and ensure timely completion of assigned responsibilities across both organizations.
Oversees daily billing operations and works collaboratively with department supervisors to resolve operational issues, manage escalations, monitor departmental performance, and ensure timely and accurate completion of assigned responsibilities.
Oversees operational month-end readiness, assigned reconciliations, accurate operational reporting, and timely delivery of validated productivity, denials, collections, and accounts receivable information to the Director.
Maintains service, privacy, and compliance standards in daily operations; promptly escalates significant payer, compliance, financial, staffing, or systems concerns to the Director.
Identifies operational obstacles and resource needs, provides recommendations to the Director, and supports the operational adoption of Director-approved changes.
Direct Reports: Billing, Eligibility, and Authorization supervisors and other assigned revenue cycle supervisory staff for Tri-City Cardiology and Tri-City Surgical Center, as designated by the Director.
Type of Supervisory Responsibilities: Oversees daily operations through department supervisors, providing accountability for staffing coverage, performance, quality, training, and operational escalations in coordination with the Director and Human Resources.