Billing Integrity Manager

Cerebrocare•Houston, TX

10d•Remote

About The Position

The Billing Integrity Manager is responsible for overseeing the accuracy, compliance, and overall quality of the organization’s billing processes. This role ensures that claims are submitted correctly, payer guidelines are followed, and revenue cycle workflows maintain the highest level of integrity and efficiency. The Billing Integrity Manager works closely with billing teams, coding specialists, and operations leadership to identify errors, improve processes, reduce denials, and maintain compliance with payer and regulatory requirements.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred
5+ years of experience in medical billing, revenue cycle management, or healthcare finance
2+ years of leadership or supervisory experience preferred
Strong knowledge of: Medical billing processes, Claims submission and denial management, Insurance payer guidelines, Revenue cycle workflows
Experience with EHR/EMR and billing systems
Strong analytical and problem-solving skills
Ability to identify trends and implement process improvements
Strong attention to detail
Analytical and reporting skills
Process improvement mindset
Leadership and team collaboration
Knowledge of healthcare compliance and payer regulations

Nice To Haves

Experience with neurology, behavioral health, or specialty care billing
Certifications such as: CPB (Certified Professional Biller) CPC (Certified Professional Coder) CRCR (Certified Revenue Cycle Representative)

Responsibilities

Monitor billing processes to ensure accuracy, compliance, and adherence to payer guidelines
Perform regular audits of claims, coding, and billing submissions
Identify patterns in denials, rejections, and billing discrepancies
Develop and implement corrective action plans to improve billing accuracy
Work closely with coding, billing, credentialing, and operations teams to resolve issues
Ensure compliance with CMS, commercial payer policies, and regulatory requirements
Track and report billing accuracy metrics and revenue cycle KPIs
Train billing staff on best practices, compliance updates, and workflow improvements
Support leadership in revenue cycle strategy and process optimization
Assist with payer audits, internal audits, and compliance reviews