Revenue Cycle Managed Services - Billing Manager (Hospital System)

Impact Advisors

24d • Remote

About The Position

The Billing Manager leads and optimizes hospital and/or professional billing operations for a designated health system client within a Revenue Cycle Managed Services engagement. The role provides operational leadership for claim generation, billing edits and corrections, claim submission, payer and clearinghouse acceptance, and billing-related work queues, with accountability for accurate and timely billing outcomes. The manager identifies barriers, drives issues through resolution, and ensures work continues moving across teams and functions.

The position oversees day-to-day billing operations and performance against contractual service level agreements, working directly with client leadership to resolve barriers and improve performance. It supports the primary client engagement and is primarily remote, with periodic client and internal leadership meetings. Occasional travel may be required for client engagements, operational reviews, training, and strategic initiatives.

The Billing Manager leads and develops billing supervisors, team leads, and specialists, including onshore and near-shore resources. The role also manages billing performance analytics, continuous improvement and transformation initiatives, and compliance with HIPAA, regulatory requirements, payer guidelines, and organizational policies. A bachelor's degree in a relevant field is required, though equivalent experience may be considered.

Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field; equivalent experience may be considered.
• At least 5 years of progressive healthcare revenue cycle experience focused on hospital billing operations.
• At least 2 years of leadership experience managing billing teams in a hospital, health system, business office, or revenue cycle outsourcing environment.
• Strong knowledge of hospital and professional billing, claim generation, billing edits, clearinghouse workflows, claim submission requirements, claim rejections, corrected claims, and payer billing requirements.
• Experience managing operational KPIs and developing performance improvement plans.
• Hands-on experience with Epic Hospital Billing (HB) and/or Professional Billing (PB), including billing work queues, claim edits, claim submission, and billing exception workflows.
• Demonstrated ability to take ownership of operational problems, work across functional boundaries, and drive issues through resolution.
• Demonstrated ability to manage client relationships and lead cross-functional initiatives.
• Proficiency with revenue cycle reporting tools, Microsoft Excel, and healthcare billing systems.

Nice To Haves

• Experience supporting managed services, outsourcing, or complex health system billing operations.
• Knowledge of both acute care and ambulatory billing operations.
• Experience with both Epic Hospital Billing (HB) and Professional Billing (PB).
• HFMA, CRCR, or another relevant revenue cycle certification.
• Experience presenting operational performance, risks, and improvement plans to client and executive leadership.
• Demonstrated success improving billing workflows, productivity, quality, or claim performance.

Responsibilities

• Serve as the primary operational leader for billing services delivered to the assigned health system client.
• Build working relationships with Revenue Cycle, Finance, Patient Financial Services, and operational leaders; lead regular reviews of performance, barriers, action plans, and improvement opportunities.
• Align client expectations, contractual obligations, and operational performance; identify risks and barriers and drive them through resolution, escalating when needed while maintaining follow-through and accountability.
• Oversee daily billing workflows, including claim generation, billing edits and corrections, claim submission, and clearinghouse and payer acceptance.
• Manage billing work queues, claim holds, edits, and other pre-bill exceptions; monitor unresolved inventory and ensure issues have clear ownership and follow-through.
• Ensure claims are submitted accurately and timely in accordance with payer and regulatory requirements.
• Resolve billing errors, clearinghouse and payer front-end rejections, submission issues, corrected claims, and rebilling needs.
• Identify recurring billing issues, determine root causes, and coordinate resolution across coding, revenue integrity, patient access, IT, and other teams.
• Maintain standardized billing workflows, procedures, and quality controls; escalate barriers preventing timely claim release.
• Analyze and manage billing performance measures, including clean and first-pass claim acceptance rates, rejection rates, billing lag, unbilled claim inventory, edit and hold inventory and aging, corrected claim and rebill volume, late charge trends, and productivity and quality.
• Identify performance gaps, determine root causes, drive corrective actions, prioritize work using performance data, and hold teams accountable for results.
• Prepare and present operational performance and action plans to client and internal leadership; use data to identify opportunities to improve billing accuracy, timeliness, and productivity.
• Lead, coach, and develop billing supervisors, team leads, and specialists, including onshore and near-shore resources; establish expectations for ownership, quality, productivity, and accountability.
• Conduct performance evaluations, coaching sessions, and staff development planning; support workforce planning, staffing, and resource allocation.
• Identify recurring operational issues and implement improvements that address root causes; partner with technology, automation, and revenue cycle transformation teams to improve workflows.
• Seek opportunities to simplify work, reduce manual effort, and improve billing accuracy and productivity; support system conversions, workflow redesign, and process standardization.
• Participate in client implementations, transitions, and service expansion initiatives as needed, and ensure improvements are implemented, measured, and sustained.
• Maintain compliance with HIPAA, regulatory requirements, payer guidelines, and organizational policies; support billing audits and compliance reviews.
• Ensure billing controls, documentation, and quality monitoring are consistently followed; identify compliance or billing risks and drive corrective actions with compliance and revenue integrity teams.

Benefits

• May be eligible for an annual performance bonus for salaried positions.
• Additional benefits and perks may be available depending on the position and employment terms.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager