Billing Manager - North Fine Admin

Clinica Sierra Vista•Fresno, CA

20h

About The Position

Clinica Sierra Vista is seeking a Billing Manager to oversee and lead the Billing department. This role is responsible for the overall leadership, strategic direction, and performance of billing operations, including billing, collections, payment posting, credit management, and revenue integrity. The Manager will ensure optimization of revenue cycle operations, drive process improvements, and maintain compliance with all regulatory and payer requirements. The ideal candidate will believe the patient is always #1 and contribute to achieving company goals.

Requirements

High School diploma or equivalent required
Minimum 5+ years of revenue cycle/billing experience
Minimum 2+ years in a leadership role
Strong knowledge of CPT, ICD-10, HCPCS, and payer requirements.
Strong analytical skills with ability to interpret financial and operational data.
Proven leadership and team management skills.
Ability to work under pressure and meet deadlines.
Strong communication and cross-functional collaboration skills.

Nice To Haves

Bachelor's degree preferred
Experience with Epic or similar practice management systems is strongly preferred.

Responsibilities

Provide leadership and strategic oversight of all billing operations to ensure timely, accurate, and compliant billing and collections.
Develop and execute departmental strategies to improve cash flow, reduce AR days, minimize denials and bad debt, and enhance overall revenue cycle performance.
Oversee month-end close processes, reporting, and key performance metrics for billing operations.
Lead, mentor, and manage billing staff, including hiring, onboarding, performance management, coaching, and disciplinary actions.
Establish and monitor KPIs and productivity benchmarks, ensuring accountability across the team.
Drive continuous process improvement initiatives, including workflow optimization and automation within Epic/work queues.
Oversee work queue management, ensuring appropriate prioritization and staffing alignment.
Collaborate cross-functionally with Operations, Clinical, Front Office, and Finance to ensure seamless revenue cycle workflows.
Lead training initiatives for billing staff and provide guidance to operational teams on billing-related processes.
Oversee system configuration and maintenance within the practice management system, including providers, contracts, fee schedules, and encounter rates.
Monitor payer trends, reimbursement changes, and regulatory updates; implement necessary process and policy changes.
Review and approve adjustments, write-offs, refunds, and ensure compliance with internal controls.
Oversee monthly hospital and specialty reimbursement reconciliations.
Support audits (internal and external) and ensure readiness for regulatory reviews.
Maintain expertise in CPT, ICD-10, HCPCS, and payer guidelines.
Ensure consistent communication and responsiveness across teams.
Lead employee evaluations, professional development, and succession planning within the department.
Perform other duties as assigned to support organizational and departmental goals.