Billing Manager (Healthcare)

North American Medical Associates•Hainesport, NJ

5d•$60,000•Onsite

About The Position

North Ameican Medical Associates seeks an experienced Billing Manager to lead end-to-end revenue cycle operations for both Physician/Professional Services and Ambulatory Surgery Center (ASC) facility billing. This role owns Revenue Integrity, compliant charge capture and optimized reimbursement across in-network and out-of-network payers, with proven expertise in Workers' Compensation (WC) and Personal Injury (PIP). The Billing Manager oversees all aspects of the medical billing and revenue cycle process, ensuring accurate, timely reimbursement and compliance with payer regulations. This role includes direct oversight of insurance verification, pre-authorizations, and procedure authorization workflows, ensuring services are authorized prior to care delivery to minimize denials and revenue loss.

Requirements

5+ years of experience in Billing or related Financial area
2-3 years supervisory experience
Certified Billing and Coding Specialist (CBCS), CPC, or similar

Nice To Haves

Strong data analytics capability to access performance, identify trends, quantify revenue risk/opportunity, and guide operational and payers strategies decisions

Responsibilities

Manage daily operations of billing, coding, charge capture, and collections
Ensure timely claim submission to insurers (commercial, Medicare, Medicaid)
Monitor accounts receivable (AR) and follow up on outstanding claims
Analyze denial trends and implement corrective actions
Oversee payment posting and reconciliation processes
Maintain compliance with payer contracts and regulatory guidelines
Provide direct staff oversight, accountability, and coaching to internal billing and AR teams
Supervise billing specialists, AR staff, and authorization coordinators
Train staff on payer requirements, coding updates, and authorization protocols
Set performance metrics (e.g., clean claim rate, authorization turnaround time)
Conduct performance evaluations and provide coaching
Manage staffing schedules to ensure workflow efficiency
Generate and analyze reports on revenue cycle performance, authorization turnaround times and approval rates, and denial rates (especially authorization-related denials)
Identify trends and implement process improvements
Report KPIs to leadership