Healthcare Billing Manager- Multi-Site

USA Clinics Group•Northbrook, IL

5d•$80,000 - $90,000•Onsite

About The Position

The Healthcare Billing Manager oversees billing operations to ensure accurate and timely claim submission, claim correction, billing workflow management, and resolution of claim-related issues. The role supports the Revenue Cycle Management team by maintaining efficient billing processes, ensuring compliance with payer requirements, monitoring claim activity, and supporting initiatives that improve claim accuracy and billing efficiency. This is a full-time, non-remote position at the corporate office in Northbrook, Illinois. Compensation is $80,000–$90,000, based on experience and qualifications.

Requirements

Associate's or bachelor's degree preferred, or equivalent combination of education and experience.
At least three years of healthcare billing or revenue cycle experience.
Strong knowledge of physician billing practices and claim submission workflows.
Working knowledge of CPT, HCPCS, and ICD-10 coding as related to billing operations.
Experience with insurance carriers, clearinghouses, and practice management systems.
Strong analytical, organizational, and problem-solving skills.
Proficiency in Microsoft Excel and Microsoft Office applications.
Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

Certified Professional Biller (CPB), CPC, or another related certification.
Experience in a multi-site physician practice environment.
Experience using revenue cycle automation and AI-enabled workflow tools.

Responsibilities

Oversee daily billing activities and monitor billing workflows, work queues, and claim processing.
Ensure claims are submitted according to payer requirements and internal standards; review clearinghouse reports and payer responses to identify and resolve submission issues.
Coordinate claim corrections, rebills, and resubmissions, and escalate system or workflow issues affecting claim processing.
Review and resolve claim edits, rejections, billing exceptions, and other submission issues; track unresolved issues through completion.
Support initiatives to improve claim accuracy and reduce submission errors.
Review billing-related coding edits, coordinate coding corrections, and help ensure charges are billed accurately according to established procedures.
Support coding, billing, and payer-required updates; assist with charge discrepancy and claim edit reviews.
Maintain billing procedures, workflows, and standard operating procedures.
Ensure compliance with payer guidelines, billing regulations, company policies, and HIPAA requirements; safeguard patient and financial information.
Participate in system testing, billing updates, workflow enhancements, internal audits, and billing quality reviews.
Use AI-enabled tools to identify claim errors and prioritize billing activities; monitor automated claim scrubbing and billing workflows.
Support implementation, testing, and deployment of automation and revenue cycle technology enhancements.
Support departmental goals, meetings, audits, projects, process improvement activities, and cross-functional Revenue Cycle Management work; perform other duties as assigned.