Manager, Billing & Cash Applications

Sheppard Pratt Careers • Towson, MD

3d • Hybrid

About The Position

The Billing and Cash Applications Manager leads, manages, and oversees the performance of the Billing, Cash Applications, and Scanning functions within Revenue Cycle Operations. The role ensures accurate and timely claim generation, payment posting, charge entry, cash reconciliation, payer enrollment maintenance, and compliance with organizational policies and regulatory requirements. The manager oversees daily operations, supervises staff, develops operational procedures, monitors key performance indicators, and works with Finance, Information Systems, Clinical Operations, third-party payers, and other stakeholders to support reimbursement, cash flow, operational efficiency, and service excellence.

The position oversees billing activities across lines of business, electronic claim transmission, rejection analysis, and corrective actions to reduce preventable denials and rework. It supervises payment posting and reconciliation, resolves unapplied cash and discrepancies, and oversees payer enrollment for electronic claims and remittance advice. The manager also leads staff development, training, scheduling, performance management, procedure maintenance, process improvement, system implementation and testing, compliance and audit readiness, reporting, and resolution of escalated billing and payment issues.

The position is hybrid, with a Monday–Friday daytime schedule. The posted pay range is $74,127.04 to $118,346.18 maximum; pay is determined in part by related experience.

Requirements

• Associate’s degree in Business, Healthcare Administration, or a related field.
• One to two years of experience in a lead, senior, or supervisory capacity, guiding staff and supporting operational workflows.
• An additional two to three years of progressively responsible healthcare billing, collections, or revenue cycle operations experience may be considered in lieu of an Associate’s degree.
• Working knowledge of medical billing practices and procedures, accounts receivable management, and third-party payer requirements, including applying billing policies and reimbursement guidelines to patient account and payment-related issues.
• Ability to supervise, coordinate, and prioritize staff work while meeting departmental objectives, productivity expectations, and quality standards and balancing competing priorities.
• Organizational, analytical, and problem-solving skills, including identifying issues, evaluating information, and implementing solutions with accuracy and attention to detail in a fast-paced environment.
• Effective written and verbal communication and the ability to interact professionally with staff, patients, payers, and other stakeholders about billing processes, account status, and collection-related matters.
• Ability to meet deadlines, manage fluctuating workloads, and maintain effective operations amid interruptions and changing business needs.
• Proficiency with billing and accounts receivable systems and Microsoft Office applications, including use of technology and reporting tools to support operations, monitor account activity, and maintain accurate records.

Nice To Haves

• Bachelor’s degree in Business, Healthcare Administration, or a related field.
• Familiarity with behavioral health and/or mental health billing practices, including payer-specific requirements, authorization processes, and reimbursement considerations for behavioral health services.
• Experience with Athena IDX.

Responsibilities

• Oversee daily billing activities across all lines of business to ensure claims are accurately and timely generated, reviewed, and submitted.
• Monitor electronic claim transmission and resolve issues affecting claim acceptance and adjudication.
• Review claim rejections, identify trends and root causes, and implement corrective actions to reduce preventable denials and rework.
• Collaborate with operational and clinical departments to resolve billing issues and improve reimbursement outcomes.
• Ensure billing processes support timely cash flow, regulatory compliance, and revenue integrity.
• Supervise accurate posting of insurance and patient payments, contractual adjustments, refunds, recoupments, and other payment transactions.
• Oversee daily reconciliation of payment postings, ERAs, bank deposits, and other cash activity; investigate and resolve unapplied cash, posting variances, balancing discrepancies, and reconciliation issues.
• Coordinate cash-resolution efforts with Finance, Information Systems, banking partners, and third-party payers as needed.
• Monitor Cash Applications productivity, accuracy, and turnaround times.
• Oversee payer enrollment for electronic claims and ERA processing, maintain accurate enrollment records, and coordinate updates with payers, clearinghouses, and internal stakeholders.
• Support implementation of new payer relationships, programs, services, and system enhancements affecting billing and reimbursement.
• Supervise, coach, develop, and evaluate Billing, Cash Applications, and Scanning staff; establish performance expectations and accountability standards; and provide feedback and development opportunities.
• Oversee staffing levels, scheduling, and workload distribution to meet operational needs.
• Develop and deliver training related to billing, payment posting, payer requirements, system functionality, and department procedures.
• Promote collaboration, continuous improvement, and customer service excellence.
• Develop, maintain, and update SOPs; evaluate workflows and recommend improvements to efficiency, accuracy, and productivity.
• Assist with system implementations, upgrades, testing, and process enhancements, and participate in initiatives to improve revenue cycle performance.
• Ensure billing and Cash Applications comply with organizational policies, payer requirements, HIPAA, and applicable federal and state laws.
• Maintain knowledge of reimbursement regulations, payer policies, and revenue cycle best practices; support internal, external, payer, and regulatory audits and maintain appropriate records for compliance and audit readiness.
• Monitor and analyze KPIs using reporting tools and dashboards; identify trends, operational risks, and improvement opportunities.
• Prepare and present operational and performance reports for Revenue Cycle Leadership and recommend improvements to reimbursement, workflow efficiency, and financial outcomes.
• Serve as a resource for internal departments and collaborate with payers, clearinghouses, financial institutions, and vendors to resolve operational concerns.
• Respond to escalated billing, payment, and reconciliation issues and maintain professional relationships with internal and external stakeholders.

Benefits

• Professional development support, including a comprehensive tuition reimbursement program for ongoing education and licensure and/or certification preparation.
• Medical, dental, and vision benefits for benefit-eligible positions.
• 403(b) retirement match.
• Paid time off for benefit-eligible positions.
• Complimentary Employee Assistance Program (EAP).
• Mileage reimbursement program.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree