Manager, Medical Billing & Claims

HCTHealthcare • Tuba City, AZ

18h

About The Position

HCT seeks an experienced professional to serve as the Manager, Medical Billing & Claims at a hospital with more than 70 beds in Arizona. The position manages medical, pharmacy, and dental billing for third-party payers across outpatient, inpatient, ancillary, ambulatory surgery, and professional services. The manager oversees and provides technical direction for the timely submission of properly executed claims to third-party payers and responsible parties, including resubmission of corrected claims. The role focuses on maximizing reimbursement and minimizing denied payments and includes delegation and assistance to the Director of Revenue Cycle.

Expenses covered while on assignment include housing, airfare, and a rental car. HCT also offers $2,000 for each candidate or position placement resulting from a referral that HCT successfully places.

Requirements

• Associate degree in Business Administration or a related business field, such as Finance, Accounting, or Administration; alternatively, 18 months of experience managing billing and claims at a hospital system.
• Minimum of three years of successful supervisory or management experience.
• Minimum of five years of experience as a medical billing technician in a tribal or nonprofit healthcare patient accounting setting.
• Demonstrated knowledge of ICD-10 and CPT/HCPCS coding and billing.
• Obtain HFMA Certification as a Revenue Cycle Representative within one year of hire.

Responsibilities

• Manage and lead medical, pharmacy, and dental billing for third-party payers across outpatient, inpatient, ancillary, ambulatory surgery, and professional services.
• Manage, provide technical direction, and ensure timely submission of properly executed claims to third-party payers and responsible parties.
• Resubmit corrected claims.
• Maximize reimbursement and minimize denied payments.
• Delegate work and assist the Director of Revenue Cycle.

Benefits

• Housing, airfare, and rental car expenses covered while on assignment.
• $2,000 referral reward for each candidate or position placement resulting from a referral that HCT successfully places.

What This Job Offers

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