Medical Billing Entry Manager

Optima Medical•Scottsdale, AZ

24d

About The Position

We are seeking a detail-oriented Medical Billing Manager who will provide operational oversight, leadership, and support across the full revenue cycle department. Our RCM team is structured by specialty departments, including Charge Entry, Payment Posting, Insurance A/R & Denial Management, Patient Billing Collections, and Credentialing. As part of our revenue cycle team, you will manage and guide the claims process to ensure accuracy and timeliness, supporting the organizations’ financial health while contributing to high-quality patient care.

Requirements

Minimum of 5 years experience in medical billing & coding for primary care specialty group
Minimum of 3 years experience in a leadership role
Intermediate/Advanced proficiency with Microsoft Excel (reporting, tracking, analysis)
Strong problem-solving and communication skills
Experience with eClinical preferred

Responsibilities

Manage and oversee the day-to-day operations across multiple departments
Collaborate with department leads to improve workflow, productivity, and claim accuracy
Identify trends in provider charges, denials, and potential underpayments
Oversee the daily operations of the charge entry team, ensuring all charges are coded, reconciled, and submitted timely
Perform and assist with claim edits ie; documentation review, ICD to CPT mapping, CPT crosswalks, providing feedback to improve claim scrubbing edits
Ensure compliance with payer rules and internal policies
Organize, develop, and maintain revenue cycle SOPs
Identify, research, and resolve claim issues as needed through direct contact with payors
Communicate with clinic managers to resolve medical billing delays / issues Incomplete progress notes, coding discrepancies, eligibility issues, patient balance inquiries
Monitor weekly RCM reports from department managers and Utilize reporting and analytics (Microsoft Excel-based) to provide feedback, track performance, and recommend improvements