Medical Billing Manager

Optima Medical•Scottsdale, AZ

About The Position

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. The ideal candidate will have experience in a fast-paced healthcare or billing environment, with strong attention to detail and a passion for resolving claims efficiently to ensure a positive patient and provider experience. Position Summary: 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