Medical Billing Manager

Jewish Community Services•Baltimore, MD

9d•Hybrid

About The Position

Jewish Community Services (JCS) is seeking a full-time Medical Billing Manager to lead Revenue Cycle Management in a hybrid work environment. The manager oversees the medical billing team and healthcare billing and collections activities, supports financial reporting and general ledger close processes, coordinates credentialing, monitors revenue cycle performance, and collaborates with clinical and finance leaders to support accurate and timely reimbursement. The position includes vendor and payer relationship management, reporting, process improvement, audit support, and participation in agency initiatives. The role requires a bachelor's degree in Accounting, Business Administration, Healthcare Administration, Information Systems, or a related field, though equivalent experience may be considered. Candidates must have at least five years of healthcare billing, revenue cycle, or accounts receivable experience and prior supervisory or leadership experience. JCS offers a mission-driven work environment and a compensation range of $68,000–$72,000 per year.

Requirements

Bachelor's degree in Accounting, Business Administration, Healthcare Administration, Information Systems, or a related field; equivalent experience may be considered.
Five or more years of healthcare billing, revenue cycle, or accounts receivable experience.
Prior supervisory or leadership experience.
Strong knowledge of Medicaid, Medicare, Medicare secondary claims, and commercial insurance billing.
Experience with credentialing, claims management, payer follow-up, and accounts receivable processes.
Experience supporting audits, financial reconciliations, and general ledger close activities.
Strong analytical, organizational, and problem-solving skills.
Excellent communication and interpersonal skills.
Proficiency in Microsoft Office applications and reporting tools.
Ability to work independently and collaboratively in a fast-paced environment.
Commitment to customer service, confidentiality, and continuous process improvement.
Successful completion of required criminal background clearances and drug test, and acceptable degree and/or license verification results.
If driving is required for the position, a valid driver's license, motor vehicle clearance, and proof of auto insurance are required and must be maintained.

Nice To Haves

Experience with CareLogic, Waystar, or comparable healthcare billing and EHR systems is strongly preferred.

Responsibilities

Supervise and support the medical billing team, including workflow management, recruitment, training, performance oversight, and operational coverage.
Provide superior customer service to clients and internal customers, represent the Medical Billing team at agency leadership meetings, and collaborate with clinicians to resolve account balances and billing issues.
Oversee billing, accounts receivable, and revenue cycle operations to ensure timely and accurate reimbursement and compliance with applicable federal and state laws and regulations.
Manage Waystar dashboards and monitor revenue cycle performance metrics; report monthly to the CFO on insurance denials and continuous improvement efforts.
Complete assigned general ledger close responsibilities and support financial reconciliations.
Monitor insurance balances and follow up on outstanding Medicaid, Medicare, and commercial insurance claims.
Bill Medicaid for Supported Employment BHA and PRP services and process Medicare secondary and Medicaid secondary billing.
Monitor and correct failed claims, rejected claims, and failed billing activities; implement strategies to improve collections and reduce aging balances.
Review financial hardship applications.
Manage vendor relationships, including CareLogic and Waystar.
Work with Medicaid, Medicare, and commercial insurance carriers to resolve coordination of benefits and payer sequencing issues.
Monitor insurance billing rule changes and implement workflow updates; renegotiate reimbursement rates annually.
Coordinate provider credentialing and recredentialing; manage ePrep/ePrime enrollment and maintenance for Maryland Medicaid credentialing.
Participate in intake restructuring and process improvement initiatives.
Assist the Controller and leadership team with audits, financial reviews, and CareLogic-related initiatives.
Support implementation and transition activities for new software systems and electronic health record platforms.
Prepare reports and provide management with billing, collections, and operational performance information.
Participate in meetings, planning discussions, and assigned special projects.