Medical Billing Manager

Abby Care • San Francisco, CA

19h

About The Position

Abby Care is seeking a dynamic, results-driven Medical Billing Manager to oversee and scale its multi-state revenue cycle operations. This role involves leading a high-volume billing team, optimizing revenue collection, and designing processes for new state launches. The ideal candidate is team-oriented, results-driven, comfortable leading others, and adept at managing high claim volumes across multiple states while collaborating with internal stakeholders. While Home Health experience is a plus, it is not a dealbreaker. This is an opportunity to support growth at scale and help define best practices in revenue cycle management.

Requirements

• Minimum of 4+ years of experience in medical billing.
• At least 2+ years in a supervisory or managerial role.
• Proven track record of managing billing operations across a multi-state footprint, navigating diverse state-specific regulations and payer landscapes.
• Experience thriving in a fast-paced, high-volume claims environment (e.g., electronic health records, clearinghouses, clearing complex denials at scale).
• Advanced proficiency with medical billing software, EHR/EMR systems, and clearinghouses (e.g., Waystar, Availity).
• Excellent Excel/data skills.

Nice To Haves

• Home Health, Hospice, or Community-Based Care billing experience.
• Prior experience in a startup or fast-growing healthcare company, specifically helping launch new markets or states.

Responsibilities

• Directly manage, mentor, and elevate the medical billing team, setting clear KPIs, conducting performance reviews, and fostering a culture of accountability and continuous improvement.
• Oversee the end-to-end billing and collections process across multiple states, ensuring strict compliance with varying state Medicaid, Medicare, and commercial payer regulations.
• Manage a high volume of daily claims, proactively identifying bottlenecks, reducing denial rates, and optimizing the clean claim rate (CCR).
• Design, document, and implement standardized billing workflows and standard operating procedures (SOPs) for new state launches and market entries.
• Act as the core liaison between the billing department and other key business units (Clinical, Care Operations, Expansion) to ensure documentation meets medical necessity and coding compliance, streamline intake-to-billing workflows, and provide regulatory and payer insights for new territories.
• Track and report on key financial metrics (e.g., Days Sales Outstanding (DSO), aging buckets, denial trends) to executive leadership.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed