Medical Billing Manager

The Associated and its Agencies•Baltimore, MD

10d•$68,000 - $72,000•Hybrid

About The Position

Jewish Community Services (JCS) is seeking a full-time Medical Billing Manager to lead Revenue Cycle Management. This leadership role 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 works with clinical and finance leaders to support accurate and timely reimbursement. The position operates in a hybrid work environment. The Medical Billing Manager supervises billing staff and workflows, manages Medicaid, Medicare, and commercial insurance billing and follow-up, and ensures billing complies with applicable federal and state regulations. The role also manages vendor and payer relationships, coordinates provider credentialing, contributes to agency process-improvement and software-transition initiatives, and provides management with operational and financial performance information. JCS is a mission-driven organization that provides programs and services for people of all ages and backgrounds, helping them achieve their goals, enhance their well-being, and maximize their independence. Employment opportunities are contingent on acceptable criminal background clearance, drug test, and degree and/or license verification results. Additional requirements may apply when driving is part of the position.

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.

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, staff recruitment and training, performance oversight, and operational coverage.
Provide superior customer service to clients and internal customers.
Represent the Medical Billing team at agency leadership meetings.
Collaborate with clinicians to resolve client account balances and billing issues.
Oversee billing, accounts receivable, and revenue cycle operations to support timely and accurate reimbursement.
Ensure billing complies with 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 reconciliation activities.
Monitor insurance balances and follow up on outstanding Medicaid, Medicare, and commercial insurance claims.
Bill Medicaid for Supported Employment BHA and PRP services.
Process Medicare secondary and Medicaid secondary billing activities.
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 as necessary.
Renegotiate reimbursement rates annually.
Coordinate provider credentialing and recredentialing activities.
Manage ePrep/ePrime enrollment and maintenance activities 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.