Revenue Cycle Manager (Billing and Reimbursement)

Eastern Nephrology Associates•Wilmington, NC

About The Position

Eastern Nephrology Associates (ENA) is a physician-owned nephrology practice serving patients across Eastern North Carolina. We are seeking a Revenue Cycle Manager to lead daily billing and collections operations, support our team members, and help ensure accurate, timely reimbursement from insurance companies, third-party payors, and patients. At ENA, revenue cycle is not “back office.” It protects patient access, supports our clinics, and keeps the practice strong so our physicians and teams can focus on care. We are looking for a Revenue Cycle Manager who can lead the billing and collections team with steady direction, strong follow-through, and a practical mindset. If you know how to spot issues early, coach people well, and keep claims moving without chaos, you will fit here. TL;DR This role is for someone who takes ownership, communicates clearly, and is comfortable being the person others rely on when reimbursement gets complicated. You will supervise billing and collections, keep claims moving on time, track denials and payments, solve reimbursement issues with payors, and help keep ENA compliant and financially steady across multiple locations. The job description below outlines the full scope of responsibilities, qualifications, and expectations for the Revenue Cycle role. Summary Supervises reimbursement (billing/collections) operations to ensure maximum reimbursement from insurance companies, third party payors, and patients for services and products provided.

Requirements

Bachelor Degree in Related Field, and 5 years’ claims/billing experience, or combination of education and experience.
Knowledge of medical billing/collection practices.
Knowledge of basic medical coding and third-party operating procedures and practices.
Proficiency in Microsoft Office (Word, Outlook, Excel).
Computer skills also include knowledge of applicable EHR, Practice Management, and Document Manager systems.
Familiarity with CMS 1500 claim form completion.
Most current CPT and ICD coding is highly preferred.
Valid drivers’ license and reliable transportation to allow individuals to provide support to offsite locations, as necessary.
Knowledge of healthcare billing procedures, documentation, and standards.
Knowledge of cash management principles and procedures to ensure charge entry and receipt reports balance to close of the day report.
Detailed oriented and excellent records maintenance skills.
Strong supervision and motivational skills.
Ability to communicate effectively both orally and written.
Initiative-taking with the ability to be a self-starter with strong independent decision-making skills and diligence.
Ability to foster and promote a cooperative work environment. Possess a willingness to accept orders and to perform repetitive tasks.
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
Ability to always treat all employees equally and fairly.
Ability to review employee situations and ensure that decisions regarding personnel are fact based.
Skill in the use of personal computers and related software applications.
Ability to function well while involved in multiple task assignments. Ability to concentrate on details and deal with constant interruption. Skill in organizing resources and establishing priorities.
Ability to meet deadlines.
Knowledge of operational characteristics and procedural requirements of third-party medical insurance payors.
Knowledge or procedural requirements and ethical standards for follow-up of overdue accounts.
Ability to analyze medical records and identify billable services.
Knowledge of credit and collection principles, process regulations, and standards
Ability to emulate ENA's mission, vision, and values.

Nice To Haves

3+ years supervisory experience is highly preferred.
Proficiency in EPIC preferred
Most current CPT and ICD coding is highly preferred.

Responsibilities

Supervises daily billing and collections activities to ensure maximum efficiency.
Provides guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensures adherence to policies and procedures and initiates correspondence with insurance companies for reconsideration of claims.
Ensures accounts are billed within established time limits and customer service guidelines/guarantees are adhered to.
Keeps abreast of billing regulations/requirements and changes to national uniform billing forms and communicates changes to staff.
Monitors payment/denial activity for correct reimbursement by payor, keeps management informed of potential reimbursement issues as well as all updates/charges of billing regulations/guidelines.
Maintains contact with insurance companies and administrators of state and federal programs as a Company liaison and troubleshooter to resolve complex reimbursement problems.

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