Senior Manager - Billing

Neighborhood Healthcare • Escondido, CA

3d

About The Position

The Senior Manager of Billing provides strategic and operational leadership over
the organization’s billing team, ensuring timely, accurate, and compliant
reimbursement. This role oversees billing, collections, coding, eligibility, and
payer relations while driving process improvements, reducing denials, and
optimizing financial performance. The Senior Manager works closely with
leadership to ensure billing operations meet organizational goals and regulatory
requirements.

Requirements

• Bachelor’s degree in healthcare administration, Business, Finance, or a related field required
• 5+ years of progressive experience in healthcare revenue cycle management, including at least 3-5 years in a leadership role required
• Proven experience managing denial prevention and resolution, accounts receivable, and payer relations
• Proficiency in EMR/EHR systems and revenue cycle platforms; preferred eCW
• In-depth knowledge of medical billing, coding, reimbursement methodologies, payer contracting, and claims adjudication processes; preferred FQHC experience.
• Deep knowledge of CPT, ICD10, HCPCS codes
• Ability to collaborate effectively across clinical, administrative, and executive teams
• Demonstrated ability to analyze and interpret financial and operational data to drive decision-making
• Strong understanding of HIPAA regulations and compliance standards
• Excellent leadership, communication, and team development skills
• Excellent working knowledge of patient financial service operations, managed care plans, and all functional areas of the revenue cycle
• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Ability to provide work directions to assigned personnel thorough knowledge of systems and procedures
• Ability to interact effectively with supervisors and other staff
• Ability to successfully manage multiple tasks simultaneously
• Excellent planning and organizational ability
• Ability to work with highly confidential information in a professional and ethical manner

Nice To Haves

• Certified Professional Coding Certification (CPC) with 5 years’ coding experience preferred

Responsibilities

• Oversee the daily billing process, including eligibility, coding, data reconciliation, claim billing and submission, payment posting, denial management and accounts receivable
• Monitor payer trends, payer changes, and reimbursement rates
• Lead, mentor, and develop staff to help drive their growth and success individually and departmentally
• Collaborate with team supervisors to establish performance metrics to identify inefficiencies and establish process improvements
• Ensure adherence to federal, state, payer regulations and HPAA guidelines
• Manage relationships with third-party payers, clearinghouses, and clinical staff to ensure timely and accurate claims processing

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level