Senior Manager - Billing

Neighborhood Healthcare • Escondido, CA

3d

About The Position

ABOUT US: Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together. As a private, non-profit 501(C) (3) community health organization, we serve over 414,000 medical, dental, and behavioral health visits from more than 95,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance. Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you. ROLE OVERVIEW and PURPOSE: 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
• Certified Professional Coding Certification (CPC) with 5 years’ coding experience preferred
• 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

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