[Hiring] Billing Manager @Physicians Dialysis

Role Description

The Billing Manager is responsible for managing all activities of the Billing Department within the Revenue Cycle, with a strong emphasis on collections, reducing accounts receivable (A/R), and ensuring compliance with HIPAA guidelines and company policies. This role also focuses heavily on team development and process improvement to meet departmental goals and performance standards.

• Oversee day-to-day operations of the billing team, including workflow management, staffing, training, and disciplinary actions.
• Coordinate billing needs and onboarding processes for newly acquired centers and DeNovo facilities.
• Monitor payment trends; evaluate and implement changes to billing and collections strategies to improve cash flow.
• Ensure HIPAA compliance across all billing activities and implement regulatory updates in a timely manner.
• Work with Payers to resolve complex billing or reimbursement issues beyond standard provider support.
• Collaborate with Operations to ensure alignment and communication of billing requirements across facilities.
• Ensure timely month-end close processes and reporting from the billing department.
• Monitor and optimize the patient account to staff ratio.
• Escalate reimbursement or payment issues to the VP of RCM proactively.
• Contribute to and monitor adherence to the departmental budget.
• Stay up-to-date with industry trends, Federal guidelines, and payer policy changes impacting reimbursement operations.
• Oversee and continuously improve billing processes and systems for both internal and external stakeholders.
• Develop and implement training programs to ensure staff proficiency in compliance, billing regulations, and policy adherence.
• Conduct staff evaluations, set performance goals, and manage individual development plans.
• Maintain knowledge and compliance with company handbooks, safety, and security policies.
• Promote professional development through leadership coaching, mentorship, and regular performance audits.
• Foster collaboration across the organization to improve efficiency and outcomes.
• Serve as a communication bridge between executive leadership and frontline billing staff.
• Address and resolve employee relations issues in a timely and constructive manner.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or related field (preferred).
• Minimum 5 years of medical billing experience, including 3+ years in a supervisory or management role, ideally in a behavioral health setting.
• In-depth knowledge of medical billing codes (ICD-10, CPT, HCPCS) and Federal regulations relevant to Behavioral Health.
• Proficiency in billing and EMR systems and financial reporting tools.
• Professional certification preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB).
• Proven leadership skills with experience managing and developing high-performing teams.
• Exceptional organizational, analytical, and problem-solving capabilities.
• Excellent written and verbal communication skills.

Preferred Qualifications

• Experience with federal ESRD Prospective Payment System (PPS) or behavioral health reimbursement models.
• Familiarity with behavioral health terminology and physician billing protocols.
• Ability to interpret complex payer policy changes and translate them into operational strategies.