Job Description
SpineSearch is seeking an experienced Medical Billing Manager to join a large, well-established multi-specialty orthopedic practice and lead our in-house billing department. This is a great opportunity for a seasoned billing professional who thrives in a fast-paced environment and is ready to take full ownership of the billing process from start to finish.
Key Responsibilities
- Manage and supervise the billing team, providing direction, training, and performance feedback.
- Oversee full-cycle billing operations, including workers’ compensation, no-fault, in-network, and out-of-network claims, as well as surgical billing.
- Monitor accounts receivable, denials, and collections to ensure timely and accurate reimbursements.
- Prepare and present monthly billing and financial reports for meetings with the Practice Manager and leadership team.
- Analyze and report on industry and practice benchmarks to assess the financial health and efficiency of billing operations.
- Identify and implement process improvements to increase speed, accuracy, and profitability.
- Stay current with payer policies, coding updates, and regulatory changes that may impact billing.
- Handle out-of-network (OON) and Independent Dispute Resolution (IDR) cases as needed.
Qualifications
- Minimum 5+ years of medical billing experience, with at least 2+ years in a supervisory or managerial role.
- Strong background in orthopedic or surgical billing.
- Proficiency with workers’ comp, no-fault, and commercial insurance billing procedures.
- Proven experience with out-of-network and IDR processes.
- Excellent communication, leadership, and analytical skills.
- Ability to work independently and take initiative to manage department operations.
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