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Billing Manager
Billing ManagerAllegiant Institute Inc • Las Vegas, NV, US
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Billing Manager

Billing Manager

Allegiant Institute Inc • Las Vegas, NV, US
23 hours ago
Job type
  • Full-time
Job description

Job Description

Job Description

Billing Manager Job Type : Full-Time (This is not a remote position) Reports To : Practice Administrator Job Summary :

The Billing Manager is responsible for overseeing the revenue cycle operations for a multi-specialty medical facility specializing in Minimally Invasive Surgery, Advanced Spine Surgery, Pain Management, Radiology, and Physical Therapy. This role ensures accurate and timely billing, coding compliance, claims processing, and collections while optimizing reimbursement and maintaining regulatory compliance. The Billing Manager will lead a team of billing professionals, monitor financial performance, and implement strategies to improve efficiency and revenue recovery.

Key Responsibilities : Revenue Cycle & Billing Management :

  • Oversee the entire billing and collections process to maximize revenue and minimize outstanding accounts receivable.
  • Ensure accurate and timely claims submission to Medicare, Medicaid, commercial insurers, and workers' compensation payers.
  • Identify and resolve denials, rejections, and underpayments , ensuring timely appeals and reimbursement.
  • Implement best practices to optimize billing workflows and reduce claim errors .
  • Ensure compliance with payer policies , state and federal regulations, and HIPAA guidelines.

Coding & Compliance :

  • Oversee the accuracy of ICD-10, CPT, HCPCS, and modifier coding for surgical, pain management, radiology, and therapy procedures.
  • Ensure compliance with Medicare, Medicaid, and commercial insurance requirements .
  • Work closely with providers and coders to ensure correct documentation and coding, reducing claim rejections.
  • Conduct internal audits to ensure compliance with billing regulations and best practices.
  • Staff Leadership & Training :

  • Lead and mentor a team of billing specialists, coders, and accounts receivable staff .
  • Provide ongoing training and education on coding updates, payer policies, and revenue cycle management strategies.
  • Foster a collaborative work environment , ensuring a high level of staff performance and accountability.
  • Financial Oversight & Reporting :

  • Monitor days in A / R, denial rates, and collection efficiency.
  • Generate and analyze weekly, monthly, and quarterly financial reports to track revenue cycle performance.
  • Collaborate with leadership to develop strategies for financial growth and operational improvements .
  • Assist in contract negotiations with payers to optimize reimbursement rates.
  • Qualifications & Requirements : Education & Experience :

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field (preferred).
  • Minimum 5+ years of experience in medical billing within a multi-specialty surgical and pain management practice.
  • 3+ years of experience in a managerial or supervisory role in healthcare billing.
  • Expertise in Medicare, Medicaid, commercial insurance, and workers' compensation billing .
  • Technical Skills :

  • Experience with eClinicalWorks (eCW) is a PLUS.
  • Proficiency in medical billing software and clearinghouses
  • Strong knowledge of ICD-10, CPT, HCPCS, and modifier usage .
  • Advanced proficiency in denial management, appeals, and payer negotiations .
  • Ability to analyze billing trends, financial reports, and revenue cycle data .
  • Soft Skills & Competencies :

  • Strong leadership and team management skills.
  • Excellent communication and problem-solving abilities.
  • High attention to detail and ability to work in a fast-paced environment .
  • Strong analytical and organizational skills to drive process improvements .
  • Preferred Qualifications :

  • Certified Professional Coder (CPC), Certified Medical Reimbursement Specialist (CMRS), or Certified Revenue Cycle Manager (CRCM) preferred.
  • Experience working in a large practice that includes surgery and other specialties.
  • Knowledge of payer contracting and negotiation strategies.
  • Compensation & Benefits :

  • Competitive salary based on experience.
  • Comprehensive health, dental, and vision insurance.
  • 401(k) .
  • Paid time off (PTO) and holiday pay .
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    Billing Manager • Las Vegas, NV, US

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