Accounts Receivable (AR) / Medical Billing Manager

Vitability-Health; New Jersey; Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Competitive salary

Performance bonuses

Flexible remote work

Job summary

Vitability Health in New Jersey is seeking an experienced Accounts Receivable / Medical Billing Manager to lead our in-house billing operations. You will oversee claims submission, denial management, and payment posting, ensuring timely submissions to Medicare and other payers.

The role requires CPC/CPB certification (preferred), strong CPT/ICD-10 coding knowledge, and the ability to optimize clearinghouse workflows while collaborating with clinical teams for billing accuracy.

Qualifications

• Minimum 3 years in medical billing and accounts receivable management.
• Strong knowledge of Medicare, managed Medicare plans, and commercial billing.
• Proficiency in CPT and ICD-10 coding; experience with billing software and clearinghouses.
• Experience handling denials, appeals, and insurance follow-ups.
• Excellent organizational and communication skills; ability to multi-task independently.

Responsibilities

• Oversee and manage the entire medical billing process, including claims submission, follow-ups, and payment posting.
• Ensure accurate and timely submission of claims to Medicare, managed Medicare plans, and other insurance payers.
• Handle insurance denials and appeals effectively to maximize reimbursements.
• Maintain compliance with all relevant billing regulations and payer policies.
• Manage accounts receivable, monitor outstanding balances, and oversee collections.
• Utilize and optimize the clearinghouse system for efficient claims processing.
• Work collaboratively with clinical and administrative teams to ensure proper documentation and billing accuracy.
• Provide reports and analysis on billing performance and revenue cycle metrics.

Skills

Accounts receivable

Medical billing

Medicare billing

Denials & appeals

CPT/ICD-10 coding

Education

CPC/CPB certification

Tools

Billing software

Clearinghouse systems

Job description

About Us:

Vitability Health is a leading care management company specializing in Care Management. We are expanding our operations, and medical billing in-house to enhance efficiency and streamline our processes.

Job Description:

We are seeking an experienced and detail-oriented Accounts Receivable (AR) / Medical Billing Manager to lead our in-house billing operations. The ideal candidate will have a strong background in medical coding, billing, and insurance reimbursement processes, particularly with Medicare and managed Medicare plans. This role requires expertise in claims submission, denial management, and working within a clearinghouse.

Key Responsibilities:

• Oversee and manage the entire medical billing process, including claims submission, follow-ups, and payment posting.

• Ensure accurate and timely submission of claims to Medicare, managed Medicare plans, and other insurance payers.

• Handle insurance denials and appeals effectively to maximize reimbursements.

• Maintain compliance with all relevant billing regulations and payer policies.

• Manage accounts receivable, monitor outstanding balances, and oversee collections.

• Utilize and optimize the clearinghouse system for efficient claims processing.

• Work collaboratively with clinical and administrative teams to ensure proper documentation and billing accuracy.

• Provide reports and analysis on billing performance and revenue cycle metrics.

Qualifications:

• Minimum of 3 years of experience in medical billing and accounts receivable management.

• Strong knowledge of Medicare, managed Medicare plans, and commercial insurance billing.

• Proficiency in medical coding (CPT, ICD-10) and familiarity with billing software and clearinghouses.

• Experience handling denials, appeals, and insurance follow-ups.

• Excellent organizational and communication skills.

• Ability to work independently and manage multiple priorities.

• Certification in medical billing and coding (CPC, CPB, or equivalent) preferred.

Benefits:

• Competitive salary based on experience.

• Performance-based bonuses.

• Flexible remote work environment (New Jersey applicants preferred).

• Opportunity to be a key part of a growing healthcare company.