Billing Manager

One Community Health; Sacramento (CA); On-site; USD 94,000 - 119,000; Full time

Job summary

One Community Health is seeking a Billing Manager in Midtown–Sacramento to lead a team of billing specialists, coders and posters. You will oversee encounter billing, posting, denial management, and reporting while ensuring regulatory compliance in a fast-paced health center environment.

The role requires extensive knowledge of medical billing, strong leadership, and the ability to analyze data and improve revenue cycle performance in a Federally Qualified Health Center setting.

Qualifications

• 5-7 years progressive medical billing experience.
• 2+ years leading billing, coding, payment posting or AR teams.
• Familiar with Medi-Cal, Medicare and commercial billing.

Responsibilities

• Support the Health Center Manager in daily operations to ensure seamless clinic flow and effective team coordination.
• Manage the Billing Department, including encounter billing, payment posting, denial management, reconciliation, reports and collections.
• Utilize financial analysis to identify revenue cycle improvement opportunities.
• Act as liaison between billing staff, insurers and patients to address inquiries and resolve issues.
• Maintain policies and forms, ensure adherence to procedures and required health center forms.
• Monitor KPIs and prepare reports for senior management to track performance.
• Provide training and support to staff on billing processes and regulations.
• Oversee posting of all third-party receivables.
• Collaborate with other departments to resolve billing discrepancies and improve revenue cycle efficiency.
• Prioritize high-volume workload with accuracy and efficiency.
• Oversee third-party plan enrollment to ensure compliance with requirements and regulations.
• Stay current on industry trends, regulations and best practices in medical billing.
• Conduct regular audits of production, billing procedures and documentation for compliance.
• Lead and participate in department and organization-wide meetings.
• Foster a positive, collaborative work environment and continuous learning.

Skills

Leadership

Revenue Cycle

Medical Billing

Team Management

Regulatory Compliance

Data Analysis

Education

High School diploma or equivalent

Tools

EMR Systems

Billing Software

Job description

This exempt position will play a critical role in overseeing all aspects of the accounts receivable process within our medical facility. The Billing Manager will be responsible for managing a team of billing specialists, medical coders and payment posters. Overseeing optimization of procedures and ensuring compliance with regulatory standards. The Billing Manager will possess strong leadership skills, extensive knowledge of medical billing practices, and a commitment to achieving departmental goals.

Location:

This position is based in Midtown – Sacramento, CA (95811).

Essential Functions

• Support the Health Center Manager in daily operations to ensure seamless clinic flow and effective team coordination.
• Manage the Billing Department, which includes encounter billing, payment posting, denial management, reconciliation, reports, and collections.
• Utilize financial analysis techniques to identify trends and opportunities for improvement in revenue cycle management.
• Act as a liaison between billing staff and external stakeholders, including insurance companies and patients, to address inquires and resolve issues promptly.
• Maintains department policies and procedures manual, master copy of all reports used in each program, and suggests and formulates new policies and procedures, and Health center-based forms, as needed, ensure they are being followed
• Monitor key performance indicators (KPIs) and prepare reports for senior management to track departmental performance and identify area for improvement.
• Provide training and support to staff members to enhance their understanding of medical billing processes and regulations.
• Oversee posting of all third-party receivables.
• Collaborate and train other departments to resolve billing discrepancies and improve overall revenue cycle efficiency.
• Ability to prioritize and multitask a large work volume with a high level of efficiency and attention to detail
• Oversee third party plan enrollment employees to ensure the enrollment process, procedures and operations comply with plan requirements and federal and state regulations and requirements.
• Stay current on industry trends, regulations, and best practices related to medical billing and accounts receivable.
• Conduct regular audits of production, billing procedures, and documentation to maintain compliance.
• Lead and participate in department and OCH wide meetings.
• Foster a positive and collaborative work environment that promotes teamwork, accountability, and continuous learning.
• High School diploma or equivalent
• Expertise in healthcare revenue cycle operations, typically gained from 5-7 years of progressive medical billing experience, including at least 2 years leading billing, coding, payment posting, or accounts receivable teams in a healthcare setting.
• Familiarity with Medi-Cal, Medicare, commercial insurance billing, and reimbursement practices; FQHC billing experience preferred.
• Strong understanding of revenue cycle management processes and best practices.
• Ability to analyze data, identify trends, and develop meaningful reports to support operational decision-making.
• Working knowledge of ICD-10, HCFA 1500 and UB-04 claim forms, and medical billing regulations.
• Proficiency with electronic medical record (EMR) systems and healthcare billing software.
• Demonstrated ability to prioritize competing responsibilities, manage time effectively, and meet deadlines in a fast-paced environment.

Preferred Background

• Federally Qualified Health Center experience
• Medical, Dental, Optometry and Mental Health PPS rate billing
• Familiarity with Claim Adjustment Reason Codes
• Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all.
• Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices

Reasonable Accommodations

One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require an accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us at [e-mail].

For more information on the comprehensive benefits we provide, please visit: https://onecommunityhealth.com/careers/recruitment

Additional Information

We only employ US citizens and non-US citizens authorized to work in the United States in compliance with federal law.

Pay Range

$93,734.23 - $118,546.23 per year