Billing Manager

Upson Regional Medical Center; Thomaston (GA); On-site; USD 75,000 - 95,000; Full time

Job summary

Upson Regional Medical Center in Thomaston, GA, seeks a Billing Manager to lead hospital billing operations for inpatient and outpatient claims. You will ensure accurate claim construction, timely submissions, and payer compliance across all codes while supervising staff.

The role partners with Coding, Compliance, Patient Access and clinical departments, supports audits, identifies billing risks, and provides staff education to improve accuracy and cash flow.

Qualifications

• High School Diploma or equivalent.
• 7+ years hospital revenue cycle experience and 4–6 years hospital billing.
• Preferred: Audit support experience and hospital billing systems (e.g., Meditech).

Responsibilities

• Oversee daily hospital billing operations for inpatient and outpatient facility claims.
• Ensure accurate claim construction, timely submission and payer regulatory compliance.
• Oversee resolution of hospital claim edits (NCCI, OCE, MUE) prior to submission and correct recurring billing errors.
• Supervise hospital billing staff to ensure accuracy and compliance; provide staff education.
• Support internal and external audits related to hospital billing and compliance.
• Collaborate with Coding, Compliance, Patient Access, Case Management and clinical departments on billing issues; report risks to leadership.

Education

High School Diploma or equivalent

Job description

Billing Manager

Upson Regional Medical Center Thomaston, Georgia, United States Accounting/Finance

About this position

Join a winning team!

Upson Regional Medical Center is a small hospital with a BIG heart! Our employees enjoy an environment where they can take care of patients with a high degree of quality and compassion. Patients get to experience top-notch healthcare with modern technology and a team with a focus of excellence for every patient, every time.

The Hospital Billing Manager will oversee daily hospital billing operations for inpatient and outpatient facility claims; ensure accurate claim construction, timely submission, and regulatory compliance across all payers; ensure correct use of bill types, revenue codes, modifiers, occurrence codes, condition codes, and value codes; oversee resolution of hospital claim edits (NCCI, OCE, MUE) prior to submission; identify and correct recurring billing errors & implement corrective actions and staff education; supervise hospital billing staff to ensure accuracy and compliance; support internal and external audits related to hospital billing and compliance; collaborate with Coding, Compliance, Patient Access, Case Management, and clinical departments on billing issues; report billing risks, trends, and compliance concerns to department leadership; and any other duties as assigned by the supervisor.

Required

High School Diploma or equivalent

Experience

Minimum

• 7+ Years of hospital revenue cycle experience & 4–6 years of direct hospital billing

Preferred

• Audit support experience & hospital billing systems (e.g., Meditech)