Billing Manager - Develop People. Improve Processes. Deliver Results.

TSAOG Orthopaedics & Spine; San Antonio (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

TSAOG Orthopaedics & Spine is seeking a Billing Manager to lead, develop, and optimize a busy medical billing operation in San Antonio, TX. You will mentor a team, monitor performance, and drive process improvements across denials, reimbursements, and collections.

The role emphasizes strong leadership, coaching, and the adoption of new technology to improve metrics and outcomes in orthopaedic billing. A results-driven mindset is essential for success.

Qualifications

• Strong knowledge of medical billing, coding, reimbursement, and modifier rules.
• Proven ability to train, develop, and support employees.
• Ability to maintain department goals and deliver results.
• Leader who creates accountability while keeping employees engaged.
• Comfortable adopting new technology and helping others do the same.
• Strong critical thinking, problem-solving, and communication skills.
• Orthopaedic billing experience preferred.
• Athena experience is a plus.

Responsibilities

• Lead, train, coach, and support a team of billing professionals
• Drive department performance and accountability
• Monitor denials, identify root causes, and implement solutions
• Foster an engaged and high-performing team culture
• Oversee billing, collections, appeals, and reimbursement activities
• Analyze data, track metrics, and improve processes
• Champion new technology and innovative ways of working
• Partner with leadership to achieve department goals and operational excellence

Skills

Medical billing

Coding knowledge

Reimbursement rules

Modifier rules

Training & development

Team leadership

Accountability

Technology adoption

Critical thinking

Communication skills

Orthopaedic billing

Athena experience

Job description

Description

Lead the Team. Improve the Process. Drive Results.

TSAOG Orthopaedics & Spine is looking for a Billing Manager who can develop people, drive performance, and help our billing operation continually improve. This role requires a strong leader who can balance team development, operational goals, and technical billing expertise.

What You'll Do

• Lead, train, coach, and support a team of billing professionals
• Drive department performance and accountability
• Monitor denials, identify root causes, and implement solutions
• Foster an engaged and high-performing team culture
• Oversee billing, collections, appeals, and reimbursement activities
• Analyze data, track metrics, and improve processes
• Champion new technology and innovative ways of working
• Partner with leadership to achieve department goals and operational excellence

What We're Looking For

• Strong knowledge of medical billing, coding, reimbursement, and modifier rules
• Proven ability to train, develop, and support employees
• Ability to maintain department goals and deliver results
• A leader who creates accountability while keeping employees engaged
• Comfortable adopting new technology and helping others do the same
• Strong critical thinking, problem-solving, and communication skills
• Orthopaedic billing experience preferred
• Athena experience is a plus

The Right Fit

You enjoy helping people grow, solving complex billing issues, and finding better ways to get things done. You're equally comfortable coaching a team, analyzing performance metrics, and rolling up your sleeves to tackle challenging reimbursement and coding issues.

If you're a leader who develops people, embraces technology, and drives results, we'd love to talk with you.

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