Billing Manager - Healthcare

USA CLINIC SL; Northbrook (IL); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Health - BCBS of IL

HSA

Dental

Vision

PTO

401k

Job summary

USA Clinics Group in Northbrook, IL is seeking a Billing Manager to oversee daily billing operations, claim submissions, and workflow management within our Revenue Cycle Management team. You will ensure payer compliance, resolve claim issues, and drive accuracy using CPT, HCPCS, and ICD-10 coding knowledge, Excel proficiency, and AI-assisted tools.

This on-site role offers competitive compensation and opportunities for advancement.

Qualifications

• Minimum three years of healthcare billing or revenue cycle experience.
• Strong knowledge of physician billing practices and claim submission workflows.
• Proficiency in Microsoft Excel and Microsoft Office applications.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Oversee daily billing activities to ensure accurate and timely claim submission.
• Monitor billing workflows, work queues, and claim processing activities.
• Ensure claims are submitted in accordance with payer requirements and internal standards.
• Review clearinghouse reports and payer responses to identify and resolve submission issues.

Skills

Healthcare billing

Excel proficiency

Analytical ability

Multitasking

Education

Associate’s or Bachelor’s degree preferred

Tools

CPT coding

HCPCS coding

ICD-10 coding

Job description

Why USA Clinics Group?

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.

Why You’ll Love Working With Us

• Rapid career advancement
• Competitive compensation package
• Positive, team-oriented environment
• Work with cutting-ed technology
• Make a real impact on patients’ lives
• Join a fast-growing, mission-driven company

Position Summary

The Billing Manager is responsible for overseeing billing operations to ensure accurate and timely claim submission, claim correction, billing workflow management, and resolution of claim-related issues. This position supports the Revenue Cycle Management team by maintaining efficient billing processes, ensuring compliance with payer requirements, monitoring claim activity, and supporting operational initiatives that improve claim accuracy and billing efficiency.

Position Details

• Location: Corporate Office in Northbrook, IL (not a remote position)
• Schedule: Full-time
• Compensation: $80,000 -$90,000 based on experience and qualifications.

Key Responsibilities Billing Operations

• Oversee daily billing activities to ensure accurate and timely claim submission.
• Monitor billing workflows, work queues, and claim processing activities.
• Ensure claims are submitted in accordance with payer requirements and internal standards.
• Review clearinghouse reports and payer responses to identify and resolve submission issues.
• Coordinate claim corrections, rebills, and resubmissions as necessary.
• Maintain efficient billing workflows and operational procedures.
• Escalate system or workflow issues affecting claim submission and processing.

Coding Claims & Error Resolution

• Review and resolve claim edits, rejections, and billing exceptions.
• Investigate claim submission issues and coordinate corrective actions.
• Monitor rejected claims to ensure timely correction and resubmission.
• Track unresolved billing issues through completion.
• Ensure billing-related errors are resolved accurately and promptly.
• Support initiatives designed to improve claim accuracy and reduce submission errors.

Coding & Charge Review Support

• Review billing-related coding edits affecting claim submission.
• Coordinate coding corrections required for claim processing.
• Ensure charges are billed accurately in accordance with established procedures.
• Support implementation of coding, billing, and payer-required updates.
• Assist with review of charge discrepancies and claim edits.
• Maintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements related to billing operations.

Compliance & Process Management

• Ensure compliance with payer guidelines, billing regulations, and company policies.
• Maintain billing procedures, workflows, and standard operating procedures.
• Participate in system testing, billing updates, and workflow enhancements.
• Support internal audits and billing quality reviews.
• Maintain HIPAA compliance and safeguard patient and financial information.
• Assist with departmental projects and process improvement initiatives.

AI & Automation Responsibilities

• Utilize AI-enabled tools to identify claim errors and prioritize billing activities.
• Monitor automated claim scrubbing and billing workflow processes.
• Support implementation of automation technologies that improve billing efficiency and accuracy.
• Participate in testing and deployment of revenue cycle technology enhancements.
• Promote utilization of technology solutions that streamline claim submission and error resolution.

Additional Duties

• Support departmental goals and operational initiatives.
• Participate in meetings, audits, projects, and process improvement activities.
• Provide cross-functional support within the Revenue Cycle Management department.
• Perform other duties as assigned.

Requirements

Required

• Associate's or Bachelor's degree preferred, or equivalent combination of education and experience.
• Minimum three (3) years of healthcare billing or revenue cycle experience.
• Strong knowledge of physician billing practices and claim submission workflows.
• Working knowledge of CPT, HCPCS, and ICD-10 coding as related to billing operations.
• Experience with insurance carriers, clearinghouses, and practice management systems.
• Strong analytical, organizational, and problem-solving skills.
• Proficiency in Microsoft Excel and Microsoft Office applications.
• Ability to manage multiple priorities in a fast-paced environment.

Preferred

• Certified Professional Biller (CPB), CPC, or other related certification.
• Experience in a multi-site physician practice environment.
• Experience utilizing revenue cycle automation and AI-enabled workflow tools.

Benefits

• Health - BCBS of IL
• HSA
• Dental
• Vision
• PTO
• 401k