Billing Manager, Multi-state Healthcare System

USA Vein Clinics, Vascular, Fibroid and Oncology Centers; Northbrook (IL); On-site; USD 75,000 - 85,000; 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, ensure accurate claim submissions, and support RCM initiatives. The role involves coordinating claim corrections, rebills, and workflow improvements to boost billing efficiency and compliance with payer requirements.

Ideal candidates have 3+ years in healthcare billing, strong analytical skills, proficiency with Excel, and knowledge of CPT/HCPCS/ICD-10 coding.

Qualifications

• Minimum three years of healthcare billing or revenue cycle experience.
• Strong knowledge of physician billing and claim submission workflows.
• Working knowledge of CPT, HCPCS, and ICD-10 coding related to billing.
• Experience with insurance carriers and clearinghouses.
• Proficiency in Microsoft Excel and Office applications.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Oversee daily billing activities for accurate claim submission.
• Monitor billing workflows and claim processing.
• Ensure claims follow payer requirements and internal standards.
• Review clearinghouse reports and payer responses to identify issues and resolve submissions.
• Coordinate claim corrections, rebills, and resubmissions as necessary.
• Maintain efficient billing workflows and procedures.
• Escalate system or workflow issues affecting submission and processing.
• Review billing edits and coordinate coding corrections.
• Support automation and AI-enabled tools for billing efficiency.
• Maintain HIPAA compliance and safeguard patient information.

Skills

Healthcare billing

CPT/HCPCS/ICD-10 coding

Excel

Analytical skills

Multitasking

Education

Degree preferred

Tools

Practice management systems

Clearinghouses

Revenue cycle software

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
• Positive, team-oriented environment
• Work with cutting-edge 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
• Schedule: Full-time
• Compensation: $75,000 -$85,000 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