Billing Manager posted about 1 hour ago Falck Revenue Cycle Management Mesa, CA

Falck A/S; Mesa (AZ); Hybride; USD 95 000 - 125 000; Plein temps

Avantages offerts par ce poste

Full-time benefits

401(k) with match

Training & career development

Résumé du poste

Falck US is seeking a Billing Manager to lead a hybrid team of billing specialists in Mesa, focusing on accurate, timely, and compliant claim creation. You will drive revenue, cash flow, and cost efficiency while developing a culture of ownership and continuous improvement.

You will partner with Billing Leads and cross-functional teams to standardize practices, optimize workflows, and deliver First Pass Accuracy in billing for multiple markets and contracts.

Qualifications

• Experience in Revenue Cycle Management, healthcare operations, or similar data-heavy environment.
• Previous leadership of people or formal readiness for people-management role.
• Familiarity with billing platforms (Logis or similar) and payer portals.

Responsabilités

• Lead and grow a hybrid team of billing specialists to meet performance and quality targets.
• Set clear expectations, give feedback, and coach team members into specialists.
• Build a culture where people own their results and learn new tools and methods.
• Secure efficient daily billing operations for contracts, including eligibility checks and submission.
• Plan staffing, queues and workflows so claims are processed accurately and cost-efficiently.
• Monitor metrics and act early when performance drifts.
• Identify bottlenecks and drive continuous improvement with cross-functional partners.
• Support standardization of best practices and leverage automation.
• Collaborate with Operations, Insurance Relations, Patient Experience, and Transformation.
• Establish and report KPIs for markets and guide priorities.

Connaissances

Revenue Cycle Management

People management

Data-driven decision making

Process improvement

Team leadership

Outils

Logis

Payer portals

Description du poste

At Falck US, Revenue Cycle Management isn’t just numbers – it’s how we help real people after some of the most stressful moments in their lives. Behind every claim is a patient and a family who trusted us in an emergency.

In RCM Billing, you make that part of their journey easier – no blood, no needles, just smart, compassionate support.

You’ll be part of a growing RCM hub in Mesa, where we bring together people, data and technology to run billing in a smarter, more consistent way – with clear roles, clear expectations and clear career paths.

If you want to lead a team, grow fast, and help patients by making the billing process work right the first time, this role is for you.

The Billing Manager (one out of 3) leads the billing function for an assigned set of markets and contracts (911), ensuring accurate, timely and compliant claim creation, coding and submission. You are accountable for the billing‑side drivers of revenue, cash flow and cost efficiency in your markets – clean data, correct coding, complete services and well‑prioritized claim production.

You lead through others: developing a team of billing specialists (around 15 people), building winning behaviors, and creating a culture of proactive improvement rather than reactive firefighting. By organizing work smartly, using data and technology, and collaborating with Operation, Insurance Relations, Patient Experience and Support & Transformation, you help deliver First Pass Accuracy, Maximum Efficiency in Billing and a better experience for patients.

What We Offer:

• Full-Time Benefits (Medical, Dental, Vision, Life)
• 401(k) with company match
• Training and Career Development

Essential Functions:

In this role you will:

Lead and grow a high‑performing team

• Lead and develop a hybrid team of billing specialists to meet agreed performance and quality targets.
• Set clear expectations, give frequent feedback, and coach team members into strong subject‑matter specialists.
• Build a culture where people own their results, help each other, and are open to learning new tools and ways of working.
• Secure efficient daily billing operations for your assigned contracts, including eligibility checks, documentation review, coding and claim submission.
• Plan staffing, queues and workflows so claims are processed accurately, on time and in a cost‑efficient way.
• Monitor key metrics (backlog, turnaround time, productivity, quality) and act early when performance drifts.

Drive transformation and continuous improvement

• Identify bottlenecks and waste in processes and turn them into concrete improvements for your team.
• Partner with the Billing Leads (Training & Quality, Productivity & Technology, Process Excellence) and with Support & Transformation (Connectivity, Academy, Analysts, Compliance, Master data) to standardize best practices and leverage automation.
• Support the “daily clean desk” discipline by using data and dashboards to keep work under control and prevent new backlogs.

Protect revenue, cash flow and quality – with patients in mind

• Improve billing‑side revenue and cash flow by:
• ensuring complete capture of billable services,
• strengthening documentation and coding quality, and
• actively driving correct insurance discovery, so we avoid defaulting to self‑pay when coverage can be found
• Work with Insurance Relations and Patient Experience to address denial and underpayment patterns through process fixes and targeted training – so patients are better informed and less surprised by bills.
• Ensure strict adherence to regulations and internal policies (HIPAA, CMS, medical necessity, ICD‑10/ICD‑9, payer rules, Falck standards).

Collaborate and report as one Billing leadership team

• Act as part of one Billing leadership team with the other Billing Managers and the three Billing Leads, sharing learnings and supporting each other.
• Collaborate closely with Operations, Insurance Relations, Patient Experience and Support & Transformation to improve end‑to‑end RCM performance in your markets.
• Establish, monitor and report on KPIs for your markets (clean‑claim rate, coding accuracy, billing turnaround time, productivity, quality) and use these to guide priorities and decisions.

Qualifications:

Bring relevant experience (without needing 20 years of it)

• Have experience in Revenue Cycle Management, medical billing, healthcare operations, or a similar data‑and process‑heavy environment.
• Have previously led people or been a strong informal lead (e.g. senior biller, lead, or supervisor) and are ready for a formal people‑manager role.
• Are comfortable working with billing platforms (ideally Logis or similar) and payor portals, and you’re not afraid of learning new tools.

Show winning behaviors in how you work

• Patient‑first: You remember there is a patient behind every claim and want to reduce confusion and stress for them.
• Ownership: You don’t wait for others to fix problems – you take responsibility, follow up and close the loop.
• Data‑driven: You like having your numbers and use data to run the day, not just react to yesterday’s issues.
• Continuous improvement mindset: You always look for a better way – shorter flows, fewer touches, less manual work – and you involve your team in improving how you work.
• Collaborative: You work well with Operations, Insurance Relations, Patient Experience and support teams, and you’re willing to both challenge and support peers.

Care about people and development

• Enjoy helping team members grow, giving clear feedback and celebrating progress.
• Are open, honest and approachable – you live the “winning as one unified team” culture we are building across Falck US.

Working Conditions:

The working conditions described below are representative of those a team member encounters while performing the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities of this job.

• Small to medium office or shared work space
• Work varied shifts to include days, nights, weekends and holidays

Physical Requirements:

The physical demands described below are representative of those that must be met by a team member to successfully perform the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

• Ability to sit for long periods of time
• Ability to use a computer for long periods of time
• Ability to use hands to handle, control, or feel objects, tools, or controls.
• Ability to repeat the same movements for long periods of time
• Ability to push and lift to 25 lbs.

This job description is a summary of duties, it is by no means an all-inclusive list but is merely a broad guide of expected duties.

Falck is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, disability, sexual orientation, genetic information, veteran status or any other characteristic protected by state or federal law.

Falck is an Equal Opportunity /
An Equal Opportunity Employer. Our employment decisions are made without regard to race, color, religion, age, sex, gender identity, gender expression, citizenship, ancestry, national origin, sexual orientation, disability, veteran status, military status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law.
EEO is the Law Pay Transparency Nondiscrimination Provision