Billing & Revenue Cycle Manager

USA Clinics Group; 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 is seeking a Billing Manager to lead our billing operations from our Northbrook, IL corporate office. You will ensure accurate and timely claim submission, manage workflows, and drive improvements across the revenue cycle.

In this role you’ll supervise daily activities, monitor claim statuses, coordinate corrections, and apply emerging AI-enabled tools to enhance efficiency and accuracy while maintaining HIPAA compliance and payer guidelines.

Qualifications

• Associate's or Bachelor's degree preferred, or equivalent 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.

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.
• 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.
• Review billing 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.
• 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.
• 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.

Skills

Healthcare billing

Excel

Organizational skills

Problem-solving

Attention to detail

Multi-tasking

Education

Associate's or Bachelor's degree

Tools

Practice management systems

Clearinghouses

Coding references (CPT/HCPCS/ICD-10)

Job description

USA Clinics Group is seeking a Billing Manager to lead our billing operations from our Northbrook, IL corporate office. You will ensure accurate and timely claim submission, manage workflows, and drive improvements across the revenue cycle.

In this role you’ll supervise daily activities, monitor claim statuses, coordinate corrections, and apply emerging AI-enabled tools to enhance efficiency and accuracy while maintaining HIPAA compliance and payer guidelines.