Centralized Billing Office Manager

Forest Surgery Center, Advanced Surgery Forest, Advanced Surgery O'Connor, Montpelier Surgery Center; San Jose (CA); On-site; USD 120,000 - 210,000; Full time

Job description

Job Category: Billing, Coding, and Collection

The Centralized Billing Office Manager is responsible for the day-to-day management, coordination, and performance of centralized revenue cycle operations supporting multiple ambulatory surgery centers. This position provides operational leadership across billing, accounts receivable, collections, payment posting, insurance verification, authorizations, and other centralized business office functions.

The Centralized Billing Office Manager will ensure consistent processes, accountability, productivity, and service levels across assigned functions while partnering closely with center leadership and the Revenue Cycle Director to achieve organizational financial and operational goals.

This role is responsible for translating centralized revenue cycle strategies into effective daily workflows, monitoring team performance, identifying process gaps, and driving timely resolution of billing and reimbursement issues.

Centralized Billing Operations

• Manage daily centralized billing operations and ensure timely completion of assigned revenue cycle activities.
• Establish and maintain standardized workflows, procedures, and work queues across supported centers.
• Monitor billing activity to ensure claims are submitted accurately and timely.
• Identify billing delays, claim submission issues, and workflow inefficiencies and implement corrective action.
• Ensure staff have the appropriate resources, training, access, and tools to perform their responsibilities effectively.
• Maintain consistent revenue cycle processes across all assigned centers while addressing center-specific operational needs.

Accounts Receivable & Collections

• Oversee centralized A/R and collections activities to support organizational cash and A/R goals.
• Monitor A/R aging, outstanding balances, payer trends, and collection activity.
• Ensure timely follow-up on unpaid and underpaid claims.
• Monitor productivity and account resolution to ensure staff are working assigned inventory appropriately.
• Identify significant payer, billing, authorization, or reimbursement trends and elevate issues appropriately.
• Partner with the Revenue Cycle Director on strategies to reduce aged A/R and improve cash collections.
• Supervise, coach, and develop centralized business office staff.
• Establish clear expectations for productivity, quality, timeliness, and accountability.
• Conduct regular performance monitoring and provide coaching and feedback.
• Assist with hiring, onboarding, training, and development of centralized revenue cycle staff.
• Cross-train employees to create operational flexibility and reduce workflow disruptions.
• Monitor staffing capacity and recommend workflow or staffing adjustments based on volume and business needs.
• Foster a collaborative, accountable, and solutions-oriented team environment.

Revenue Cycle Reporting & KPIs

• A/R days
• A/R aging
• Cash collections
• Unbilled A/R
• Claim submission timeliness
• Denials
• Underpayments
• Collection productivity
• Payment posting timeliness
• Outstanding work queues

Review performance trends and identify opportunities for improvement.

Prepare routine operational reports and summaries for the Revenue Cycle Director.

Assist in establishing department productivity standards and performance benchmarks.

Identify opportunities to centralize, standardize, and streamline revenue cycle processes.

Develop and maintain standard operating procedures, workflows, and training materials.

Participate in revenue cycle transformation and process improvement initiatives.

Support implementation of technology, vendors, systems, and workflow changes.

Collaborate with Revenue Cycle leadership and center leadership to eliminate redundant processes and improve cost-to-collect.

Assist with identifying opportunities to consolidate work across centers based on volume, staffing capacity, and operational needs.

Cross-Functional Collaboration

• Partner with center Business Office Managers, Administrators, clinical leadership, and corporate departments to resolve revenue cycle issues.
• Serve as a centralized point of contact for day-to-day billing and A/R operational questions.
• Communicate issues requiring escalation to the Revenue Cycle Director with appropriate background, supporting data, and recommended solutions.
• Collaborate with payer contracting/managed care, coding, authorization, credentialing, and other departments as necessary to resolve reimbursement issues.
• Maintain effective communication between centralized staff and individual surgery centers.

Compliance & Quality

• Ensure revenue cycle activities are performed in accordance with company policies, payer requirements, applicable regulations, and internal controls.
• Maintain appropriate documentation and controls related to billing, collections, payments, adjustments, and account resolution.
• Identify and elevate compliance concerns or potential billing issues.
• Promote accuracy and quality throughout all centralized revenue cycle processes.

Qualifications

Required:

• 3+ years of progressive experience in healthcare revenue cycle management, medical billing, accounts receivable, or business office operations.
• Previous supervisory or management experience.
• Strong understanding of the healthcare revenue cycle from front-end processes through billing, A/R, collections, and payment posting.
• Experience working with multiple locations, departments, or business units preferred.
• Strong analytical, organizational, and problem-solving skills.
• Ability to interpret revenue cycle reports and performance metrics.
• Strong communication and interpersonal skills.
• Proficiency with Microsoft Office and healthcare revenue cycle systems.

Preferred:

• Experience in ambulatory surgery centers, outpatient healthcare, or physician practice revenue cycle.
• Experience managing centralized/shared-service revenue cycle operations.
• Experience with revenue cycle process standardization and centralization.
• Experience implementing or optimizing billing systems, technology, or third-party vendors.
• Revenue Cycle Expertise
• Leadership & Accountability
• Analytical & Financial Acumen
• Process Improvement
• Team Development
• Problem Solving
• Communication
• Change Management
• Cross-Functional Collaboration

Performance Expectations

• Timely and accurate billing
• Improved A/R performance
• Achievement of cash collection goals
• Reduction of aged A/R
• Timely resolution of denials and underpayments
• Improved staff productivity and accountability
• Consistent adherence to standardized workflows
• Reduction of unnecessary or duplicative work across centers
• Improved communication and service to supported centers
• Successful implementation of revenue cycle process improvements

Scope of Role

The Centralized Billing Office Manager is responsible for operational management of centralized billing and revenue cycle functions, while the Revenue Cycle Director maintains overall strategic ownership of revenue cycle performance, financial outcomes, standardization, transformation initiatives, and enterprise-level revenue cycle strategy.

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organizationis an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.Furthermore, our organizationiscommitted to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.