Front Office Manager--Physical Therapy

Genesis Orthopedics & Sports Medicine; St. Charles (IL); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive base salary

Performance-based bonuses

Hybrid/Remote flexibility

Job summary

Genesis Orthopedics & Sports Medicine seeks a Front Office Manager to lead the administrative operations across six outpatient clinics in a hybrid, full-time role.

You will review adjustments, ensure accurate claim posting, allocate accounts from EPIC queues, audit submissions, and drive team performance with daily to weekly reviews.

Responsibilities also include denial management, KPI reporting, HIPAA compliance, and continuous improvement to reduce rework while delivering quality patient access.

Qualifications

• 3–5 years of medical claims management or billing experience with orthopedic focus.
• Proven experience leading a claims/AR team in a healthcare setting.
• Hands-on EPIC system experience.
• Strong CPT/HCPCS knowledge, modifiers, EOBs, ERAs, and denial handling.
• Advanced Excel skills (pivot tables, lookups, trend analysis).
• Excellent communication and cross-functional collaboration.
• High attention to detail and problem-solving abilities.

Responsibilities

• Oversee daily administrative operations of six outpatient clinics.
• Review and validate contractual adjustments; ensure accuracy in claim posting and payer compliance.
• Allocate new accounts to analysts from EPIC workqueues by payer, aging, and priority.
• Audit claims for accuracy, completeness, and timeliness before submission or follow-up.
• Lead and support a team of staff; review EOD/EOW reports and manage workload.
• Manage claims denial trends; collaborate with billing, coding, and authorization teams.
• Prepare and distribute reports on claim status, denial trends, and AR performance.
• Ensure HIPAA compliance and implement process improvements to reduce rework.

Skills

Medical claims management

Leadership

Advanced Excel

Communication

Attention to detail

Problem solving

Tools

EPIC system

Job description

Hybrid/Full-time

Join Our Mission at Genesis Orthopedics & Sports Medicine!

Front Office Manager

Hybrid/Full-time

Join Our Mission at Genesis Orthopedics & Sports Medicine!

At Genesis Orthopedics & Sports Medicine, we believe high-quality orthopedic care should be accessible to all—not just those who can afford it. After 17 years of conventional practice, we took a step back, challenged the status quo, and reimagined healthcare delivery. Over four years, through hundreds of hours of research, global case studies, and bold innovation, we developed a new model that maintains our reputation for exceptional care while making our services more ethical and affordable.

Key Responsibilities

• Operations & Oversight
  • Daily Oversight of administrative operations of 6 outpatient physical therapy clinics
  • Review and validate all contractual adjustments and ensure accuracy in claim posting and payer compliance
  • Download and allocate new accounts to analysts from multiple EPIC workqueues based on payer, aging, and priority
  • Audit processed claims for accuracy, completeness, and timeliness before submission or follow-up
  • Perform quality checks and ensure analysts follow correct claim handling procedures
  • Conduct daily and weekly performance reviews, tracking productivity and accuracy metrics
• Team Management
  • Lead and support a team of support staff, providing guidance, performance feedback, and escalation support
  • Review and summarize EOD (End of Day) and EOW (End of Week) reports to evaluate team output and resolve discrepancies
  • Manage task assignments, track turnaround times, and balance workloads across analysts
  • Provide training and corrective coaching when errors or trends are identified
• Claims & Denial Management
  • Oversee denial trending and root cause analysis for all orthopedic-related claims
  • Identify and elevate systemic issues such as incorrect coding, missing documentation, or payer configuration errors
  • Work closely with billing, coding, and authorization teams to resolve high-value or high-impact claims
  • Ensure claims are submitted, followed up, and appealed in accordance with payer guidelines and timely filing limits
• Analytics & Reporting
  • Prepare and distribute daily, weekly, and monthly reports on claim status, denial trends, and AR performance
  • Monitor KPIs such as denial rate, claim turnaround time, and first-pass resolution rate
  • Track performance metrics for the entire team and provide data-driven recommendations for improvement
• Compliance & Continuous Improvement
  • Ensure all claim activities comply with HIPAA, payer rules, and internal SOPs
  • Stay current with orthopedic coding changes, payer updates, and EPIC workflows
  • Recommend and implement process improvements to enhance claim accuracy and reduce rework
  • Participate in audits and provide supporting claim documentation when required

Requirements

Qualifications

• 3-5 years of experience in medical claims management or billing, with a strong focus on orthopedic claims
• Proven experience managing or leading a claims or AR team in a healthcare setting
• Hands-on experience with EPIC system is required
• Excellent understanding of CPT/HCPCS codes, modifiers, EOBs, ERAs, CARC/RARC codes, and payer-specific denial handling
• Advanced Excel skills (pivot tables, lookups, trend tracking)
• Exceptional attention to detail and strong problem-solving abilities
• Excellent communication skills and ability to work cross-functionally with billing, coding, and management teams

Benefits

Why Choose Genesis?

• Supportive Team - Be part of a compassionate and professional healthcare team that values collaboration.
• Competitive Compensation - Enjoy a strong base salary with opportunities for performance-based bonuses.
• Meaningful Impact - Help us revolutionize healthcare by making top-tier orthopedic care accessible to everyone.