Healthcare Billing Manager - Revenue Cycle Leader

USA-Clinics-Group-; Northbrook (IL); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Health - BCBS IL

HSA

Dental

Vision

PTO

401k

Job summary

USA Clinics Group, based in Northbrook, IL, is seeking a Billing Manager to oversee daily billing operations, ensure timely claim submissions, and support the Revenue Cycle Management team.

The role requires experience with CPT/HCPCS/ ICD-10 coding, payer interactions, and a focus on accuracy and process improvements. This on-site position offers a competitive package and growth opportunities.

Qualifications

• 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.

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-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.
• 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.
• 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.

Skills

Analytical skills

Organizational skills

Problem-solving

Multi-tasking / Prioritization

Education

Associate's or Bachelor's degree preferred

Tools

Microsoft Excel

Microsoft Office

Practice management systems

Job description

USA Clinics Group, based in Northbrook, IL, is seeking a Billing Manager to oversee daily billing operations, ensure timely claim submissions, and support the Revenue Cycle Management team.

The role requires experience with CPT/HCPCS/ ICD-10 coding, payer interactions, and a focus on accuracy and process improvements. This on-site position offers a competitive package and growth opportunities.