Manager of Billing Compliance, Reporting & Authorizations

Wichita Urology Group; Wichita (KS); On-site; USD 70,000 - 100,000; Full time

Job summary

Wichita Urology Group is seeking a seasoned billing compliance leader to drive accurate reporting, ensure authorization workflows, and oversee daily operations of the medical billing department. This role collaborates with the Manager of Revenue Cycle & Billing Operations to optimize cash flow and maintain strong physician relations.

The position requires strong managerial skills, 2+ years in medical billing supervision, and deep knowledge of Medicare, Medicaid, HMOs, PPOs, ICD-10, CPT, and

Qualifications

• Minimum 2 years medical billing and supervisory experience.
• Thorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance.
• Understanding of ICD-10 and CPT coding, EMR, PQRS, and Medicare Quality Initiatives.

Responsibilities

• Direct and coordinate the overall functions for the medical billing and coding department to maximize cash flow while supporting a positive patient experience and strong physician relations.
• Oversee claims submission, payment posting oversight, charge capture, staff supervision, training, and professional development.
• Create and implement policies and procedures designed to improve efficiency, maintain compliance, and support departmental and organizational goals.
• Oversee authorization processes and tracking for surgeries, PET CT, imaging services, and medications to ensure timely completion.
• Maintain the weekly billing update spreadsheet for administration and review the monthly collections report from MedHQ.
• Manage RAC Audits by CMS, including updating the RAC Audit spreadsheet, notifying physicians of recoupments, and reviewing clinical policies for billing and coding compliance.
• Keep staff and physicians informed of payer updates and changes.
• Collaborate with the Manager of Revenue Cycle & Billing Operations on budget planning, biller workflow oversight, and payer guideline reviews to ensure departmental alignment.
• Cross-train on in-office dispensing (IOD) charges and payments, to support operational coverage and assist the Manager of Revenue Cycle & Billing Operations as needed.
• Cross-train on reviewing AR to provide secondary oversight and support.
• Performs additional duties as assigned or requested.

Skills

Leadership

Billing oversight

Medical billing

ICD-10 CPT coding

EMR

Tools

MedHQ

Job description

Job Description Wichita Urology’s leadership team is built with individuals who share our values, vision, and commitment to operational excellence. As a member of this team, you will immerse yourself in all aspects of healthcare billing compliance, reporting, and authorizations including urology billing, radiation oncology billing, imaging billing, in-office dispensing, and more.

Job Description Wichita Urology’s leadership team is built with individuals who share our values, vision, and commitment to operational excellence. As a member of this team, you will immerse yourself in all aspects of healthcare billing compliance, reporting, and authorizations including urology billing, radiation oncology billing, imaging billing, in-office dispensing, and more. In this co-management role alongside the Manager of Revenue Cycle & Billing Operations, this position helps oversee daily billing department functions with a focus on compliance, reporting accuracy, and authorization workflows. This role contributes to process improvement, operational alignment, and ongoing departmental success in a fast-paced, evolving environment that requires collaboration, accountability, and attention to detail.

Responsibilities

Management position responsible for directing and coordinating the overall functions for the medical billing and coding department to maximize cash flow while supporting a positive patient experience and strong physician relations. Coordinates with the Manager of Revenue Cycle & Billing Operations to oversee claims submission, payment posting oversight, charge capture, staff supervision, training, and professional development. Creates and implements policies and procedures designed to improve efficiency, maintain compliance, and support departmental and organizational goals.

Authorizations, Reporting & Compliance

• Oversee authorization processes and tracking for surgeries, PET CT, imaging services (in-house and outside facilities), and medications to ensure timely completion
• Maintain the weekly billing update spreadsheet for administration and review the monthly collections report from MedHQ
• Manage RAC Audits by CMS, including updating the RAC Audit spreadsheet, notifying physicians of recoupments, and reviewing clinical policies for billing and coding compliance
• Keep staff and physicians informed of payer updates and changes
• Collaborate with the Manager of Revenue Cycle & Billing Operations on budget planning, biller workflow oversight, and payer guideline reviews to ensure departmental alignment
• Cross-train on in-office dispensing (IOD) charges and payments, to support operational coverage and assist the Manager of Revenue Cycle & Billing Operations as needed
• Cross-train on reviewing AR to provide secondary oversight and support
• Performs additional duties as assigned or requested.

Required Qualifications

Requires strong managerial, leadership, organizational skills, including critical thinking and the ability to produce and present detailed billing activity reports. Minimum 2 years medical billing and supervisory experience. Must have a thorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance companies, as well as an understanding of ICD-10 and CPT coding, EMR, PQRS, and Medicare Quality Initiatives.

Physical Requirements

• Skill in appropriate documentation and records maintenance
• Skill in usage of PC, multi-line phone, copier, fax, and printer
• Ability to interpret, adapt and apply written guidelines and procedures to standard work practice
• Ability to speak effectively before individuals and/or groups
• Ability to hear normal conversations and understand verbal information
• Movements frequently and regularly required using the wrists, hands, and/or fingers
• Using primarily just the fingers to make small movements such as typing, picking up small objects, or pinching fingers together
• Average, ordinary, visual acuity necessary to prepare or inspect documents or products, or operate machinery
• Prolonged periods of sitting, standing or walking may be required, should be able to transport approximately 0-25lbs of charts or files

Working Conditions

• Office environment