Manager, Specialty Billing

Socket.dev; Gainesville (FL); On-site; USD 95,000 - 125,000; Full time

Job summary

Socket.dev is seeking an experienced Revenue Cycle Manager to oversee day-to-day hospital and professional billing operations, including research and transplant billing, sponsor invoicing, and cross-functional collaboration. The role focuses on compliant, timely claims and minimizing denials while accelerating cash flow through standardized workflows and controls.

Ideal candidate has 3–4 years of progressive revenue cycle experience, with 1–2 years in HB/PB billing, and at least 3 years in

Qualifications

• Associate degree in Healthcare Administration, Healthcare Management, or related field preferred.
• 3–4 years of progressive revenue cycle experience, including 1–2 years in billing operations (HB/PB).
• Minimum 3 years of supervisory experience in hospital or professional billing operations.
• Experience with Epic and revenue cycle technologies.
• Ability to lead teams through process improvement and change initiatives.

Responsibilities

• Oversee day-to-day billing operations for HB and PB across multiple portfolios.
• Ensure compliant, accurate, and timely claim production and sponsor invoicing.
• Minimize denials and write-offs; accelerate cash flow with standardized workflows and controls.
• Lead cross-functional teams through change initiatives and process improvements.

Skills

Revenue cycle management

Hospital billing

Professional billing

Team leadership

Epic experience

Cross-functional collaboration

Sponsor invoicing

Education

Associate degree

Tools

Epic

RCM systems

Reporting tools

Job description

Overview

Oversee day-to-day billing operations for research/clinical trials, transplant services, and client/corporate billing portfolios across HB and PB. Ensure accurate, compliant, and timely claim production and sponsor/client invoicing; minimize billing-driven denials and avoidable write-offs; accelerate cash and improve billing quality through standardized workflows, controls, and cross-functional collaboration.

Qualifications

Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.

Experience: Minimum of 3 to 4 years of progressive revenue cycle experience, including at least 1 to 2 years in billing operations (HB and/or PB) within a hospital or multi-site health system with a two-year degree.

• Minimum of 3 years of supervisory experience in hospital and/or professional billing operations.
• A formal degree may be substituted with 6+ years of direct, hands-on revenue cycle and supervisory experience.
• Demonstrated experience with Epic and revenue cycle technologies.
• Proven success leading teams through organizational change and process improvement initiatives.
• License/Certification/Registration: Not required.

Deep expertise in:

• Hospital Billing (HB) and Professional Billing (PB)
• Research billing operations
• Transplant billing processes
• Client and corporate billing environments

Working knowledge of:

• HIPAA compliance and privacy requirements
• Research billing audit practices
• Clinical trial billing regulations
• Transplant billing regulatory requirements

Thorough understanding of:

• CMS and commercial payer billing regulations
• UB-04 and CMS-1500 claim forms
• NCCI edits
• Medically Unlikely Edits (MUEs)
• Local Coverage Determinations (LCDs)
• National Coverage Determinations (NCDs)
• Timely filing requirements and specialty case implications

Research billing expertise, including:

• Sponsor billing
• Study budget management
• Billing grids
• Clinical trial compliance
• Investigational charge capture
• Sponsor invoicing and reconciliation

Transplant billing expertise, including:

• Organ acquisition cost accounting
• DRG and bundling methodologies
• Transplant modifiers
• Coordination with Organ Procurement Organizations (OPOs)

Client and corporate billing proficiency, including:

• Contract invoicing
• Third-party billing
• Departmental billing
• Special program billing
• Statement generation and reconciliation processes

Strong ability to interpret and reconcile:

• Sponsor agreements
• Payer coverage determinations
• Institutional billing policies
• Billing responsibilities to prevent duplicate billing and ensure compliance

Demonstrated change leadership and continuous improvement mindset, including experience implementing:

• Standardized playbooks
• Workflow optimization initiatives
• Automation solutions

• Excellent written and verbal communication skills.
• Strong cross-functional collaboration skills with the ability to work effectively across operational, clinical, research, financial, and compliance teams.

Technical proficiency with:

• Epic and revenue cycle management (RCM) systems
• Research billing modules
• Work queue configuration
• Reporting and analytics tools
• Electronic sponsor invoicing platforms.