Medical Billing Manager

Atlantic Group; New York (NY); On-site; USD 100,000 - 125,000; Full time

Job summary

Atlantic Group is seeking a Medical Billing Manager in Nassau County, NY, to lead high-volume billing operations and revenue cycle activities within a busy healthcare practice. The role focuses on supervision of coding, AR, workers' compensation, and billing staff to ensure accurate claims processing and timely reimbursement.

The successful candidate will drive denial management, eligibility verification, and payer communications, leveraging CPC/CHC credentials and 3+ years of leadership in

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field.
• Certified Professional Coder (CPC) or Certified in Healthcare Compliance (CHC) certification preferred.
• 3+ years of high-volume medical billing and revenue cycle management experience required.
• Strong knowledge of medical coding, CPT codes, and insurance billing regulations.

Responsibilities

• Oversee daily billing department operations, staffing, training, and performance evaluations.
• Direct the full billing cycle, including verification, prior authorizations, submissions, posting, and collections.
• Ensure accurate coding, claims submission, and timely filing while maintaining CPT codes and fee schedules.
• Monitor AR, analyze aging, and implement strategies to improve collections and reimbursement timelines.
• Oversee denials, appeals, payment adjustments, and insurance disputes in compliance with payer requirements.

Skills

Leadership

Billing operations

Revenue cycle

Team supervision

Analytical skills

Communication

Education

Bachelor's degree

CPC or CHC certification

Tools

AdvancedMD

EMR/Practice management

Microsoft Word

Excel

Outlook

Job description

Job Overview – Medical Billing ManagerCompensation: $100,000 – $125,000/yearLocation: Nassau County, NYSchedule: Monday to Friday (In-Office)

Atlantic Group is hiring a Medical Billing Manager in Nassau County, NY for our client, overseeing medical billing operations, revenue cycle management, insurance collections, and billing team performance within a high-volume healthcare practice. This leadership role will manage daily billing activities across coding, accounts receivable, workers' compensation, insurance dispute resolution, and eligibility verification while ensuring accurate claims processing and timely reimbursement.

Responsibilities as the Medical Billing Manager:

• Billing Operations & Leadership: Oversee daily billing department operations, including staff scheduling, workload distribution, employee training, performance evaluations, and supervision of coding, accounts receivable, workers' compensation, dispute resolution, and eligibility teams.
• Revenue Cycle Management: Direct the full medical billing cycle, including insurance verification, prior authorizations, patient financial responsibility, claims submission, payment posting, collections, and account reconciliation.
• Claims Processing & Coding: Ensure accurate medical coding, charge entry, claims submission, and timely filing while maintaining CPT codes, fee schedules, diagnosis records, and insurance contract information.
• Accounts Receivable & Collections: Monitor insurance and patient accounts receivable, analyze aging reports and days in AR, investigate payment discrepancies, and implement strategies to improve collections and reimbursement timelines.
• Denials & Insurance Management: Oversee claim denials, appeals, payment adjustments, workers' compensation billing, and insurance disputes while ensuring compliance with payer requirements and reimbursement guidelines.

Qualifications for the Medical Billing Manager:

• Education: Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field is required.
• Certification: Certified Professional Coder (CPC) or Certified in Healthcare Compliance (CHC) certification is preferred.
• Experience: 3+ years of high-volume medical billing and revenue cycle management experience is required, including direct experience managing billing teams and overseeing daily departmental operations.
• Industry Knowledge: Strong knowledge of medical coding, CPT codes, insurance billing regulations, claims processing, accounts receivable, denial management, workers' compensation, and patient collections is required, with experience in orthopedics, outpatient services, or surgical practices preferred.
• Technical Skills: Proficiency in Microsoft Word, Excel, Outlook, and electronic medical record (EMR) or practice management systems is required, with AdvancedMD experience preferred.
• Skills & Attributes: Strong leadership, organizational, analytical, problem-solving, and communication skills with the ability to manage multiple billing functions, coach and develop employees, resolve complex reimbursement issues, and collaborate effectively with patients, providers, and executive leadership.