Reimbursement Manager — Flexible Schedule & Training

Stonebridge Independent Counseling Center; McKinney (TX); On-site; USD 95,000 - 125,000; Full time

Benefits offered by this job

Competitive salary

Flexible schedule

Paid time off

Training & development

Job summary

Stonebridge Independent Counseling Center in McKinney, TX, seeks a Reimbursement Manager to lead the billing team and optimize the organization’s revenue cycle. You will supervise claim submissions, denials management, and payer communications to ensure timely collections and compliance.

The role requires strong coding knowledge, Medicare/Medicaid experience, and the ability to train staff while improving processes and metrics.

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, or related field (or equivalent experience/certification).
• 5+ years of medical billing or reimbursement experience, preferably in home infusion or specialty pharmacy.
• Strong understanding of CPT, HCPCS, ICD-10 coding and insurance claim workflows.
• Knowledge of federal/state billing guidelines, including Medicare and commercial payer requirements.
• Experience with electronic claim transmissions, clearinghouses, and denial management.
• Proficiency in Microsoft Excel, Word, Outlook.
• Excellent communication, problem-solving, and organizational skills.

Responsibilities

• Supervise daily operations of the reimbursement team including claim submission, billing edits, denials, and collections.
• Ensure timely and accurate submission of claims with proper documentation.
• Monitor and improve reimbursement metrics such as days in A/R, denial rates, and collection effectiveness.
• Review and ensure proper use of billing codes and Place of Service.
• Resolve escalated issues related to front-end denials, payer rejections, and discrepancies.
• Oversee setup and maintenance of payers in the billing system.
• Maintain knowledge of Medicare, Medicaid, and commercial payer guidelines.
• Coordinate billing and follow-up for third-party payers and assistance programs.
• Oversee documentation for refunds and coordinate payment information with cash posting staff.
• Audit delivery tickets and ensure eligibility for financial assistance programs.
• Review and approve patient hardship waivers; maintain tracking and documentation.
• Compile and analyze reimbursement reports for leadership and make improvements.
• Train and support staff on billing procedures and system updates.
• Ensure compliance with all federal, state, and local billing regulations.

Skills

Medical billing

CPT/HCPCS/ICD-10

Billing workflows

Denial management

Insurance claim submission

Communication skills

Analytical math skills

Education

Bachelor’s degree in Healthcare Administration, Finance, or related field

Tools

MS Excel

MS Word

MS Outlook

Job description

Stonebridge Independent Counseling Center in McKinney, TX, seeks a Reimbursement Manager to lead the billing team and optimize the organization’s revenue cycle. You will supervise claim submissions, denials management, and payer communications to ensure timely collections and compliance.

The role requires strong coding knowledge, Medicare/Medicaid experience, and the ability to train staff while improving processes and metrics.