Revenue Cycle Billing Manager

Workstream; Salem (OR); On-site; USD 80,000 - 110,000; Full time

Job summary

Retina Consultants, LLC is seeking an experienced Billing Manager to lead the medical billing department and oversee the day-to-day management of the revenue cycle. This role focuses on timely, accurate claim processing and improving processes across payer policies.

You will mentor staff, monitor metrics, and partner with physicians and administration to resolve denials and ensure compliant billing. Prior ophthalmology or specialty billing is preferred.

Qualifications

• Minimum of 5 years of progressive medical billing experience with leadership or supervisory experience preferred.
• Strong understanding of the complete medical revenue cycle and payer policies.

Responsibilities

• Provide leadership and daily oversight of the billing department.
• Monitor and manage all aspects of the revenue cycle, including claim submission, payment posting, denial management, appeals, and collections.
• Review and analyze accounts receivable aging and ensure timely follow-up on outstanding claims.
• Develop workflows and processes to improve billing efficiency, accuracy, and reimbursement.
• Ensure department compliance with Medicare, Medicaid, commercial insurance, and payer requirements.
• Train, mentor, and support billing staff while fostering a collaborative team environment.
• Prepare reports on key revenue cycle metrics, aging trends, denials, and collections for leadership.

Skills

Leadership

Staff mentoring

Process improvement

Analytical skills

Communication skills

Education

Bachelor's degree in Healthcare Administration

Tools

Nextech practice management software

Job description

Retina Consultants, LLC is seeking an experienced Billing Manager to lead our medical billing department and oversee the day-to-day management of the revenue cycle. This position is responsible for ensuring the timely and accurate billing and collection of claims while providing leadership, accountability, and support to the billing team.

This is an excellent opportunity for an experienced medical billing professional who enjoys problem solving, improving processes, mentoring staff, and navigating the ever-changing landscape of payer policies and reimbursement.

Essential Responsibilities

• Provide leadership and daily oversight of the billing department.
• Monitor and manage all aspects of the revenue cycle, including claim submission, payment posting, denial management, appeals, and collections.
• Review and analyze accounts receivable aging and ensure timely follow-up on outstanding claims.
• Develop workflows and processes to improve billing efficiency, accuracy, and reimbursement.
• Stay current on Medicare, Medicaid, commercial insurance, and payer policy changes and ensure department compliance.
• Train, mentor, and support billing staff while fostering a collaborative team environment.
• Monitor productivity and quality metrics and identify opportunities for improvement.
• Work closely with physicians, administration, coding, and clinical staff to resolve billing and reimbursement issues.
• Assist with implementation of new billing processes, software enhancements, and workflow improvements.
• Prepare reports on key revenue cycle metrics, aging trends, denials, and collections for leadership.
• Ensure compliance with all applicable federal and state regulations and payer requirements.
• Participate in all aspects of the medical billing process, including claim submission, payment posting, denial management, accounts receivable follow-up, appeals, insurance verification, and reimbursement, while providing leadership and oversight to the billing department.

Qualifications

• Minimum of 5 years of progressive medical billing experience, with leadership or supervisory experience preferred.
• Strong understanding of the complete medical revenue cycle.
• Experience with Medicare, Medicaid, commercial insurance, prior authorizations, appeals, and denial management.
• Knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and medical coding principles.
• Experience managing accounts receivable and improving collection performance.
• Excellent analytical, organizational, and problem-solving skills.
• Ability to prioritize multiple projects and meet deadlines in a fast-paced environment.
• Strong communication and interpersonal skills.
• Experience with ophthalmology or retina billing is highly preferred.
• Experience with Nextech practice management software is a plus.

We Are Looking For Someone Who

• Takes ownership of the revenue cycle and follows issues through to resolution.
• Is highly organized and detail oriented.
• Leads by example and enjoys mentoring others.
• Is proactive rather than reactive.
• Can identify trends before they become problems.
• Thrives in an environment of continuous improvement.
• Is committed to providing outstanding service to both patients and providers.

About Retina Consultants

Retina Consultants is a growing, physician-owned retina specialty practice serving patients throughout the Willamette Valley. Our team is dedicated to preserving and restoring vision through exceptional patient care while continually improving the systems that support our physicians, staff, and patients.

At Retina Consultants, we specialize in the medical and surgical diagnosis, treatment, and management of diseases affecting the retina and vitreous. Our physicians are Board Certified and Fellowship-trained medical and surgical retina specialists dedicated to providing exceptional patient care using the latest advances in retinal medicine.
In addition to comprehensive retinal care, we offer access to innovative clinical trials, giving eligible patients the opportunity to participate in research that helps shape the future of retinal treatments. We also provide photobiomodulation (light) therapy as a treatment option for select retinal conditions, allowing patients access to cutting-edge technologies alongside established standards of care.