Billing Manager

Job description

SportsMed Physical Therapy is a leading outpatient physical therapy provider in the Northeast delivering high-quality, multidisciplinary care across orthopedic, sports, neurological, vestibular, and rehabilitation populations.

Our facilities feature state-of-the-art equipment for the effective treatment of a variety of orthopedic and sports-related injuries.

Position Summary

The Billing Manager is responsible for overseeing designated Accounts Receivable (AR) teams and ensuring optimal reimbursement through effective billing, collections, denial management, and follow-up activities. This role provides day-to-day leadership, coaching, and performance management for assigned staff while driving accountability for revenue cycle metrics and collection goals.

The Billing Manager serves as a key operational leader within the Revenue Cycle department and is responsible for improving financial performance, reducing aged receivables, enhancing staff productivity, and supporting a culture of continuous improvement.

Duties and Responsibilities

Revenue Cycle Operations - Manage daily operations for assigned Accounts Receivable teams. - Monitor and prioritize work queues to ensure timely account resolution. - Oversee claim follow-up, denial management, appeals, and collection activities. - Identify and resolve reimbursement issues impacting cash collections. - Ensure timely resolution of payer and patient account inquiries. - Monitor payer-specific trends and implement corrective action plans. - Collaborate with operational teams to improve reimbursement outcomes.

Financial Performance - Drive achievement of monthly collection goals. - Monitor and reduce Days in Accounts Receivable (AR). - Develop strategies to reduce aged balances and increase cash collections. - Analyze denial trends and implement recovery initiatives. - Monitor underpayments and pursue recovery opportunities. - Ensure compliance with payer guidelines and billing regulations.

Leadership and Team Management - Directly supervise assigned supervisors, team leads, and billing staff. - Establish performance expectations and accountability measures. - Conduct regular staff meetings, coaching sessions, and performance reviews. - Develop staff through training, mentoring, and cross-training opportunities. - Foster a positive, collaborative, and results-oriented work environment.

Reporting and Analytics - Analyze department performance metrics and productivity trends. - Prepare monthly reports for Revenue Cycle leadership. - Track collection performance, AR aging, denial rates, and productivity. - Utilize data to identify opportunities for operational improvement.

Compliance - Ensure compliance with all payer requirements, HIPAA regulations, and company policies. - Maintain accurate documentation and billing records. - Support internal and external audits as required.

Qualifications

Required - Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred. - Minimum of 5 years of healthcare billing, collections, or revenue cycle experience. - Minimum of 2 years of leadership experience in a medical billing environment. - Strong knowledge of medical billing practices, reimbursement methodologies, and payer regulations. - Experience with electronic medical records (EMR) and practice management systems. - Proficiency in Microsoft Excel and reporting tools.

Preferred - Experience within Physical Therapy, Chiropractic, Orthopedic, or Outpatient Healthcare settings. - Experience managing Accounts Receivable teams. - Knowledge of Medicare, Commercial, Workers' Compensation, No-Fault, and Patient Billing processes.

Benefits - Medical, Dental, Vision Insurance - Life & Disability Insurance - Paid vacation, sick time, and holidays - 401(k) match - Access to Rain – flexible earned wage advance benefit - Hybrid work schedule - Competitive base salary + Bonus

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