Healthcare Claims Billing Manager

Job Summary

Seeking a hands-on Medical/Healthcare Claims Billing Manager, the full-time remote position will oversee the accurate submission of claims to Medicaid, Medicare, and other payers while building and leading the billing team to establish robust revenue cycle operations.

Key Responsibilities

• Ensure accurate and timely submission of claims, monitoring status and resolving denials and rejections
• Build and lead the billing team, establishing processes, documentation, and best practices
• Manage hiring, training, and performance of billing staff as the function scales

Required Qualifications

• Minimum of 5+ years of experience in healthcare claims billing, with 3 years in a leadership role
• Direct experience with claims submission for Medicaid and Medicare
• Strong knowledge of claims submission systems, clearinghouses, and payer portals
• Familiarity with CMS, CPT, ICD-10, and HCPCS coding
• Proven ability to hire, train, and manage billing staff effectively