Billing Manager
@ SportsMed Physical TherapyBilling Manager
About the job
SportsMed Physical Therapy provides outpatient orthopedic, sports, neurological, and rehab care. The Billing Manager oversees AR teams, ensuring optimal reimbursement and financial performance. role includes leadership, compliance, and process improvement.
Requirements
- Healthcare billing and collections
- Leadership experience in billing
- Knowledge of payer regulations
- Experience with EMR systems
- Proficiency in Excel and reporting
Qualifications
- Bachelor's in Healthcare or related
- 5+ years healthcare billing experience
- 2+ years leadership in billing
- Knowledge of reimbursement practices
- Experience in outpatient settings
Full 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.
- 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.
- 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.
- 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.
- Ensure compliance with all payer requirements, HIPAA regulations, and company policies.
- Maintain accurate documentation and billing records.
- Support internal and external audits as required.
Financial Performance
Leadership and Team Management
Reporting and Analytics
Compliance
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.
- 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.
Preferred
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