Job Description

Growth Orthopedics is hiring a full-time, remote Billing Manager for the RCM Department. This individual must be able to work CST and EST hours.

Position Summary

Reporting to and working with the Sr. Director, the Billing Manager will oversee billing operations for multiple orthopedic surgery practices, ensuring timely and accurate charge capture, claim submission, and revenue cycle integrity. This role manages billing analysts and billing assistants, collaborates with the coding team, and drives process improvements while maintaining compliance with payer policies and regulatory requirements. Additionally, the manager will assist in developing enterprise-wide billing policies that drive clean claim submissions electronically or via mail, management of clearinghouse rejections, administering training to staff, and upholding the integrity of the organization. Must have surgery/outpatient billing experience and relevant certifications/training.

Key Responsibilities

· Manage billing analysts and assistants across multiple orthopedic practices, providing leadership, training, and performance evaluations

· Ensure timely and accurate charge capture and submission of clean claims

· Oversee claim scrubbing, error resolution, and rejection follow-up

· Routine audits of claim submissions sent electronically and via paper with the appropriate attachments  

· Ensure timely obtaining and proper routing of completed medical records to facilitate accurate and prompt coding and billing

· Track, analyze, and report billing performance metrics and KPIs

· Assist when needed for charge entry, pulling operative notes, claims transmission and working claim rejections  

· Collaborate with leadership, coding analysts, and clinical staff to ensure accurate coding and billing practices

· Maintain up-to-date knowledge of payer policies, regulations, and industry best practices to ensure compliance

· Oversee billing technology, including EHR/EMR, practice management systems, clearinghouses, and other revenue cycle tools

· Support internal and external audits by providing necessary documentation and process insights

· Foster a culture of innovation by identifying problems and implementing practical solutions to improve accuracy and efficiency

· Manage a team remotely with occasional travel for meetings and team collaboration

Qualifications

Experience & Education

• ~5 years of experience in medical billing with prior management/supervisory responsibilities in billing operations across multiple sites or practices
• Proficiency in MS Word and Excel a must. Experience with Waystar is helpful.  
• Sound judgment and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis  
• The ability to communicate effectively, both verbally and in writing, with internal and external clients  
• Be able to multi-task and handle competing priorities while meeting or exceeding deadlines  
• Ability to work independently and as a member of the team with the ability to identify and resolve complex problems  
• Must possess positive attitude to enhance a cooperative and energetic work environment  
• Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards  

Technical Skills

• Proficient with EHR, EMR, practice management systems, clearinghouses, and bolt-on revenue cycle tools
• Strong knowledge of CMS-1500 forms and professional billing workflows for both electronic and paper claims
• Ability to leverage technology and data analytics to improve workflow efficiency and billing accuracy

Leadership & Interpersonal Skills

• Strong mentoring and staff development capabilities
• Excellent communication and collaboration skills, working effectively with cross-functional teams
• Proactive problem solver who can work with urgency and accountability
• Innovative mindset with a focus on continuous improvement and operational excellence

Work Environment & Travel

• This position is primarily remote
• Some travel required for team meetings, training, and leadership collaboration

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