Medical Billing Manager
Web ID: W7-5-2025
Classification: AccountingHealth Care - Medical
City: Wichita
State: KS
Compensation: $55,000.00 - $65,000.00 per year
Education: Bachelor's Degree or Equivalent Experience
Benefits: Comprehensive Benefits Package
Job Description: Under the direction of the CEO, the Medical Billing Manager is responsible for overseeing the billing team, ensuring accurate and timely insurance claims processing, accounts receivables management, and month-end reporting. This role includes identifying opportunities for process improvements, coaching and training team members, and ensuring compliance with federal and state regulations.
Responsibilities:
- Oversee the billing team’s daily operations, including timely and accurate insurance claims submissions and A/R follow-ups.
- Manage and troubleshoot the Niko Health system, ensuring smooth operations.
Oversee collections for:
-
- Medicare A & B
- Managed Care / Private Insurance
- Medicaid
- Third-Party Coinsurance
- Maintain documentation to support third-party claims submissions and collections per company policies.
- Process cash and check postings as needed.
- Provide backup support and cross-training for billing associates.
- Stay up to date on CMS regulations, managed care contracts, and state/federal healthcare policies.
- Develop and maintain metrics for the CEO, including performance assessments and process improvement opportunities.
- Actively participate in training sessions and meetings.
- Perform other duties as assigned.
Management Responsibilities:
- Supervise, coach, and train billing team members to meet performance goals.
- Evaluate and refine the current billing model to support future growth and success.
Under the direction of the CEO, the Medical Billing Manager is responsible for overseeing the billing team, ensuring accurate and timely insurance claims processing, accounts receivables management, and month-end reporting. This role includes identifying opportunities for process improvements, coaching and training team members, and ensuring compliance with federal and state regulations.
Responsibilities:
- Oversee the billing team’s daily operations, including timely and accurate insurance claims submissions and A/R follow-ups.
- Manage and troubleshoot the Niko Health system, ensuring smooth operations.
Oversee collections for:
-
- Medicare A & B
- Managed Care / Private Insurance
- Medicaid
- Third-Party Coinsurance
- Maintain documentation to support third-party claims submissions and collections per company policies.
- Process cash and check postings as needed.
- Provide backup support and cross-training for billing associates.
- Stay up to date on CMS regulations, managed care contracts, and state/federal healthcare policies.
- Develop and maintain metrics for the CEO, including performance assessments and process improvement opportunities.
- Actively participate in training sessions and meetings.
- Perform other duties as assigned.
Management Responsibilities:
- Supervise, coach, and train billing team members to meet performance goals.
- Evaluate and refine the current billing model to support future growth and success.
Job Requirements: Education & Experience:
- High school diploma or equivalent (required).
- Minimum 6 years of medical billing experience, with at least 2 years in a management role.
- Proven experience with:
- Kansas Medicaid, Medicare, commercial insurance, and co-insurance.
- Electronic Medical Records (EMR) systems.
- Insurance portals and business software.
- Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent.
Skills & Competencies:
- Strong knowledge of CPT, ICD-9, ICD-10, and DRG coding systems.
- Ability to read and interpret CMS regulations, managed care contracts, and procedure manuals.
- Proficiency in medical billing and practice management software.
- Strong analytical and problem-solving skills.
- Exceptional attention to detail and ability to manage multiple tasks in a fast-paced environment.
- Excellent interpersonal, verbal, and written communication skills.
- Demonstrated ability to work collaboratively with co-workers and leadership.
- Strong organizational and multi-tasking skills.
- Ability to handle sensitive information with confidentiality and discretion.
Certificates, Licenses, and Registrations:
- Current certification in medical billing and coding (CPC, CCS, or similar certification).
Preferred Qualifications:
- 3-5 years of administrative and clerical experience.
- Working knowledge of Microsoft Office Suite.
Knowledge, Skills, and Abilities:
- Comprehensive understanding of medical office functions, including records management and coding.
- Strong integrity, self-motivation, and commitment to project completion.
- Collaborative mindset with a passion for creating high-performance teams.
This position offers the opportunity to lead a dynamic team and drive operational excellence in a growing organization committed to patient care and innovation.
Education & Experience:
- High school diploma or equivalent (required).
- Minimum 6 years of medical billing experience, with at least 2 years in a management role.
- Proven experience with:
- Kansas Medicaid, Medicare, commercial insurance, and co-insurance.
- Electronic Medical Records (EMR) systems.
- Insurance portals and business software.
- Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent.
Skills & Competencies:
- Strong knowledge of CPT, ICD-9, ICD-10, and DRG coding systems.
- Ability to read and interpret CMS regulations, managed care contracts, and procedure manuals.
- Proficiency in medical billing and practice management software.
- Strong analytical and problem-solving skills.
- Exceptional attention to detail and ability to manage multiple tasks in a fast-paced environment.
- Excellent interpersonal, verbal, and written communication skills.
- Demonstrated ability to work collaboratively with co-workers and leadership.
- Strong organizational and multi-tasking skills.
- Ability to handle sensitive information with confidentiality and discretion.
Certificates, Licenses, and Registrations:
- Current certification in medical billing and coding (CPC, CCS, or similar certification).
Preferred Qualifications:
- 3-5 years of administrative and clerical experience.
- Working knowledge of Microsoft Office Suite.
Knowledge, Skills, and Abilities:
- Comprehensive understanding of medical office functions, including records management and coding.
- Strong integrity, self-motivation, and commitment to project completion.
- Collaborative mindset with a passion for creating high-performance teams.
This position offers the opportunity to lead a dynamic team and drive operational excellence in a growing organization committed to patient care and innovation.