Job Description

Are you looking for mission-driven work?  Do you want to join a collaborative team where your financial expertise fuels a nonprofit’s mission? Are you r eady to make a measurable impact in a role that blends leadership, compliance, and compassion? If so, this might be the role for you!

Our client, The Children’s TherAplay Foundation, Inc. is a mission driven organization with a team of dedicated employees who work enthusiastically and collaboratively to support the children they serve. If you are interested in being a part of their growing organization, we want to share more information with you!

The Medical Billing Manager is a vital member of the clinic operations team and oversees all aspects of the organization’s billing and revenue cycle functions, including claims processing, accounts receivable, payor relations, and compliance with billing regulations. This role is essential to sustaining the financial health of their programs while upholding their commitment to affordable, accessible care.

BENEFITS: 

• Health, Dental, Vision
• Flexible scheduling with 1 day work from home
• Paid time off
• Paid holidays
• Health savings account
• 401(k) matching
• Disability insurance
• Employee assistance program

KEY RESPONSIBILITIES:

Revenue Cycle Management

• Manage full-cycle medical billing operations, including coding oversight, claim submission, payment posting, follow-ups, and denial management.
• Ensure timely and accurate submission of claims to commercial insurance, Medicaid, and other payors.
• Manage patient balances and collections and work in partnership with families to ensure a smooth payment collection process.
• Monitor aged receivables and implement effective follow-up strategies to maximize collections.

Compliance & Audit

• Ensure compliance with federal, state, and payer-specific billing regulations and HIPAA.
• Maintain and update billing policies and procedures.
• Assist in preparation for audits and respond to audit requests as needed.

Data, Reporting & Analysis

• Track and analyze billing performance metrics, preparing monthly and quarterly reports for leadership.
• Identify trends in claim denials and recommend solutions to improve collection rates and minimize errors.
• Collaborate with leadership on revenue forecasting and planning.
• Participate in month end financial reconciliation with EMR and QuickBooks.

Team Leadership & Collaboration

• Supervise billing team.
• Train and support clinical and administrative staff on billing-related processes.
• Act as liaison with payors and patients to resolve complex billing issues.
• Proactively identify areas in the medical billing department where process improvements can be made to improve clinic operation KPI’s.
• Ensure patient confidentiality and integrity through HIPAA compliance.
• Establish and maintain positive working relationships with coworkers, patients, family members, payors, and referral sources.
• Manages the A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps towards resolution using professional judgment.

REQUIRED EXPERIENCE:

• Associate’s or Bachelor’s degree in Business, Health Administration, or related field required.
• Minimum 3–5 years of experience in medical billing, with at least 2 years in a supervisory or lead role.
• Strong knowledge of CPT, ICD-10, HCPCS coding, and electronic billing systems.
• Experience with nonprofit healthcare organizations or community health centers a plus.
• Familiarity with Medicaid, Medicare, and managed care payors.
• Proficient with billing software, Quickbooks, and Microsoft Excel; experience with Practice Perfect would be helpful.
• Strong attention to detail, problem-solving, and organizational skills.
• Excellent interpersonal and communication skills.

Many of our clients utilize E-Verify as part of their employment process. E-Verify is an internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States

PURPLE INK OPERATES AS AN EQUAL OPPORTUNITY EMPLOYER

#IND

Job Tags

Full time, Work from home, Flexible hours,

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