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Billing Manager – Revenue Cycle Managed Services
Impact Advisors. Lead and optimize hospital and/or professional billing operations for a designated health system client .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, particularly in hospital billing operations, with a strong focus on optimizing billing workflows, ensuring compliance with regulatory requirements, and driving performance improvements. Proven ability to lead teams, manage client relationships, and implement effective operational strategies.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementHospital Billing OperationsEpic Hospital Billing (HB)Operational Performance ImprovementRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim GenerationBilling EditsClaim Submission RequirementsClearinghouse WorkflowsOperational KPIs ManagementRevenue Cycle Reporting ToolsBilling Exception WorkflowsCorrected Claims ManagementPayer Billing RequirementsPerformance Metrics Analysis
Soft Skills
LeadershipClient Relationship ManagementCross-Functional CollaborationProblem-SolvingCoaching and Development
Tools & Technologies
Microsoft ExcelHealthcare Billing Systems
Certifications & Qualifications
HFMACRCR
Industry Keywords
Healthcare AdministrationRevenue Cycle OutsourcingAcute Care BillingAmbulatory BillingBilling Audits
About the role
Key responsibilities & impact- Lead and optimize hospital and/or professional billing operations for a designated health system client
- Provide operational leadership for claim generation, billing edits, claim correction, claim submission, payer and clearinghouse acceptance, and billing-related work queues
- Own billing outcomes, identify barriers, drive issues through resolution, and ensure work progresses between teams and functions
- Oversee day-to-day billing operations and manage performance against contractual service level agreements
- Work directly with client leadership to resolve barriers and improve billing performance
- Serve as primary operational leader for billing services delivered to the assigned health system client
- Build relationships with Revenue Cycle, Finance, Patient Financial Services, and operational leaders
- Lead operational reviews covering performance, barriers, action plans, and improvement opportunities
- Oversee daily billing workflows, work queues, claim holds, edits, and pre-bill exceptions
- Ensure timely and accurate claim submission in accordance with payer and regulatory requirements
- Resolve billing errors, clearinghouse rejections, payer front-end rejections, submission issues, corrected claims, and rebilling needs
- Identify recurring issues, determine root causes, and drive resolution across coding, revenue integrity, patient access, IT, and other teams
- Maintain standardized billing workflows, procedures, and quality controls
- Monitor unresolved billing inventory and ensure clear ownership and follow-through
- Analyze billing performance metrics and drive corrective actions
- Prepare and present operational performance and action plans to client and internal leadership
- Lead, coach, and develop billing supervisors, team leads, and billing specialists, including onshore and near-shore resources
- Conduct performance evaluations, coaching sessions, and staff development planning
- Support workforce planning, staffing, and resource allocation
- Drive process improvements addressing root causes and partner with technology, automation, and revenue cycle transformation teams
- Support system conversions, workflow redesign, process standardization, client implementations, transitions, and service expansion initiatives
- Ensure improvements are implemented, measured, and sustained
- Maintain compliance with HIPAA, regulatory requirements, payer guidelines, and organizational policies
- Support billing audits and compliance reviews and ensure billing controls, documentation, and quality monitoring are followed
Requirements
What you’ll need- Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or related field; equivalent experience may be considered
- 5+ years of progressive healthcare revenue cycle experience focused on hospital billing operations
- 2+ years of leadership experience managing billing teams in a hospital, health system, business office, or revenue cycle outsourcing environment
- Strong knowledge of hospital and professional billing, claim generation, billing edits, clearinghouse workflows, claim submission requirements, claim rejections, corrected claims, and payer billing requirements
- Experience managing operational KPIs and developing performance improvement plans
- Hands-on experience with Epic Hospital Billing (HB) and/or Professional Billing (PB), including billing work queues, claim edits, claim submission, and billing exception workflows
- Ability to take ownership of operational problems, work across functional boundaries, and drive issues through resolution
- Ability to manage client relationships and lead cross-functional initiatives
- Proficiency with revenue cycle reporting tools, Microsoft Excel, and healthcare billing systems
- Preferred: experience supporting managed services, outsourcing, or complex health system billing operations
- Preferred: knowledge of both acute care and ambulatory billing operations
- Preferred: experience with both Epic Hospital Billing (HB) and Professional Billing (PB)
- Preferred: HFMA, CRCR, or other relevant revenue cycle certification
- Preferred: experience presenting operational performance, risks, and improvement plans to client and executive leadership
- Preferred: demonstrated success improving billing workflows, productivity, quality, or claim performance
Benefits
Comp & perks- Annual performance bonus may be available for salaried positions
- Additional benefits and perks may be available, depending on the position and employment terms
- Caring, fun, honest, and autonomous work environment
- Diversity and inclusion; employees feel valued and empowered