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Billing Manager
Vivo Infusion®. Lead day-to-day billing operations and ensure patient encounters, drug charges, and administration charges are accurately, compliantly, and timely captured, coded, and billed .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing operations, including claim submission, denial management, and compliance with CMS guidelines and HIPAA regulations. Proven ability to lead and develop billing teams while ensuring accuracy and efficiency in billing processes.
Highest-signal resume keywords
Healthcare Billing ExperienceSupervisory ExperienceCPT, HCPCS, ICD-10 KnowledgeCertified Professional Biller (CPB)Attention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaim SubmissionCharge ReconciliationBilling System ManagementInfusion-Service BillingElectronic Claims ProcessingData AnalysisBilling Policies DevelopmentReimbursement MethodologiesAudit Support
Soft Skills
LeadershipCoachingCommunicationProblem SolvingAnalytical Thinking
Tools & Technologies
Microsoft OfficePractice Management SystemsClearinghouse Systems
Certifications & Qualifications
Certified Professional Biller (CPB)Certified Professional Coder (CPC)Certified Revenue Cycle Representative (CRCR)Certified Medical Reimbursement Specialist (CMRS)
Industry Keywords
CMS-1500 BillingHIPAA ComplianceMedicareMedicaidHealthcare RegulationsPatient EncountersDrug HCPCS J-CodesNDCJW/JZ ModifiersBilling SMGs
About the role
Key responsibilities & impact- Lead day-to-day billing operations and ensure patient encounters, drug charges, and administration charges are accurately, compliantly, and timely captured, coded, and billed
- Lead, develop, and hold billing specialists accountable to departmental goals
- Oversee charge review and entry, charge reconciliation, claim submission, and claim rejection and denial management
- Submit electronic 837P and paper CMS-1500 claims within 24 hours or less of the date of service
- Ensure accurate infusion-service billing, including drug HCPCS J-codes, NDC, units, wastage, JW/JZ modifiers, and drug administration CPT codes
- Oversee billing-system edits, claim rules, automated workflows, testing, and monitoring
- Manage clearinghouse edits, front-end rejections, payer acknowledgment reports, corrections, and resubmissions
- Monitor and report billing SMGs, including time to bill, clean claim rate, first-pass resolution rate, and rejection and denial rate
- Lead month-end close activity and reporting
- Analyze rejection and denial trends and implement corrective action
- Coordinate with coding and compliance on CPT, HCPCS, ICD-10-CM, modifiers, documentation, and provider education
- Establish SMGs, productivity and quality standards, workload assignments, billing policies, procedures, and workflows
- Serve as primary billing contact for new practice-management and clearinghouse systems and programs
- Collaborate with Operations, Patient Access, Coding, Credentialing, Payor Contracting, Finance, and Patient Resource Operations
- Maintain knowledge of payer policies, reimbursement methodologies, CMS guidelines, HIPAA, and state and federal billing regulations; support audits
- Train, coach, evaluate, supervise, motivate, and discipline billing team members
- Conduct team meetings, account audits, productivity and quality reviews, cross-functional training, and succession planning
- Ensure staffing levels and workload balance
- Perform special projects and other assigned duties
Requirements
What you’ll need- High school graduate or equivalent required
- Professional certification preferred, such as Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Revenue Cycle Representative (CRCR), or Certified Medical Reimbursement Specialist (CMRS)
- Minimum 3 years of healthcare billing experience, preferably in an infusion center or multi-specialty physician practice (CMS-1500 billing)
- Minimum 2 years of supervisory or management experience in a healthcare setting
- Advanced knowledge of medical billing, medical insurance, accounting, HIPAA, Medicare/Medicaid, CPT, HCPCS, and ICD-10
- Experience in mentoring, coaching, and developing teams
- Excellent listening and influencing skills
- Proven attention to detail, analytical, critical thinking, problem solving, and time management skills
- Strong interpersonal and communication skills
- Demonstrated collaborative management style and strategic perspective
- Intermediate proficiency with all Microsoft Office programs
- Prior experience working with sensitive and confidential information
- Minimal travel may be needed
- Must reside in one of the listed states at the time of employment
- Proof of eligibility to work in the US
Benefits
Comp & perks- Bonus Plan Target: 10% Annually (Based on performance)
- Private Equity for the Greater Good - Company-wide Employee Ownership Program
- Medical, Dental, Vision
- HSA w/ Employer Contribution
- Touchcare - Insurance Concierge Service
- 401K with Match up to 4%
- PTO: Accrual 3+ weeks
- PTO Rollover and PTO Donation Program
- Wellness Reimbursement Program - $360 Annually
- Employee Referral Bonus - Uncapped Bonus Potential
- Tuition Assistance Program & Professional Association Reimbursement
- Employee Assistance Program (Employer-provided)
- Short & long-term disability (Employer-provided)
- Life Insurance (Employer-provided)
- Remote work from a home office
- Opportunities for growth and advancement
- Competitive benefits