Network Billing Manager

About This Role

Manage the daily operations of Coding, Billing, and Charge Entry teams within the Revenue Cycle Department for a multi-clinic specialty Practice. Ensure accurate and timely coding, charge entry, and claim submission while coordinating all facets of the revenue cycle for efficient workflows and patient account management.

Responsibilities

• Plan, supervise, and coordinate daily activities for the Billing, Cash Posting, and Charge Entry teams
• Recruit, hire, train, and evaluate staff within areas of responsibility
• Oversee supervisory functions, including timekeeping and payroll approval, ensuring compliance with FLSA, Tennessee Department of Labor regulations, and organizational policies
• Mentor and develop team members through daily leadership, coaching, performance feedback, workflow education, payer updates, departmental communications, and routine staff meetings
• Implement and enforce departmental policies, procedures, and objectives, including internal controls and review processes to ensure consistent and compliant operations
• Manage workflow to ensure deadlines are met with available resources
• Resolve issues related to electronic claim submission and electronic remittances, working closely with vendors and/or Information Systems
• Conduct quarterly audits of coding and charge entry to ensure compliance with legal, regulatory, and administrative requirements
• Prepare and present departmental activity reports, keeping Senior Management informed of trends, issues, and opportunities for improvement
• Provide guidance on complex billing issues and support special projects as needed
• Actively participate in performance improvement initiatives at both individual and organizational levels
• Address and resolve external customer concerns in alignment with the company’s commitment to exceptional patient care, collaborating with other departments when necessary
• Perform additional duties as assigned and in accordance with organizational policies, compliance standards, and continuous improvement initiatives

Requirements

• 5+ years of experience in Healthcare Coding and Billing and Collections
• 5+ years of medical billing and coding experience in a multi-clinic physician group practice
• Experience related to ASC (ambulatory surgery center) billing and coding
• 3+ years of experience in a supervisory/management position
• Knowledge of ASC and physician practice charge capture, documentation and billing protocols

Qualifications

• Bachelor’s degree in Healthcare Related Field or Business preferred; or five (5) years of experience in Healthcare Coding and Billing and Collections.
• Minimum of five (5) years of medical billing and coding experience in a multi-clinic physician group practice along with experience related to ASC (ambulatory surgery center) billing and coding. Minimum three (3) years of experience in a supervisory/management position.

Nice to Have

• Experience with practice management systems such as Medevolve and HST
• Background in specialties including Reproductive Endocrinology, Infertility, and IVF treatments

Skills

* Required skills

Benefits

Certifications