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BILLING HEALTHCARE MANAGER

TRI-CITY CARDIOLOGY CONSULTANTS PC
  • 🇺🇸 United States
  • On-site
  • Manager or above
  • 1 day ago
  • CPT
  • Excel
  • Health insurance
  • Pension

Not enough detail in this posting to match

If you are seeking to join a stable and established organization with high employee and patient satisfaction ratings, then Tri-City Cardiology is for you! Tri-City Cardiology has been serving the healthcare needs of the East Valley for over 45 years.

We are searching for a healthcare Billing Manager to join our team! If you enjoy working in a fast-paced environment for a company that truly cares about the service provided to their patients and putting quality care first, this may be an ideal position for you!

  • Position Location: East Mesa - Power and Main
  • Schedule: Full Time Days
  • Pay: $80,000 - $125, 000 annually

TCC PERKS!!!

  • Immediate Holiday Pay
  • Annual Movie Night – invite your family too!
  • Years of Service Awards
  • Reward & Recognition Program!
  • Comprehensive medical, dental and vision offered
  • Benefits begin first of the month following hire

POSITION SUMMARY

The Billing Manager oversees daily revenue cycle operations for Tri-City Cardiology and Tri-City Surgical Center, including Charge Entry, Billing, Eligibility, Authorization, Payment Posting, and Accounts Receivable. Working collaboratively with department supervisors and under the direction of the Director of Revenue Cycle Management, the Manager ensures consistent daily operations, supervisor accountability, timely escalation resolution, staff performance, and achievement of established operational goals.

ESSENTIAL FUNCTIONS:

  1. Oversees daily revenue cycle operations for Tri-City Cardiology and Tri-City Surgical Center, including charge entry, claims processing, eligibility and benefits verification, referrals and authorizations, payment posting, denials, collections, and accounts receivable follow-up.
  2. Provides operational oversight of Charge Entry, Billing, Eligibility, and Authorization, working collaboratively with department supervisors and in coordination with the Director to ensure appropriate staffing, workload distribution, employee development, training, quality monitoring, performance management, and timely resolution of operational issues.
  3. Responsible for achieving established Revenue Cycle Management (RCM) key performance indicators (KPIs) across both organizations. Works collaboratively with department supervisors to monitor performance, identify operational deficiencies, implement corrective actions, and achieve departmental performance goals.
  4. Monitors daily and weekly productivity, accuracy, work queues, charge and claim lag, timely filing, authorization turnaround times, payment posting, denials, and accounts receivable performance for both organizations against goals established by the Director.
  5. Serves as the primary operational escalation point for supervisors and staff; resolves routine day-to-day billing and revenue cycle issues, identifies recurring problems, and elevates material risks or decisions outside the Manager’s authority to the Director.
  6. Ensures teams consistently follow approved policies, procedures, workflows, payer-specific instructions, quality controls, and compliance requirements. Reinforces and maintains changes established and implemented by the Director.
  7. Works with supervisors to maintain daily staffing coverage, prioritize work, address backlogs, support staff coaching and training, and ensure timely completion of assigned responsibilities across both organizations.
  8. Oversees daily billing operations and works collaboratively with department supervisors to resolve operational issues, manage escalations, monitor departmental performance, and ensure timely and accurate completion of assigned responsibilities.
  9. Oversees operational month-end readiness, assigned reconciliations, accurate operational reporting, and timely delivery of validated productivity, denials, collections, and accounts receivable information to the Director.
  10. Maintains service, privacy, and compliance standards in daily operations; promptly escalates significant payer, compliance, financial, staffing, or systems concerns to the Director.
  11. Identifies operational obstacles and resource needs, provides recommendations to the Director, and supports the operational adoption of Director-approved changes.

SUPERVISORY RESPONSIBILITIES

Direct Reports: Billing, Eligibility, and Authorization supervisors and other assigned revenue cycle supervisory staff for Tri-City Cardiology and Tri-City Surgical Center, as designated by the Director.

Type of Supervisory Responsibilities: Oversees daily operations through department supervisors, providing accountability for staffing coverage, performance, quality, training, and operational escalations in coordination with the Director and Human Resources.

MINIMUM QUALIFICATIONS

Bachelor’s degree in business or a related field is required.

Minimum five (5) years of healthcare revenue cycle experience, including charge entry, billing/accounts receivable and eligibility/authorization operations, required.

Minimum two (2) years of experience in supervision required. 

Proficiency in physician practice and ambulatory surgery center (ASC) revenue cycle operations, including charge entry, eligibility and benefit verification, referrals and authorizations, billing, accounts receivable, denials, collections, payment posting, and operational reporting.

Knowledge of ICD and CPT codes and billing practices.

Extensive knowledge of Excel, Word, Power Point, and other position specific software.

Excellent professional written and verbal communication/interpersonal skills.

Ability to develop and deliver effective presentations.

Energy with high ethical standards and an appropriate professional image. 

Flexible and efficient time management and ability to prioritize workload.

Able to handle high levels of stress satisfactorily while being congenial to employee manager and physicians.

Typing 40 wpm.

Eligibility

All employees must be able to provide proof of their identity and their right to work in the United States.

PREFERRED QUALIFICATIONS

Cardiology and ambulatory surgery center revenue cycle experience.

Experience with NextGen, SIS, and Waystar preferred.

Previous experience overseeing billing, eligibility, and authorization supervisors is highly desirable.

In addition to fostering a positive work environment with internal career growth opportunities for our employees, we offer a generous comprehensive Total Rewards Package that includes:

  • Competitive wages
  • Monday-Friday work schedules
  • Health, Dental & Vision Coverage (1st of the month following date of hire)*
  • 401(k) retirement plan*
  • Paid Time Off (PTO)*
  • Paid Sick Leave (PSL)
  • 7 Company Paid Holidays*
  • 100% Company Paid Life Insurance*
  • Supplemental Insurance*
  • Employee Assistance Program

*Available for full-time, regular employees of Tri-City Cardiology after meeting certain eligibility requirements

Tri-City Cardiology is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or veteran status or any other characteristic protected by applicable federal, state, or local law. It is our intention that all qualified applicants be given equal employment opportunity and that selection decisions be based on job-related factors.

For more information about career opportunities with Tri-City Cardiology, please visit our website:www.tricitycardiology.com

About Tri-City Cardiology

At Tri-City Cardiology, patient satisfaction is a top priority. Our team of physicians and staff are dedicated to providing high quality care and outstanding patient service so that every encounter is a positive experience! To maintain the highest degree of patient confidence, the practice relies on the Press Ganey system for scoring patient satisfaction.

Each of our board-certified physicians are dedicated to bringing only the best cardiovascular care to their patients based on clinical guidelines established by their specialty boards and fellowship programs. Each one is a leader in his or her field of specialty, many earning the distinction of Top Doctor recognition by Phoenix Magazine since the practice was established in 1979. As graduates from some of the nations leading medical schools and fellowship programs, the Tri-City Cardiology team of physicians enjoys a national reputation for excellence and achievement.

Tri-City Cardiology has a vision to be among the best providers of cardiovascular care in the entire country and be a placewhere employees want to work, patients want to receive care and physicians want to practice.

Consistent with our vision, we constantly strive to improve our employee satisfaction. Tri-City Cardiology has been voted a Top Place to Work by the Phoenix Business Journal. Annual employee satisfaction surveys are conducted to obtain feedback on how we can continue to make Tri-City Cardiology the best place to work.

 

BILLING HEALTHCARE MANAGER · TRI-CITY CARDIOLOGY CONSULTANTS PC

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