Billing Manager

This individual is responsible for the full revenue cycle - from eligibility and prior authorization through claim submission, denial management, appeals, A/R follow-up, and patient collections - with particular focus on the nuances of podiatry billing. We are seeking an experienced Billing Manager to lead our insurance and billing operations across all locations and ensure the financial health of the practice through accurate, timely revenue cycle management.

About Us We are a growing, multi-location podiatry practice committed to delivering exceptional foot and ankle care in a supportive, patient-centered environment. We are seeking an experienced Billing Manager to lead our insurance and billing operations across all locations and ensure the financial health of the practice through accurate, timely revenue cycle management.Job Summary The Billing Manager oversees all insurance and billing functions for the practice, including direct supervision of insurance representatives and billing staff. This individual is responsible for the full revenue cycle - from eligibility and prior authorization through claim submission, denial management, appeals, A/R follow-up, and patient collections - with particular focus on the nuances of podiatry billing. The Billing Manager partners with providers, front office staff, and ownership to maximize collections, minimize denials, and ensure compliance with payer and regulatory requirements.Key ResponsibilitiesTeam Leadership & OperationsSupervise, train, and develop insurance representatives and billing staff across multiple office locationsSet productivity standards, monitor performance, and conduct regular reviewsManage workflow distribution, queue assignments, and coverage across locationsHire and onboard new billing team members in collaboration with practice leadershipRevenue Cycle ManagementOversee daily charge entry, claim scrubbing, and timely electronic claim submissionManage the full A/R cycle and maintain aging benchmarks consistent with industry standards for podiatry practicesDirect denial management, appeals, and resolution of complex claim issuesOversee patient collections processes, payment plans, and statementsReview and approve write-offs, adjustments, and refunds within established thresholdsPodiatry-Specific Billing ExpertiseApply working knowledge of podiatry CPT coding, including nail and callus procedures (11055-11057, 11719-11721), routine foot care, surgical codes (28285, 28296, 29581, etc.), and E/M codingManage Medicare LCD requirements for routine foot care, "at-risk" diagnoses, and Q modifier documentationOversee billing for DME, custom orthotics (L3000, L3020, L3030), diabetic therapeutic shoes (A5500 series), wound care, and durable medical suppliesEnsure proper modifier usage (T-codes, RT/LT, 25, 59, XS) and laterality documentationPayer Relations & ComplianceMonitor payer policy updates, fee schedule changes, and coding revisions; communicate impacts to clinical and administrative teamsEnsure compliance with HIPAA, OIG guidelines, and applicable federal and state regulationsReporting & AnalysisProduce regular reports on collections, A/R aging, denial trends, payer performance, and provider productivityIdentify root causes of denials and implement process improvementsPartner with practice leadership and accounting on financial reporting, month-end close support, and forecastingQualificationsAssociate degree required; bachelor's degree in healthcare administration, business, or related field preferredCertified Professional Coder (CPC) or Certified Professional Biller (CPB) strongly preferred; specialty certification in podiatry coding a plusMinimum 5 years of medical billing experience with at least 2 years in a supervisory or management rolePodiatry billing experience strongly preferred; orthopedic, wound care, or DME billing experience also valuedDeep knowledge of ICD-10, CPT, HCPCS, and modifier usage, with specific familiarity with podiatry codingStrong understanding of Medicare, and commercial payer policies, including LCDs relevant to foot and ankle careProficiency with practice management and EMR systems; experience with podiatry-focused systems a plusExperience managing distributed teams across multiple locations preferredProven track record of improving collections, reducing A/R days, and lowering denial ratesExcellent leadership, communication, and analytical skillsHigh attention to detail with the ability to manage competing priorities in a fast-paced environment