Jobs Companies USA Clinics Group Billing Manager, Multi-state Healthcare System

Sobre este puesto de Billing Manager, Multi-state Healthcare System en USA Clinics Group

USA Clinics Group · Presencial · Northbrook, Illinois, United States

Why USA Clinics Group?

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.

We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you!

Why You'll Love Working with us:

🚀 Rapid career advancement           💼 Competitive compensation package

🤝 Positive, team-oriented environment  🏥 Work with cutting-ed technology

🌟 Make a real impact on patients’ lives  📈 Join a fast-growing, mission-driven company

Position Summary

The Billing Manager is responsible for overseeing billing operations to ensure accurate and timely claim submission, claim correction, billing workflow management, and resolution of claim-related issues. This position supports the Revenue Cycle Management team by maintaining efficient billing processes, ensuring compliance with payer requirements, monitoring claim activity, and supporting operational initiatives that improve claim accuracy and billing efficiency.

Position Details

  • Location: Corporate Office in Northbrook, IL
  • Schedule: Full-time
  • Compensation: $75,000 -$85,000 based on experience and qualifications.

Key Responsibilities

Billing Operations

  • Oversee daily billing activities to ensure accurate and timely claim submission.
  • Monitor billing workflows, work queues, and claim processing activities.
  • Ensure claims are submitted in accordance with payer requirements and internal standards.
  • Review clearinghouse reports and payer responses to identify and resolve submission issues.
  • Coordinate claim corrections, rebills, and resubmissions as necessary.
  • Maintain efficient billing workflows and operational procedures.
  • Escalate system or workflow issues affecting claim submission and processing.

Coding Claims & Error Resolution

  • Review and resolve claim edits, rejections, and billing exceptions.
  • Investigate claim submission issues and coordinate corrective actions.
  • Monitor rejected claims to ensure timely correction and resubmission.
  • Track unresolved billing issues through completion.
  • Ensure billing-related errors are resolved accurately and promptly.
  • Support initiatives designed to improve claim accuracy and reduce submission errors.

Coding & Charge Review Support

  • Review billing-related coding edits affecting claim submission.
  • Coordinate coding corrections required for claim processing.
  • Ensure charges are billed accurately in accordance with established procedures.
  • Support implementation of coding, billing, and payer-required updates.
  • Assist with review of charge discrepancies and claim edits.
  • Maintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements related to billing operations.

Compliance & Process Management

  • Ensure compliance with payer guidelines, billing regulations, and company policies.
  • Maintain billing procedures, workflows, and standard operating procedures.
  • Participate in system testing, billing updates, and workflow enhancements.
  • Support internal audits and billing quality reviews.
  • Maintain HIPAA compliance and safeguard patient and financial information.
  • Assist with departmental projects and process improvement initiatives.

AI & Automation Responsibilities

  • Utilize AI-enabled tools to identify claim errors and prioritize billing activities.
  • Monitor automated claim scrubbing and billing workflow processes.
  • Support implementation of automation technologies that improve billing efficiency and accuracy.
  • Participate in testing and deployment of revenue cycle technology enhancements.
  • Promote utilization of technology solutions that streamline claim submission and error resolution.

Additional Duties

  • Support departmental goals and operational initiatives.
  • Participate in meetings, audits, projects, and process improvement activities.
  • Provide cross-functional support within the Revenue Cycle Management department.
  • Perform other duties as assigned.

Requirements

Required

  • Associate's or Bachelor's degree preferred, or equivalent combination of education and experience.
  • Minimum three (3) years of healthcare billing or revenue cycle experience.
  • Strong knowledge of physician billing practices and claim submission workflows.
  • Working knowledge of CPT, HCPCS, and ICD-10 coding as related to billing operations.
  • Experience with insurance carriers, clearinghouses, and practice management systems.
  • Strong analytical, organizational, and problem-solving skills.
  • Proficiency in Microsoft Excel and Microsoft Office applications.
  • Ability to manage multiple priorities in a fast-paced environment.

Preferred

  • Certified Professional Biller (CPB), CPC, or other related certification.
  • Experience in a multi-site physician practice environment.
  • Experience utilizing revenue cycle automation and AI-enabled workflow tools.

Benefits

  • Health - BCBS of IL
  • HSA
  • Dental
  • Vision
  • PTO
  • 401k
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Sobre USA Clinics Group

USA Clinics Group is a fast-growing healthcare organization with more than 168 locations in 30 states dedicated to providing minimally invasive office-based Vascular and Interventional Radiology treatments. USA Clinics Group currently consists of three core businesses: USA Vein Clinics, USA Vascular Centers, and USA Fibroid Centers, and is rapidly expanding into other areas of medicine. At its core, the company is focused on providing access to high quality and affordable care, in addition to improving efficiency and reducing waste in the healthcare industry. USACG was founded in 2005 by a Harvard-trained cardiovascular surgeon and former cardiovascular and thoracic surgeon at the University of Chicago and is headquartered in Northbrook, IL.

USA Clinics Group has a uniquely innovative and data-driven approach to both healthcare and business, positioning it to expand 10x within the next few years. The company is dedicated to continuous improvement and innovation. Everyone in the company is driven to improve the quality of our patient care and business processes on a continuous basis. In this manner, the company has created a number of proprietary technological solutions that improve, advance, and automate patient scheduling, clinical care, many administrative tasks, and the overall patient experience.

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