Remote Medical Billing Assistant Manager

You must live in the state of Florida!!!!!!!!!!!!!!!!!!!!!!!!!

We are seeking an experienced Medical Billing Manager to oversee and actively participate in all aspects of the medical billing and revenue cycle process for a healthcare practice.

This position requires someone who fully understands the entire medical billing cycle from start to finish. The ideal candidate must be capable of identifying problems, improving workflows, all aspects of reporting metrics and ensuring claims move efficiently from charge entry to final payment.

Candidates should expect that the interview will include direct technical questions covering each stage of the revenue cycle and billing operations listed below.

Key Responsibilities

• Complete understanding of the entire revenue cycle, including charge capture, coding review, claim submission, payment posting, denial management, and accounts receivable follow-up.
• Ensure all provider encounters are captured and coded correctly using ICD-10, CPT, HCPCS, modifiers, and appropriate place-of-service codes.
• Monitor claim submissions to Medicare, Medicaid, and commercial payers and ensure compliance with payer requirements and filing deadlines.
• Investigate claim denials, determine root causes, and manage appeals, corrected claims, and reimbursement recovery.
• Monitor accounts receivable aging, denial rates, and reimbursement trends and implement improvements to maintain healthy revenue cycle performance.
• Reconcile payments, ERA/EOB postings, and identify underpayments or payer discrepancies.
• Maintain compliance with CMS, HIPAA, and payer billing regulations and support internal documentation or coding audits when necessary.
• Communicate with providers regarding documentation deficiencies, coding issues, or billing questions.
• Manage provider enrollment and credentialing tasks including CAQH updates, PECOS enrollment, NPI records, payer applications, and revalidation deadlines.
• Maintain billing systems, clearinghouse connectivity, payer portals, and data integrity within the billing platform.
• Generate reports related to claims submitted, denials, AR aging, collections, and revenue cycle performance for leadership review.
• Train and mentor billing staff while developing efficient workflows and standardized procedures.

Required Experience

• Prior experience managing a medical billing department or supervising billing staff.
• Strong knowledge of the full medical billing revenue cycle, including coding, claim submission, AR management, denial resolution, payment posting, and compliance.
• Demonstrated experience working with Medicare, Medicaid, and commercial insurance billing rules.
• Solid understanding of ICD-10, CPT, HCPCS coding systems and modifiers.
• Experience maintaining provider credentialing, CAQH profiles, PECOS enrollment, and payer participation records.
• Familiarity with medical billing software, clearinghouses, and electronic health record systems.
• Ability to analyze billing data, identify operational issues, and improve reimbursement processes.
• Strong leadership, organization, and communication skills.

Important Note to Applicants

This role requires deep practical knowledge of medical billing operations. During the interview process, candidates will be asked specific questions regarding coding standards, claim submission processes, denial management, AR follow-up, credentialing requirements, and compliance regulations to confirm familiarity with the full billing workflow.

Only candidates with hands-on billing experience and prior management responsibility should apply.

There will be a bonus structure for highly qualified candidates!

Pay: $29.00 - $31.00 per hour

Benefits:

• Health insurance
• Paid time off

Application Question(s):

• Are you willing to have an extensive interview regarding your medical coding/billing, revenue cycle management and reporting knowledge base?

Experience:

• Medical billing: 10 years (Required)
• complete billing management : 3 years (Required)

License/Certification:

• Medical Coding Certification (Required)

Location:

• Florida (Required)

Work Location: Remote