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USA Clinics Group

Integrated ambulatory care network of clinics

Healthcare Billing Manager

Clinical Support & Patient AdministrationUpdated on Nov 12
Full-timeNorthbrook, IL, USA$80k - $90kIn-person

About the Job

Requirements

  • A minimum of three years of healthcare billing or revenue cycle experience is required.
  • Strong knowledge of physician billing practices and claim submission workflows is required.
  • Working knowledge of CPT, HCPCS, and ICD-10 coding as related to billing operations is required.
  • Experience with insurance carriers, clearinghouses, and practice management systems is required.
  • Proficiency in Microsoft Excel and Microsoft Office applications is required.
  • The role requires the ability to manage multiple priorities in a fast-paced environment.

Responsibilities

  • 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.
  • 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.
  • 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.
  • 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.
  • 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.

Desired Qualifications

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

About the Company

USA Clinics Group

Integrated ambulatory care network of clinics

USA Clinics Group operates over 160 outpatient clinics across the United States, housing specialized centers such as USA Vein Clinics, USA Fibroid Centers, USA Vascular Centers, USA Pain Center, USA Prostate Centers, USA Oncology Centers, USA Hemorrhoid Centers, and USA Longevity Centers. Their team of interventional radiologists and vascular surgeons offers minimally invasive treatments for conditions like varicose veins, uterine fibroids, peripheral artery disease, hemorrhoids, enlarged prostate, knee osteoarthritis, and liver cancer in outpatient settings. Care is delivered through coordinated patient-centered care paths that guide patients from diagnosis to treatment across the network. The goal is to provide safe, effective, and compassionate care that improves patients’ quality of life.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Northbrook, IL
Founded
2005

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