Medical Billing Manager
Description
Jewish Community Services (JCS) provides programs and services for people of all ages and backgrounds, helping them achieve their goals, enhance their wellbeing, and maximize their independence.
Jewish Community Services (JCS) is seeking an experienced and detail-oriented Full-time Medical Billing Manager to lead our Revenue Cycle Management. This leadership role is ideal for a professional with strong healthcare billing, accounts receivable, Medicaid/Medicare billing, and team management experience who enjoys improving processes, solving problems, and supporting high-quality client services in a mission-driven environment.
In this role, you will oversee the medical billing team, manage healthcare billing and collections activities, support financial reporting and general ledger close processes, coordinate credentialing activities, monitor revenue cycle performance, and collaborate with clinical and finance leaders to ensure accurate and timely reimbursement. This position operates in a hybrid work environment.
Primary Responsibilities
Team Management
Supervise and support the medical billing team, including workflow management, staff recruitment and training, performance oversight, and operational coverage.
Demonstrate superior customer service to our clients as well as internal customers.
Represent Medical Billing team at agency leadership meetings
Collaborate with clinicians to resolve client account balances and billing issues.
Revenue Cycle Management
Oversee billing, accounts receivable, and revenue cycle operations to ensure timely and accurate reimbursement.
Ensure that all billing is being performed in accordance with Federal/State laws and regulations.
Manage Waystar dashboards and monitor revenue cycle performance metrics.
Report monthly to CFO on insurance denials and continuous improvement efforts.
Complete assigned general ledger close responsibilities and support financial reconciliation activities.
Monitor insurance balances and follow up on outstanding Medicaid, Medicare, and commercial insurance claims.
Bill Medicaid for Supported Employment BHA and PRP services.
Process Medicare secondary and Medicaid secondary billing activities.
Monitor and correct failed claims, rejected claims, and failed billing activities.
Implement strategies to improve collections and reduce aging balances
Review financial hardship applications.
Vendor Relations
Manage vendor relationships including CareLogic, Waystar, dashboards to monitor revenue cycle performance metrics.
Payer Relations
Work with Medicaid, Medicare and commercial insurance carriers to resolve coordination of benefits and payer sequencing issues.
Monitor insurance billing rule changes and implement workflow updates as necessary.
Renegotiate reimbursement rates annually
Credentialing
Coordinate provider credentialing and recredentialing activities.
Manage ePrep/ePrime enrollment and maintenance activities for Maryland Medicaid credentialing.
Agency Initiatives
Participate in intake restructuring and process improvement initiatives.
Assist the Controller and leadership team with audits, financial reviews, and CareLogic-related initiatives.
Support implementation and transition activities related to new software systems and electronic health record (EHR) platforms.
Prepare reports and provide management with billing, collections, and operational performance information.
Participate in meetings, planning discussions, and special projects assigned.
Qualifications & Experience
Bachelor's degree in Accounting, Business Administration, Healthcare Administration, Information Systems, or a related field required; equivalent experience may be considered.
Five or more years of healthcare billing, revenue cycle, or accounts receivable experience.
Prior supervisory or leadership experience required.
Strong knowledge of Medicaid, Medicare, Medicare Secondary Claims, and commercial insurance billing.
Experience with credentialing, claims management, payer follow-up, and accounts receivable processes.
Experience with CareLogic, Waystar, or comparable healthcare billing and EHR systems strongly preferred.
Experience supporting audits, financial reconciliations, and general ledger close activities.
Strong analytical, organizational, and problem-solving skills.
Excellent communication and interpersonal skills.
Proficiency in Microsoft Office applications and reporting tools.
Ability to work independently and collaboratively in a fast-paced environment.
Commitment to customer service, confidentiality, and continuous process improvement.
Pay: $68,000 - $72,000/year
Why JCS?
At JCS, you'll be part of a mission-driven organization dedicated to improving the lives of individuals and families throughout our community. Our team members play a vital role in ensuring clients receive the services they need while supporting the financial health and operational excellence of the organization.
The PERKS of Working at JCS:
Comprehensive Benefit Plan + 401(k) Match + Generous Paid Time Off + Paid Holidays + Free JCC Gym Membership + Professional Development Opportunities + Legal Shield + Pet Insurance + Long-Term Care Insurance + Free CEU Opportunities
JCS is an Equal Opportunity Employer
All opportunities at JCS are contingent upon successful completion and receipt of acceptable results of criminal background clearances, drug test, and degree and/or license verification. If the position requires driving, a valid driver's license, motor vehicle clearance, and proof of auto insurance are required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply.
The Associated: Jewish Community Federation of Baltimore and its Agencies are equal opportunity employers, dedicated to a policy of non-discrimination in employment on the basis of race, religion, color, sex, sexual orientation, gender identity or expression, national origin, age, marital status, citizenship, veteran status, physical or mental disability that does not prohibit the performance of essential job functions (with or without reasonable accommodation), or any other basis protected by federal, state, or local law.