Billing Manager

NJ Sports Spine & Wellness is seeking an experienced Medical Billing Manager to oversee and optimize our end-to-end revenue cycle operations across a fast-growing, multi-disciplinary healthcare organization. This role is critical to ensuring accurate billing, timely collections, payer compliance, and actionable financial reporting across multiple service lines including physical therapy, chiropractic, sports medicine, pain management, and ancillary services.

The ideal candidate is detail-oriented, data-driven, and operationally strong
, with the ability to lead billing staff, collaborate cross-functionally, and continuously improve systems, workflows, and financial outcomes.

Revenue Cycle & Billing Operations

• Oversee all billing, coding, claims submission, payment posting, and AR follow-up activities
• Ensure accurate and timely submission of claims to commercial insurance, Medicare, Medicaid, WC, and no-fault carriers
• Monitor denial trends, underpayments, and payer issues; implement corrective action plans
• Ensure proper charge capture and coding compliance (CPT, ICD-10, modifiers, bundling rules)

Accounts Receivable & Collections

• Manage AR aging with a strong focus on reducing days in AR and increasing collection velocity
• Establish clear workflows for follow-ups, appeals, secondary billing, and patient balances
• Work closely with front desk and clinical teams to ensure clean claims from intake to submission
• Lead, train, and manage billing specialists and AR staff
• Establish productivity benchmarks, KPIs, and accountability metrics for the billing team
• Conduct regular audits, coaching sessions, and performance reviews
• Build SOPs for billing workflows and ensure consistency across all NJSSW locations

Reporting & Analytics

• Prepare weekly and monthly reports including:
• Net collections vs. gross charges
• Denial rates by payer
• AR aging (0–30, 31–60, 61–90, 90+)
• Collection percentages by service line and provider
• Provide actionable insights to leadership to improve profitability and operational efficiency

Compliance & Process Improvement

• Ensure compliance with payer contracts, HIPAA, and healthcare billing regulations
• Stay current on reimbursement changes, payer policy updates, and industry best practices
• Partner with leadership on system improvements, EMR optimization, and automation opportunities

Qualifications

Required

• 5+ years of medical billing and revenue cycle experience
• 2+ years in a billing leadership or management role
• Strong knowledge of insurance billing, EOBs, denials, appeals, and payer contracts
• Experience with multi-disciplinary practices (PT, chiro, pain management, or orthopedic preferred)
• High level of proficiency in EMR and billing systems
• Advanced Excel/Google Sheets skills for reporting and analysis

Preferred

• Experience in high-volume outpatient or multi-location practices
• Familiarity with New Jersey insurance carriers, WC, and no-fault billing
• Proven success improving AR days, collection rates, and denial percentages
• Lean process improvement or SOP development experience

Key Performance Indicators (KPIs)

• Net collection rate
• Days in accounts receivable
• Denial rate and overturn percentage
• AR >90 days percentage
• Billing team productivity metrics

What We Offer

• Competitive salary based on experience
• Performance-based bonus opportunities
• Growth potential within a rapidly expanding organization
• Collaborative leadership team focused on operational excellence
• Opportunity to build and scale best-in-class revenue cycle systems

Compensation & Benefits Information

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer, and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate.

The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data:
  Compensation is benchmarked against market data to ensure competitiveness.
• Experience:
  
  Years of relevant work experience.
• Education and
  
  Certifications:
  
  Level of education attained, including specialized certifications, credentials, completed apprenticeship programs, or advanced training.
• Skills:
  
  Demonstrated proficiency in relevant skills and competencies.
• Geographic
  
  Location:
  
  Cost of living and market rates for the specific location.
• Internal Equity:
  Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding:
  Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, NJSSW offers a comprehensive benefits package, including health, dental, vision, paid leave, and retirement benefits.