Interim Hospital Billing Manager

We are posting this role on behalf of our client. You will be able to see more details about the hiring company once you start your application.

We are seeking an experienced Hospital Billing Manager to lead billing functions across outpatient, inpatient, ancillary, ambulatory surgery, and professional services in Phoenix, AZ
.

In this role, you will oversee the timely submission of clean claims to third-party payers, manage the resubmission of corrected claims, and help maximize reimbursement while minimizing denials. You will lead billing staff, monitor key revenue cycle performance indicators, and support the Director of Revenue Cycle in achieving organizational clean claim goals.

This is a fully onsite position in Phoenix, AZ. Paid travel home is provided every other weekend for candidates temporarily relocating for the assignment.

• Lead billing functions across outpatient, inpatient, ancillary, ambulatory surgery, and professional services.
• Oversee the timely submission of clean claims to third-party payers and manage the resubmission of corrected claims.
• Work to maximize reimbursement while minimizing claim denials.
• Oversee billing staff and monitor key revenue cycle performance indicators.
• Support the Director of Revenue Cycle in achieving organizational clean claim goals.
• Work hands-on with charge master maintenance, EDI claims, EHR systems, CCI edits, claims scrubbing, and insurance verification of benefits.
• Develop statistical reports and productivity standards to track staff and departmental performance.
• Train and coach billing staff and conduct performance evaluations.
• Review work for coding and compliance accuracy, including CPT/HCPCS, E&M, CDT-2, and HCFA guidelines.
• Resolve escalated billing issues.
• Coordinate with payers, agencies, and internal stakeholders to ensure smooth revenue cycle operations.

• Certification
  : CPC, CCS, or CIC certification.
• Leadership Experience
  :
  At least 3 years of supervisory or management experience in a healthcare patient accounting setting.
• Coding & Billing Knowledge
  :
  Strong working knowledge of ICD-10 and CPT/HCPCS coding and billing procedures.
• Billing Forms
  :
  Strong knowledge of UB-04, HCFA-1500, and ADA billing forms.
• Revenue Cycle Knowledge
  :
  Experience with charge master maintenance, EDI claims, claims scrubbing, insurance verification, and related hospital billing processes.
• Systems
  :
  Experience working with EHR systems and the ability to navigate multiple data systems.
• Compliance
  :
  Knowledge of CCI edits, CPT/HCPCS, E&M, CDT-2, and HCFA guidelines.
• Technical Skills
  :
  Proficiency in Microsoft Excel and Word.
• Location
  :
  Ability to work fully onsite in Phoenix, Arizona.