Revenue Cycle Manager​/Senior Medical Biller; eClinicalWorks

Position: Revenue Cycle Manager / Senior Medical Biller (eClinicalWorks Required)
Opti Claim Business Solutions LLP is hiring a hands on Revenue Cycle Manager / Senior Medical Biller to take complete ownership of revenue cycle operations for a growing physician practice. This role suits a leader who is willing to do the work directly while also building the processes and team needed for future growth.

The practice spans Outpatient Clinic, Primary Care, Endocrinology, Hospital Visits, Skilled Nursing Facilities, and Nursing Home Visits.

Key Responsibilities

Coding and Documentation Review
Review provider documentation for coding accuracy and completeness
Assign and validate CPT, ICD 10 CM, HCPCS, and modifier usage
Identify documentation gaps and communicate with providers
Review coding across office visits, AWVs, endocrinology, hospital and SNF visits, procedures, labs, and diagnostics

Billing Operations
Manage claim submission from charge entry through payment
Resolve claim edits and rejections
Manage clearinghouse workflows
Ensure timely billing and reimbursement compliance

Accounts Receivable and Denials
Manage aging accounts and collections
Analyze denial trends and implement corrective action
Submit appeals and corrected claims
Reduce AR days and improve cash collections

Payer Relations
Navigate Medicare, Medicaid, and commercial payer portals
Manage appeals, reconsiderations, and payer relationships

Credentialing and Enrollment
Manage provider credentialing and recredentialing
Maintain CAQH profiles
Complete payer enrollments and monitor participation status

eClinical

Works (eCW)
Manage all billing workflows within eCW
Configure billing settings and work queues
Drive operational efficiency within the system

Leadership and Team Development
Build and lead future coding, billing, and AR teams
Create SOPs, workflows, and quality standards
Train staff and set productivity and collection goals

Required Qualifications
5+ years of professional medical billing experience
3+ years in a senior, lead, supervisor, manager, or director level billing role
Extensive hands on experience with eClinical

Works (required)

Experience with Primary Care, Endocrinology, Hospital E&M, Nursing Facility, and SNF billing
Advanced knowledge of CPT, ICD 10 CM, HCPCS, modifiers, and E&M guidelines
Strong experience with Medicare, Medicaid, and commercial insurance

Experience with payer portals, denials, appeals, and AR follow up

Experience with provider credentialing and enrollment

Preferred Qualifications
CPC, CPB, or CRC certification
Experience building a billing department from the ground up
Experience managing remote billing teams

Experience with revenue cycle reporting and analytics

Interested candidates can apply by sending their resume to