Billing Manager

Job Description

Job Description

About Us We are a growing, multi-location podiatry practice committed to delivering exceptional foot and ankle care in a supportive, patient-centered environment. We are seeking an experienced Billing Manager to lead our insurance and billing operations across all locations and ensure the financial health of the practice through accurate, timely revenue cycle management.

Job Summary The Billing Manager oversees all insurance and billing functions for the practice, including direct supervision of insurance representatives and billing staff. This individual is responsible for the full revenue cycle - from eligibility and prior authorization through claim submission, denial management, appeals, A/R follow-up, and patient collections - with particular focus on the nuances of podiatry billing. The Billing Manager partners with providers, front office staff, and ownership to maximize collections, minimize denials, and ensure compliance with payer and regulatory requirements.

Key Responsibilities

Team Leadership & Operations

• Supervise, train, and develop insurance representatives and billing staff across multiple office locations
• Set productivity standards, monitor performance, and conduct regular reviews
• Manage workflow distribution, queue assignments, and coverage across locations
• Hire and onboard new billing team members in collaboration with practice leadership

Revenue Cycle Management

• Oversee daily charge entry, claim scrubbing, and timely electronic claim submission
• Manage the full A/R cycle and maintain aging benchmarks consistent with industry standards for podiatry practices
• Direct denial management, appeals, and resolution of complex claim issues
• Oversee patient collections processes, payment plans, and statements
• Review and approve write-offs, adjustments, and refunds within established thresholds

Podiatry-Specific Billing Expertise

• Apply working knowledge of podiatry CPT coding, including nail and callus procedures (11055–11057, 11719–11721), routine foot care, surgical codes (28285, 28296, 29581, etc.), and E/M coding
• Manage Medicare LCD requirements for routine foot care, "at-risk" diagnoses, and Q modifier documentation
• Oversee billing for DME, custom orthotics (L3000, L3020, L3030), diabetic therapeutic shoes (A5500 series), wound care, and durable medical supplies
• Ensure proper modifier usage (T-codes, RT/LT, 25, 59, XS) and laterality documentation

Payer Relations & Compliance

• Monitor payer policy updates, fee schedule changes, and coding revisions; communicate impacts to clinical and administrative teams
• Ensure compliance with HIPAA, OIG guidelines, and applicable federal and state regulations

Reporting & Analysis

• Produce regular reports on collections, A/R aging, denial trends, payer performance, and provider productivity
• Identify root causes of denials and implement process improvements
• Partner with practice leadership and accounting on financial reporting, month-end close support, and forecasting

Qualifications

• Associate degree required; bachelor's degree in healthcare administration, business, or related field preferred
• Certified Professional Coder (CPC) or Certified Professional Biller (CPB) strongly preferred; specialty certification in podiatry coding a plus
• Minimum 5 years of medical billing experience with at least 2 years in a supervisory or management role
• Podiatry billing experience strongly preferred; orthopedic, wound care, or DME billing experience also valued
• Deep knowledge of ICD-10, CPT, HCPCS, and modifier usage, with specific familiarity with podiatry coding
• Strong understanding of Medicare, and commercial payer policies, including LCDs relevant to foot and ankle care
• Proficiency with practice management and EMR systems; experience with podiatry-focused systems a plus
• Experience managing distributed teams across multiple locations preferred
• Proven track record of improving collections, reducing A/R days, and lowering denial rates
• Excellent leadership, communication, and analytical skills
• High attention to detail with the ability to manage competing priorities in a fast-paced environment