Medical Billing Manager

Medical Billing Manager 
Westwood-Mansfield Pediatrics
Westwood, MA

Hours – Monday through Friday, 8:30 am to 5:00 pm
Salary range beginning at $100K+, commensurate with experience

Westwood-Mansfield Pediatrics is looking for a skilled Medical Billing Manager to oversee the operations of our business office and billing department. The Medical Billing Manager will optimize cash flow and ensure efficient claims processing and collections while leading our team of medical billing associates.

Medical Billing Manager Job Qualifications

• Bachelor's degree in business administration or related field, preferred; medical coding certification a plus
• Minimum ten years’ experience in a medical billing/business office including five years as a department manager in a business office department setting
• Strong understanding of insurance billing and patient account policies and procedures
• Business management and basic accounting principles skills
• Knowledge of medical billing programs, spreadsheets, and applications; EPIC Resolute billing experience preferred
• Understanding of medical terminology, medical coding, and office procedures
• Experience with third-party and insurance company operating procedures, regulations and billing requirements and government reimbursement programs
• Broad-based knowledge of relevant insurance regulations and familiarity with the Health Insurance Portability and Accountability Act
• Knowledge of insurance credentialing processes for billing providers
• Ability to establish and maintain effective working relationships with other employees, patients, organizations, and the public
• Team player; ability to work collaboratively with other department managers
• Strong verbal and written communication skills
• Strong attention to detail and problem-solving skills
• Ability to conceptualize workflow, develop plans, and implement appropriate actions
• Skilled at maintaining confidentiality of sensitive information

Why you should apply:

• Competitive total rewards package including competitive pay and discretionary bonus
• Comprehensive medical, dental, and vision coverage, plus FSA and HSA options
• Employer-paid life insurance, as well as voluntary benefits for accident coverage, cancer protection, hospitalization, and pet insurance!

Medical Billing Manager Job Responsibilities

• Oversee registration, insurance processing, billing, collections, and data processing
• Manage business office operations within budget, including annual planning and monthly reporting
• Review patient accounts to identify and resolve billing and processing issues
• Develop and implement systems for collecting delinquent accounts
• Recommend and refine credit and collection policies
• Audit complex accounts and resolve payment discrepancies
• Maintain contact with medical records and other departments to obtain and analyze patient information for accurate billing
• Establish procedures to enhance work quality, efficiency, and policy adherence
• Ensure business systems are optimized; collaborate with IT for seamless implementation
• Assist in developing, implementing, and administering annual capital budget; initiate corrective action to significant variances
• Supervise, train, orient, and evaluate staff performance; recommend merit increases, promotions, and disciplinary actions
• Monitor daily department operations and make necessary adjustments
• Prepare reports, correspondence, and maintain organized files
• Stay informed on policies, regulations, and industry standards, ensuring full compliance with government and insurance requirements
• Attend administrative meetings, contribute to committees, and oversee special projects
• Facilitate professional development opportunities and maintain relevant affiliations
• Maintain confidentiality regarding patient account information and sensitive financial data

About Company Summary (www.wmpeds.com)

Westwood Mansfield Pediatrics has been a bedrock of the community since we began seeing patients in 1957. While we have grown since our early days, our guiding mission promising innovation, compassion, and excellence has remained. We strive to be an innovative practice and continually seek new ways to provide pediatric care and education. We strive to be a compassionate practice that focuses on the unique needs and challenges of patients and their families. We strive to be an excellent practice and are constantly looking for ways to improve the quality of healthcare we deliver.

As members of the Boston Children’s Pediatric Alliance, we have beneficial access and collaborations with the top-rated specialists at Boston Children’s Hospital. In addition, we have been recognized over the years for our achievements in quality improvement, well baby care, physician communication and healthcare promotion.

Westwood-Mansfield Pediatrics is an equal opportunity employer, dedicated to building an inclusive and diverse workforce.

#INDWMPEDS