Network Billing Manager

The Network Billing Manager oversees the daily operations of Coding, Billing, and Charge Entry teams within the Revenue Cycle Department for a multi-clinic specialty Practice. This role is responsible for ensuring accurate and timely coding, charge entry, and claim submission. The Manager coordinates all facets of the revenue cycle to support efficient workflows and exceptional patient account management.

The ideal candidate demonstrates professionalism and a commitment to delivering high-quality service to patients, families, staff, and external partners. This role requires adherence to all federal, state, and payer-specific regulations, as well as departmental policies and guidelines.

Location for this role is preferred to be in Houston, TX or Franklin/Nashville, TN but willing to consider remote, with some travel.

Essential Responsibilities:

• Plan, supervise, and coordinate daily activities for the Billing, Cash Posting, and Charge Entry teams.

• Recruit, hire, train, and evaluate staff within areas of responsibility.

• Oversee supervisory functions, including timekeeping and payroll approval, ensuring compliance with FLSA, Tennessee Department of Labor regulations, and organizational policies.

• Mentor and develop team members through daily leadership, coaching, performance feedback, workflow education, payer updates, departmental communications, and routine staff meetings.

• Implement and enforce departmental policies, procedures, and objectives, including internal controls and review processes to ensure consistent and compliant operations.

• Manage workflow to ensure deadlines are met with available resources.

• Resolve issues related to electronic claim submission and electronic remittances, working closely with vendors and/or Information Systems.

• Conduct quarterly audits of coding and charge entry to ensure compliance with legal, regulatory, and administrative requirements.

• Prepare and present departmental activity reports, keeping Senior Management informed of trends, issues, and opportunities for improvement.

• Provide guidance on complex billing issues and support special projects as needed.

• Actively participate in performance improvement initiatives at both individual and organizational levels.

• Address and resolve external customer concerns in alignment with the company's commitment to exceptional patient care, collaborating with other departments when necessary.

• Perform additional duties as assigned and in accordance with organizational policies, compliance standards, and continuous improvement initiatives.

Education and/or Experience:

• Bachelor's degree in Healthcare Related Field or Business preferred; or five (5) years of experience in Healthcare Coding and Billing and Collections.
• Minimum of five (5) years of medical billing and coding experience in a multi-clinic physician group practice along with experience related to ASC (ambulatory surgery center) billing and coding.
• Minimum three (3) years of experience in a supervisory/management position.
• Preferred experience with practice management systems such as Medevolve and HST.
• CPC certification preferred, background in specialties including Reproductive Endocrinology, Infertility, and IVF treatments is highly desirable.
• Knowledge of ASC and physician practice charge capture, documentation and billing protocols.

Why You'll Love Working Here - Our Amazing Benefits:

Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available.

Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.

Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.

Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!

Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.

Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.

Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.

Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable!

Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.

Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.

Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.

Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.