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42 Vericle Jobs
Senior Medical Billing Manager
Vericle
posted 16hr ago
Job Role Insights
Fixed timing
Key skills for the job
Job Description
- Oversee High-Volume Billing Operations
- Manage the end-to-end RCM process, ensuring the efficient processing of at least $500M in insurance payments annually.
- Develop and implement best practices for claims submission, denials management, and revenue optimization.
- Monitor and drive KPIs such as Net Collections Ratios, clean claims rate, DSO, collections efficiency, and reimbursement improvements.
- Large-Scale Team Leadership Development
- Build, lead, and manage a high-performing RCM team of at least 400 members across multiple functions (billing, coding, collections, A/R follow-up, and payer relations).
- Implement structured training, performance monitoring, and continuous improvement initiatives to drive excellence.
- Foster a culture of accountability, collaboration, and innovation within the billing team.
- Payer-Provider Contract Negotiations Reimbursement Optimization
- Negotiate, implement, and consistently improve payer-provider reimbursement contracts to secure optimal payment rates.
- Work closely with payers to reduce denials, increase collections, and optimize fee schedules.
- Stay ahead of industry trends, regulatory changes, and reimbursement policies to ensure compliance and maximize revenue potential.
- Billing Performance Improvement Process Optimization
- Design and execute strategic initiatives to improve billing accuracy, reduce rework, and accelerate cash flow.
- Leverage data analytics, automation, and technology to enhance operational efficiency.
- Drive continuous improvements in collections, aging A/R resolution, and revenue recovery strategies.
Qualifications Experience:
- 15+ years of medical billing and RCM leadership experience, with a focus on high-volume claims processing.
- Proven success in managing a billing team of 400+ members across multiple locations or departments.
- Strong expertise in processing at least $500M in annual insurance payments.
- Extensive experience in negotiating and improving payer-provider reimbursement contracts.
- Deep knowledge of chiropractic and mental health billing, coding, compliance, and payer policies.
- Track record of achieving and consistently improving billing performance KPIs.
- Strong leadership, communication, and problem-solving skills to drive organizational growth.
- Proficiency in RCM software, billing platforms, analytics tools, and automation technologies.
Why Join Clinicmind
- Be part of a fast-growing, industry-leading SaaS EHR and RCM company.
- Lead large-scale, high-impact initiatives in medical billing and revenue optimization.
- Drive real financial success by improving provider reimbursements and operational efficiency.
- Collaborate with a team of industry experts in a dynamic and innovative work environment.
- Competitive salary, performance incentives, and career advancement opportunities.
Position Requirements
- Must have a stable internet connection minimum of 25 MBPS
- Must have a mobile data plan as a backup
- Must be in a quiet environment
- Must be comfortable working the US Eastern Time business hours
- Minimum system requirement: Desktop or Laptop at least 16GB
Employment Type: Full Time, Permanent
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based on 9 employees
Strict timing
Monday to Friday
No travel
Night Shift
Vericle Benefits
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