Job Title: Manager of Client Billing Services

Company: Physician Care Coordination Consultants (PC3)

Location: Remote

Job Type: Full-time

Job Classification:

• This is an exempt position under the Fair Labor Standards Act (FLSA) and is not eligible for overtime pay.

Our Mission:

Our mission is to drive financial wellness in healthcare organizations so more patients can receive the care they need. 

Our Vision:

Our vision is a future where we help healthcare organizations thrive in a complex ecosystem by clearing a path to financial health. 

Our Culture:

We are committed to creating a workplace where every member feels valued, empowered, and inspired to contribute their best. Together we will foster a culture that promotes work-life balance and celebrates community engagement, personal achievements, milestones, and special occasions. 

Values:

• Integrity – We do what’s right, no matter what. 
• Innovation – We use a harmonious blend of data, tech, and a human-centric approach. 
• Compassion – We understand the stress of healthcare organizations and their patients.
• Determination – Our mission is our guiding force. 
• Partnership – We build enduring relationships through listening, communication and accountability. 
• Dignity– We have significant pride in each other and our work. 

Job Summary:

The Manager, Client Billing Services, is responsible for the daily management of hospital billing operations performed on behalf of healthcare clients. Reporting to the Director of Client Billing Services, this position leads a team of billing specialists and analysts, ensuring accurate, timely, and compliant billing activities while meeting client-specific performance expectations.

The Manager serves as the primary operational leader for assigned client accounts, overseeing workflow management, staff performance, quality assurance, and revenue cycle metrics. This role partners closely with client revenue cycle leadership to identify operational improvements, resolve billing issues, and ensure exceptional service delivery.

This role is responsible for developing high-performing teams, managing client relationships, and ensuring contractual service levels are consistently achieved.

This position reports directly to the Director of Client Billing Services.

Supervisory Responsibilities: This position will be responsible for supervising all billing department staff.

Duties/Responsibilities:

• Manage the day-to-day hospital billing operations for assigned client hospitals and health systems.
• Ensure claims are processed accurately and timely in accordance with client workflows and payer requirements.
• Monitor work queues, productivity, aging reports, and billing backlogs to ensure service level agreements (SLAs) are consistently achieved.
• Prioritize workloads based on client needs, reimbursement opportunities, and departmental goals.
• Coordinate staffing assignments to maintain operational efficiency across multiple client engagements.
• Identify workflow bottlenecks and implement process improvements that enhance productivity and reimbursement.
• Direct supervision of staff.
• Establish daily and monthly productivity expectations.
• Provide coaching, mentoring, and ongoing performance feedback.
• Conduct regular one-on-one meetings and annual performance evaluations.
• Assist with recruiting, interviewing, onboarding, and training new employees.
• Foster a collaborative, accountable, and customer-focused team culture.
• Participate in recurring internal client related meetings to review operational performance, outstanding issues, and improvement initiatives.
• Investigate and resolve complex billing issues, payer concerns, and client escalations.
• Communicate proactively with internal leadership regarding operational challenges and proposed solutions.
• Collaborate with leadership to implement workflow changes and process enhancements.
• Monitor, analyze, and report on key revenue cycle performance indicators, including Clean Claim Rate, Claims Held by Edit, Billing Lag, Accounts Receivable Aging, Gross and Net Collection Rates, Claim Resolution Timeliness, and staff productivity.
• Identify performance trends, operational gaps, and opportunities for process improvement through ongoing analysis of revenue cycle metrics.
• Develop, implement, and monitor corrective action plans when performance falls below established targets to improve operational efficiency and financial outcomes.
• Prepare and present operational reports, key performance indicators (KPIs), and performance dashboards for executive leadership and clients to support strategic decision-making.
• Collaborate with leadership and operational teams to establish performance goals, track progress, and drive continuous improvement initiatives. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
• Conduct routine quality audits of billing activities and documentation.
• Identify trends affecting reimbursement and implement corrective actions.
• Ensure departmental adherence to internal policies, client requirements, and industry best practices.
• Support implementation of new payer policies, regulatory changes, and client initiatives.
• Recommend process improvements that increase efficiency, reduce rework, and improve financial performance.
• Participate in new client implementations, workflow redesign, and system optimization initiatives.
• Support organizational strategic initiatives as assigned by the Director.

 Knowledge/Skills/Abilities:

• Comprehensive knowledge of hospital billing processes and payer reimbursement methodologies.
• Strong understanding of Medicare, Medicaid, commercial insurance, and managed care reimbursement.
• Exceptional leadership, coaching, and employee development skills.
• Strong client relationships and communication abilities.
• Analytical and financial management skills.
• Experience utilizing revenue cycle reporting tools.
• Ability to manage multiple client engagements simultaneously.
• Strong organization, problem-solving, and decision-making skills.
• Advanced proficiency with hospital billing systems, electronic health records.
• Proficiency in Microsoft Office applications.
• Strong interpersonal skills. 
• Strong understanding of hospital billing, payer reimbursement methodologies, revenue integrity, and accounts receivable management.
• Expert knowledge of hospital billing operations.
• Strong understanding of Medicare, Medicaid, commercial insurance, and managed care reimbursement.
• Exceptional leadership, coaching, and organizational development skills.
• Excellent client relationship and executive communication abilities.
• Strong analytical and financial management skills.
• Experience utilizing revenue cycle reporting tools and performance dashboards.
• Ability to manage multiple client engagements simultaneously.
• Strong project management and change management capabilities.
• Advanced proficiency with hospital billing systems, electronic health records, and revenue cycle technologies.

Education and Experience:

• Associate degree in Healthcare Administration, Business Administration, Finance, or a related field required. Bachelor's degree preferred.
• In lieu of an associate’s degree a minimum of 10 years of direct related hospital billing experience, including at least 3 years in a management role may be substituted for the required formal education. 

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.