Sameday Health · 6 hours ago
Billing Support Manager
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Responsibilities
Proactively contact private insurers to address unpaid claims and request reissuance of checks where necessary.
Analyze aged accounts receivable to prioritize and execute strategies for claim recovery.
Manage the entire billing lifecycle from claim submission to payment posting.
Oversee the denial management process, including tracking denials, analyzing root causes, and leading the appeals process to secure payments.
Ensure all payments received from insurers are accurately matched to billed claims.
Perform thorough bank reconciliations to confirm all payments received from insurers are posted and deposited into the bank account.
Directly oversee:
External billing company with 150 FTEs.
External billing company with 30 FTEs.
Internal billing team with 10 FTEs.
Ensure all teams meet performance expectations and comply with company and regulatory standards.
Expert-level proficiency with billing and A/R platforms, including Tebra (Kareo), Waystar, and insurance-specific billing platforms.
Review weekly and monthly A/R dashboards to identify trends and opportunities for process improvement.
Develop and implement action plans to enhance cash collections and reduce outstanding receivables.
Collaborate with external legal counsel on provider-specific payment recovery issues.
Maintain strict compliance with HIPAA guidelines and other relevant regulations.
Exhibit strong leadership and communication skills to inspire teams, manage external relationships, and resolve patient inquiries with professionalism and empathy.
Handle special projects as assigned with a focus on achieving operational excellence.
Qualification
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Required
Minimum of 4+ years of billing, payment posting, or A/R experience in a healthcare setting; COVID-19 billing experience highly preferred.
At least 1 year of supervisory experience managing teams of 10+ employees.
Comprehensive knowledge of CPT codes (e.g., 87635, U0003, U0004, G2023, 87426, 99211) and associated billing requirements.
Demonstrated mastery of denial management, including appeal submission and resolution.
Proven ability to oversee and coordinate multiple teams across internal and external settings.
Exceptional organizational, analytical, and decision-making skills.
Preferred
Bachelor’s degree preferred.