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About the Role
We are seeking a hands-on Medical/Healthcare Claims Billing Manager to lead our billing function as we grow. This is an opportunity to make a big impact on a small team by ensuring billing accuracy, maximizing clean claim rates, and building the foundation of RxDiet's revenue cycle operations and team.
Responsibilities
- Accurate and timely submission of claims to Medicaid, Medicare, and other payers
- Monitoring claim status
- Resolving denials and rejections
- Ensuring compliance with payer-specific billing requirements
- Building out and leading the billing team
- Establishing processes, documentation, and best practices
- Hiring, training, and managing billing staff as the function scales
Requirements
- Minimum of 5+ years of experience in healthcare claims billing
- 3 years of prior experience managing or leading a billing team
- Direct experience submitting and managing claims for Medicaid and Medicare
- Strong working knowledge of claims submission systems, clearinghouses, and payer portals
- Familiarity with CMS, CPT, ICD-10, and HCPCS coding, and payer-specific billing guidelines
- Experience identifying and resolving claim denials, rejections, and underpayments
- Proven ability to hire, train, and manage billing staff
- Strong people-leadership and coaching skills
- Strong working knowledge of Excel/Google Sheets
- Detail-oriented with strong organizational and time management skills
- Excellent written and verbal communication
- Self-starter with a can-do attitude and startup mindset
- Comfortable building both processes and a team from scratch as the first billing hire on the team
- Interest in food-as-medicine, startups, and community health
Skills
- Claims submission systems
- Clearinghouses
- Payer portals
- CMS
- CPT
- ICD-10
- HCPCS coding
- Payer-specific billing guidelines
- Claim denial resolution
- Claim rejection resolution
- Underpayment resolution
- Staff hiring
- Staff training
- Staff management
- People leadership
- Coaching
- Excel
- Google Sheets
- Organizational skills
- Time management skills
- Written communication
- Verbal communication
Location
- United States
Work Type
- Full Time
Experience Level
- 5+ years of experience in healthcare claims billing
- 3 years of prior experience managing or leading a billing team
Salary/Compensations
- $65,000 - $85,000 / year