Billing Manager

About Company:

North Florida Pediatrics (NFP) is a trusted and leading provider of comprehensive pediatric care, proudly serving families throughout North Florida. Founded with a mission to deliver high-quality, compassionate, and accessible healthcare, NFP is committed to nurturing the physical, emotional, and developmental well-being of every child we serve.

With multiple clinic locations, a team of dedicated pediatric professionals, and a strong focus on preventive care, NFP offers a wide range of services including well-child visits, immunizations, chronic disease management, and behavioral health support. We believe in building long-lasting relationships with our patients and their families, creating a welcoming environment where children can thrive.

At NFP, we also invest in innovation, continuous improvement, and community partnerships to ensure that every child receives the best possible care—today and into the future.

Our Mission:
To provide exceptional, compassionate care to children and families across North Florida, helping every child grow up healthy and strong.

About the Role:

The Billing Manager plays a critical role in overseeing the entire billing process within a healthcare or medical services environment, ensuring accuracy and compliance with regulatory standards. This position is responsible for managing patient billing, third-party billing, and electronic billing systems to optimize revenue cycle management. The Billing Manager leads a team to post payments, handle patient collections, and resolve aged receivables efficiently, minimizing outstanding balances. They collaborate closely with medical providers, insurance companies, and patients to ensure timely and accurate processing of medical claims. Ultimately, the role aims to maintain financial integrity and support the organization's operational goals by streamlining billing workflows and enhancing collection efforts.

Minimum Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field.
• Minimum of 3 years of experience in medical billing and collections, preferably in a managerial role.
• Strong knowledge of patient billing, third-party billing, and electronic billing systems.
• Familiarity with medical claims processing and healthcare reimbursement methodologies.
• Proficiency with billing software and electronic health record (EHR) systems.

Preferred Qualifications:

• Certification in Medical Billing or Coding (e.g., CPC, CPB) is highly desirable.
• Experience working with aged receivables management and revenue cycle optimization.
• Knowledge of healthcare regulations such as HIPAA and payer-specific billing guidelines.
• Demonstrated leadership experience in managing billing teams within a healthcare setting.
• Advanced skills in data analysis and reporting tools to support billing operations.

Responsibilities:

• Manage and supervise the daily operations of the billing department, including patient billing and collections.
• Oversee the posting of payments and ensure accurate reconciliation of accounts.
• Coordinate electronic billing processes and maintain compliance with healthcare regulations and payer requirements.
• Monitor aged receivables and implement strategies to reduce outstanding balances and improve cash flow.
• Collaborate with insurance companies and third-party payers to resolve claim denials and discrepancies.
• Train, mentor, and evaluate billing staff to maintain high performance and adherence to best practices.
• Generate and analyze billing reports to identify trends and areas for process improvement.
• Ensure all medical claims are submitted accurately and in a timely manner to maximize reimbursement.

Skills:

The Billing Manager utilizes patient billing and collections skills daily to ensure accurate invoicing and timely payment processing, which directly impacts the organization's revenue. Expertise in posting payments and electronic billing is essential for maintaining up-to-date financial records and compliance with payer requirements. Medical billing and third-party billing knowledge enable the manager to navigate complex insurance claims and resolve discrepancies efficiently. Managing aged receivables requires analytical skills to identify trends and implement effective collection strategies. Additionally, strong communication and leadership skills are applied to train staff, coordinate with external partners, and foster a collaborative work environment that supports continuous improvement.