Optima Medical ยท 3 days ago
Medical Billing Manager
Scottsdale, AZ
Full-time
Onsite
Senior Level
5+ years expOptima Medical is an Arizona-based medical group dedicated to improving the quality of life through personalized healthcare. They are seeking a detail-oriented Medical Billing Manager to provide operational oversight and leadership across the revenue cycle department, ensuring accuracy and timeliness in the claims process.
Health Care
Responsibilities
Manage and oversee the day-to-day operations across multiple departments
Collaborate with department leads to improve workflow, productivity, and claim accuracy
Identify trends in provider charges, denials, and potential underpayments
Oversee the daily operations of the charge entry team, ensuring all charges are coded, reconciled, and submitted timely
Perform and assist with claim edits ie; documentation review, ICD to CPT mapping, CPT crosswalks, providing feedback to improve claim scrubbing edits
Ensure compliance with payer rules and internal policies
Organize, develop, and maintain revenue cycle SOPs
Identify, research, and resolve claim issues as needed through direct contact with payors
Communicate with clinic managers to resolve medical billing delays / issues
Incomplete progress notes, coding discrepancies, eligibility issues, patient balance inquiries
Monitor weekly RCM reports from department managers
Utilize reporting and analytics (Microsoft Excel-based) to provide feedback, track performance, and recommend improvements
Qualification
Required
Minimum of 5 years experience in medical billing & coding for primary care specialty group
Minimum of 3 years experience in a leadership role
Intermediate/Advanced proficiency with Microsoft Excel (reporting, tracking, analysis)
Strong problem-solving and communication skills
Preferred
Experience with eClinical
Benefits
Comprehensive benefits (medical/vision/dental/401k/paid holidays)
Substantial growth opportunities
Leadership and mentoring
Fun work environment (lunches, events, holiday parties)
Supportive and positive work culture
Company
Optima Medical
Optima Medical is a healthcare center that provides personalized healthcare.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Ken Walsh
Chief Financial Officer
Eric Battis
Chief Operating Officer
Company data provided by crunchbase