NJ Sports Spine & Wellness · 1 day ago
Billing Manager
NJ Sports Spine & Wellness is a fast-growing, multi-disciplinary healthcare organization seeking an experienced Medical Billing Manager to oversee and optimize their revenue cycle operations. This role involves ensuring accurate billing, timely collections, and compliance while leading a team and improving financial outcomes across various service lines.
Responsibilities
Oversee all billing, coding, claims submission, payment posting, and AR follow-up activities
Ensure accurate and timely submission of claims to commercial insurance, Medicare, Medicaid, WC, and no-fault carriers
Monitor denial trends, underpayments, and payer issues; implement corrective action plans
Ensure proper charge capture and coding compliance (CPT, ICD-10, modifiers, bundling rules)
Manage AR aging with a strong focus on reducing days in AR and increasing collection velocity
Establish clear workflows for follow-ups, appeals, secondary billing, and patient balances
Work closely with front desk and clinical teams to ensure clean claims from intake to submission
Lead, train, and manage billing specialists and AR staff
Establish productivity benchmarks, KPIs, and accountability metrics for the billing team
Conduct regular audits, coaching sessions, and performance reviews
Build SOPs for billing workflows and ensure consistency across all NJSSW locations
Prepare weekly and monthly reports including:
Net collections vs. gross charges
Denial rates by payer
AR aging (0–30, 31–60, 61–90, 90+)
Collection percentages by service line and provider
Provide actionable insights to leadership to improve profitability and operational efficiency
Ensure compliance with payer contracts, HIPAA, and healthcare billing regulations
Stay current on reimbursement changes, payer policy updates, and industry best practices
Partner with leadership on system improvements, EMR optimization, and automation opportunities
Qualification
Required
5+ years of medical billing and revenue cycle experience
2+ years in a billing leadership or management role
Strong knowledge of insurance billing, EOBs, denials, appeals, and payer contracts
Experience with multi-disciplinary practices (PT, chiro, pain management, or orthopedic preferred)
High level of proficiency in EMR and billing systems
Advanced Excel/Google Sheets skills for reporting and analysis
Preferred
Experience in high-volume outpatient or multi-location practices
Familiarity with New Jersey insurance carriers, WC, and no-fault billing
Proven success improving AR days, collection rates, and denial percentages
Lean process improvement or SOP development experience
Benefits
Health
Dental
Vision
Paid leave
Retirement benefits
Company
NJ Sports Spine & Wellness
Specializing in Chiropractic's, Physical Therapy, Occupational Therapy, Sports Recovery, and Acupuncture, we are the one stop shop to "Get Better Faster".
Funding
Current Stage
Growth StageCompany data provided by crunchbase