Complex Billing Operations Manager - job 1 of 2

Job Summary

A company is looking for a Complex Billing Manager of Operations.

Key Responsibilities

• Oversee team performance and manage operational functions related to complex claims and medical bill review
• Drive process improvements and ensure compliance in billing practices and stakeholder issue resolution
• Analyze team performance trends to enhance operational effectiveness and cost efficiency

Required Qualifications

• Bachelor's Degree in Business, Healthcare, or a related field
• 3-5+ years of experience in bill review/claims operations management or healthcare management
• Proven experience in team leadership and process optimization
• Strong experience with medical insurance billing practices and regulatory requirements
• Thorough knowledge of billing codes, claim forms, and reimbursement regulations