Medical Billing Account Manager Job Description [Updated for 2025]

In the healthcare industry, the role of Medical Billing Account Managers is becoming increasingly crucial.

As healthcare systems continue to evolve, the demand for skilled professionals who can manage, organize, and ensure the accuracy of medical billing operations grows stronger.

But let’s delve deeper: What’s really expected from a Medical Billing Account Manager?

Whether you are:

• A job seeker trying to understand the core responsibilities of this role,
• A hiring manager crafting the profile of the perfect candidate,
• Or simply curious about the intricacies of medical billing management,

You’ve come to the right place.

Today, we present a customizable Medical Billing Account Manager job description template, designed for effortless posting on job boards or career sites.

Let’s dive right into it.

Medical Billing Account Manager Duties and Responsibilities

Medical Billing Account Managers are responsible for overseeing the billing process for healthcare services.

They ensure accurate billing to patients, insurance companies, and other relevant parties.

Their role is critical in maintaining the revenue cycle of healthcare organizations.

Here are the key duties and responsibilities of a Medical Billing Account Manager:

• Manage and oversee the daily operations of the medical billing department
• Coordinate with healthcare providers to obtain necessary information for accurate billing
• Ensure timely and accurate billing of services to patients and insurance companies
• Review billing statements and correct any errors
• Track and resolve any billing discrepancies or issues
• Communicate effectively with patients, insurance companies, and healthcare providers regarding billing concerns
• Develop and implement policies and procedures for the billing process
• Maintain up-to-date knowledge on insurance policies, healthcare regulations, and medical coding standards
• Provide training and guidance to billing staff
• Prepare and present reports on billing activities and revenue cycle performance
• Ensure compliance with healthcare laws, regulations, and standards in all billing practices

 

Medical Billing Account Manager Job Description Template

Job Brief

We are looking for a detail-oriented Medical Billing Account Manager to oversee our medical billing operations.

Medical Billing Account Manager responsibilities include tracking medical claims, managing patient accounts, reviewing and appealing unpaid and denied claims, managing collections, and ensuring that the billing operations are conducted in compliance with legal and health insurance policies.

Our ideal candidate has a strong background in medical billing, with hands-on experience in managing customer accounts and knowledge of billing procedures.

 

Responsibilities

• Monitor and manage patient accounts
• Prepare, review, and transmit claims using billing software
• Check insurance payment for accuracy and compliance with contract discounts
• Identify and bill secondary or tertiary insurances
• Review accounts for insurance or patient follow-up
• Investigate rejected claim to see why denial was issued
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances

 

Qualifications

• Proven work experience as a Medical Billing Manager or similar role
• Hands-on experience with medical billing software
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Competent in MS Office, particularly Excel
• Understanding of medical terminology, coding and office operations
• Excellent organizational and multitasking abilities
• Attention to detail
• High school diploma; certification in medical coding is a plus

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Medical Billing Account Manager
• Work Environment: Office setting. Some travel may be required for meetings or training.
• Reporting Structure: Reports to the Medical Billing Supervisor or Manager.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $45,000 minimum to $75,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Medical Billing Account Manager Do?

A Medical Billing Account Manager typically works within a healthcare facility or for a medical billing company.

They can also operate as independent contractors.

Their primary responsibility is to ensure accurate medical coding, billing, and collections.

They review patient accounts, confirm insurance coverage, and handle any discrepancies or issues that arise.

They work closely with healthcare providers, patients, and insurance companies to ensure that all procedures, treatments, and medications are correctly billed and reimbursed according to the agreed terms.

Medical Billing Account Managers also handle patient inquiries about billing and work to resolve any disputes or misunderstandings.

They need to stay updated on current coding and billing standards and regulations in healthcare, including changes in insurance policies and government healthcare initiatives.

In addition, they may be responsible for training and supervising other staff members on medical billing processes and software.

Overall, the goal of a Medical Billing Account Manager is to ensure efficient, accurate, and ethical medical billing procedures and to maintain a positive financial standing for their organization or clients.

 

Medical Billing Account Manager Qualifications and Skills

A proficient Medical Billing Account Manager should have the skills and qualifications that align with the job role, including:

• Comprehensive knowledge of medical billing and coding systems to accurately record and manage patient account information.
• Strong analytical skills to review and audit billing data, identify discrepancies, and ensure accurate invoicing.
• Excellent attention to detail to ensure correct data entry and to spot any errors or inconsistencies in billing processes.
• Effective communication skills to liaise with healthcare providers, insurance companies, and patients, and to resolve any billing issues or queries.
• Strong organizational and multitasking abilities to manage multiple patient accounts and billing cycles simultaneously.
• Ability to understand and follow insurance procedures, regulations, and laws related to healthcare billing.
• Customer service skills for handling patient inquiries, providing clarification on charges and working with patients on payment arrangements.
• Problem-solving skills to address and resolve any issues that might arise in the course of billing and account management.
• Proficiency in using medical billing software and other related computer applications for record keeping, data analysis, and reporting.

 

Medical Billing Account Manager Experience Requirements

Medical Billing Account Managers typically require a minimum of 2 to 3 years of experience in the healthcare industry, specifically within medical billing or medical coding roles.

This experience provides knowledge and understanding of medical terminology, insurance practices, and healthcare billing procedures.

In addition to this, some roles may require experience with Electronic Health Records (EHR) systems and medical billing software.

Proficiency in these areas is often gained through on-the-job training or specific coursework.

Experience in a supervisory role or in account management may also be beneficial, as this role often involves oversight of a team and direct communication with clients.

It’s important for Medical Billing Account Managers to have strong customer service and communication skills, often developed through previous client-facing roles.

As an advanced role, candidates with more than 5 years of experience in medical billing, or those with certification from accredited institutions such as the American Academy of Professional Coders (AAPC), are often preferred.

These individuals typically have a deep understanding of medical billing procedures and may be ready for a managerial position.

 

Medical Billing Account Manager Education and Training Requirements

Medical Billing Account Managers generally require a bachelor’s degree in business, finance, or a related field.

A deep understanding of medical billing and coding procedures is also crucial.

Most employers prefer candidates who have undergone specialized training in medical billing and coding from an accredited institution.

These programs provide a comprehensive understanding of medical terminology, health records management, insurance procedures, and the laws and ethics surrounding medical billing.

While not strictly mandatory, obtaining a certification in Medical Billing and Coding can greatly enhance job prospects.

The American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA) offer recognized certification programs.

Knowledge and experience with medical billing software like Medisoft, eClinicalWorks, or AdvancedMD is an added advantage.

Additionally, some employers require their Medical Billing Account Managers to have previous experience in a healthcare setting, ideally in a billing or finance role.

As with other roles in the healthcare industry, a commitment to continuous learning and staying updated with the ever-changing healthcare laws and insurance procedures is crucial for Medical Billing Account Managers.

 

Medical Billing Account Manager Salary Expectations

A Medical Billing Account Manager earns an average salary of $56,320 (USD) per year.

The actual earnings can fluctuate depending on years of experience, the complexity of the billing process handled, and the location of the employer.

 

Medical Billing Account Manager Job Description FAQs

What skills does a Medical Billing Account Manager need?

A Medical Billing Account Manager needs a strong understanding of medical billing and coding, as well as familiarity with medical terminology.

They should be detail-oriented, as they will need to spot discrepancies or errors in billing information.

Additionally, they must have strong organizational and time management skills to manage multiple accounts simultaneously.

Good communication skills are crucial to interact effectively with healthcare providers, insurance companies, and patients.

 

Do Medical Billing Account Managers need a degree?

While a degree is not always necessary, having a bachelor’s degree in health administration, business, or a related field can be beneficial.

Many employers prefer candidates with a Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification.

These certifications demonstrate a solid understanding of the medical billing process.

 

What should you look for in a Medical Billing Account Manager resume?

When reviewing a resume, look for a solid background in medical billing and coding.

Check for any certifications related to medical billing and coding, such as CPB or CMRS.

Experience with medical billing software, as well as strong computer skills, are also important.

Other desirable attributes include excellent attention to detail, strong organizational skills, and a proven track record of successfully managing accounts.

 

What qualities make a good Medical Billing Account Manager?

A good Medical Billing Account Manager is meticulous, well-organized, and has a keen eye for detail to ensure accuracy in billing.

They are well-versed in medical billing codes and medical terminology.

They also have excellent communication skills to interact with different parties such as healthcare providers, insurance companies, and patients.

They should also be able to handle pressure and manage their time effectively to meet deadlines.

 

Is it difficult to hire a Medical Billing Account Manager?

Hiring a Medical Billing Account Manager can be challenging due to the specialized knowledge and skills required for the role.

The candidate must understand the intricacies of medical billing and coding, medical insurance policies, patient privacy laws, and more.

However, with a clear job description and a thorough hiring process, it’s possible to find the right person for the role.

 

Conclusion

And there you have it.

Today, we’ve given you an inside look at what it entails to be a medical billing account manager.

Surprise, surprise?

It’s not just about sending invoices.

It’s about ensuring the financial health of the healthcare industry, one billing statement at a time.

Armed with our in-depth medical billing account manager job description template and real-world examples, you’re ready to step up your game.

But why draw the line there?

Dig deeper with our job description generator. It’s your go-to tool for crafting pinpoint-accurate job listings or refining your resume to the nth degree.

Remember:

Every billed account contributes to the bigger picture.

Let’s ensure a financially healthy future for healthcare. Together.

How to Become a Medical Billing Account Manager (Complete Guide)

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