Medical Billing Manager Job Description [Updated for 2025]

In the era of modern healthcare, the focus on Medical Billing Managers has never been more significant.

As the healthcare sector advances, the demand for skilled individuals who can manage, streamline, and secure our medical billing systems increases.

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

Whether you are:

• A job seeker trying to understand the core of this role,
• A hiring manager outlining the perfect candidate,
• Or simply fascinated by the complexities of medical billing management,

You’re in the right place.

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

Let’s dive right into it.

Medical Billing Manager Duties and Responsibilities

Medical Billing Managers oversee the team responsible for all aspects of medical billing and collections.

They ensure that the billing department follows legal and insurance procedures.

Medical Billing Managers have the following duties and responsibilities:

• Oversee the day-to-day operations of the medical billing department
• Ensure accurate, timely, and compliant billing, coding, and collections
• Train and support billing staff in using up-to-date billing software
• Develop and implement billing policies and procedures
• Manage patient billing inquiries and resolve any issues
• Coordinate with healthcare providers and insurance companies for claim submission
• Audit billing and collection procedures to ensure accuracy and compliance with regulations
• Monitor billing performance and create reports for management
• Stay informed about current billing and coding regulations and guidelines
• Develop strategies to improve efficiency and reduce billing errors
• Handle sensitive information confidentially

 

Medical Billing Manager Job Description Template

Job Brief

We are seeking a knowledgeable and organized Medical Billing Manager to join our team.

The Medical Billing Manager will be responsible for leading and directing the medical billing team in processing claims, assisting with audits, and resolving patient billing issues.

Our ideal candidate has a solid understanding of billing software, medical insurance policies, and the overall healthcare revenue cycle management.

They should be detail-oriented and have excellent leadership skills to ensure the billing department operates effectively.

 

Responsibilities

• Oversee and streamline billing and collections processes
• Manage daily operations of the billing team, including but not limited to: invoice generation, payment posting, and collections
• Resolve patient billing inquiries and complaints in a timely manner
• Train and support billing department staff
• Conduct regular audits to ensure accuracy of billing data
• Coordinate with insurance companies to track claims
• Ensure all insurance and patient payments are posted to accounts correctly
• Stay up-to-date with insurance regulations, medical coding, and billing trends
• Prepare and present reports on billing activities

 

Qualifications

• Proven work experience as a Medical Billing Manager or similar role
• Thorough knowledge of medical billing procedures, documentation and regulations
• Familiarity with medical coding and terminology
• Proficiency with billing software, electronic medical records (EMR) and databases
• Excellent organizational and leadership skills
• Strong communication and interpersonal abilities
• Attention to detail
• Degree in Health Administration, Business or relevant field

 

Benefits

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

 

Additional Information

• Job Title: Medical Billing Manager
• Work Environment: Office-based with standard office hours. May require occasional overtime during peak billing periods.
• Reporting Structure: Reports to the Director of Finance or Healthcare Administrator.
• Salary: Salary is commensurate with experience and qualifications, as well as market and business considerations.
• 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 Manager Do?

Medical Billing Managers primarily work in healthcare institutions like hospitals, clinics, and nursing homes, or they may be employed by firms that provide medical billing services to these institutions.

Some also work as self-employed individuals or consultants.

They are responsible for overseeing the entire medical billing process in a healthcare setting.

This includes ensuring accurate and timely billing of services, managing the submission of claims, and overseeing the follow-up with insurance companies.

Their role often involves reviewing patient bills for accuracy, resolving any discrepancies, and ensuring that all billing regulations are complied with.

They are also responsible for managing the medical billing team, ensuring they are properly trained, and that they follow all the necessary procedures and protocols.

Medical Billing Managers also handle patient inquiries related to billing, and they work closely with healthcare providers and insurance companies to resolve any billing issues.

They are often tasked with implementing and maintaining billing systems and procedures, and they may also be involved in the financial planning and budgeting of the healthcare facility.

Additionally, they ensure the protection of patient confidentiality in all billing activities, in compliance with HIPAA and other relevant regulations.

They also monitor and analyze the effectiveness of the billing operations and implement necessary changes or improvements.

 

Medical Billing Manager Qualifications and Skills

A proficient Medical Billing Manager should possess the following skills and qualifications that are essential for their role:

• Strong knowledge of medical billing processes, insurance policies, and claim procedures to ensure accurate and timely billing.
• Excellent leadership skills to manage and lead a team of medical billers, ensuring they follow standard procedures and meet set targets.
• Superior communication skills to liaise with healthcare providers, insurance companies, and patients, resolving any disputes or misunderstandings in a timely manner.
• Detail-oriented and analytical abilities to review and audit medical bills for accuracy, identify discrepancies, and rectify errors.
• Strong knowledge of medical codes and terminology to understand and verify medical records and invoices.
• Proficient in using medical billing software and electronic health record (EHR) systems to streamline processes and improve efficiency.
• Customer service skills to address patient queries and concerns regarding billing, providing clear and concise explanations.
• Problem-solving skills to resolve billing issues and conflicts, and to implement effective solutions to improve billing operations.

 

Medical Billing Manager Experience Requirements

For an entry-level Medical Billing Manager role, candidates should have at least 2-3 years of experience in a medical billing or related role.

This experience provides them with a foundation in medical coding, insurance claims, patient billing, and managing records.

Candidates often gain this experience through roles such as Medical Billing Specialist, Medical Coding Specialist, or even administrative roles within a healthcare setting.

Familiarity with medical software and electronic health record systems is also critical.

Candidates looking for a mid-level Medical Billing Manager position should have 3-5 years of experience.

This experience should include a higher level of responsibility, including supervising staff, managing patient account collections, and analyzing billing procedures for efficiency.

Those with over 5 years of experience may have had leadership roles in their past positions, such as team lead or supervisor in a medical billing department.

These candidates should be experienced in developing and implementing billing policies and procedures, managing a team, and ensuring compliance with healthcare regulations and laws.

Additionally, it is beneficial for candidates to have experience working with a variety of insurance providers, as well as knowledge of medical terminology, coding, and the Health Insurance Portability and Accountability Act (HIPAA) regulations.

 

Medical Billing Manager Education and Training Requirements

Medical Billing Managers typically require a bachelor’s degree in health administration, finance, business administration, or related fields.

In addition, they must have a strong understanding of medical billing codes and medical terminology.

This knowledge is often gained through certificate programs or associate’s degree programs in medical billing and coding.

More advanced positions may require a master’s degree in health administration or business administration, emphasizing finance or health systems management.

In addition to formal education, a Medical Billing Manager needs to have strong familiarity with electronic health records (EHR) systems and billing software.

Some positions may also require certification through a recognized professional organization, such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).

Continuing education and staying updated with changes in billing practices, coding updates, and healthcare laws are critical for advancement and success in this role.

Lastly, several years of experience in a medical billing setting, often in a lesser role, such as a medical billing clerk or medical billing specialist, is typically required before advancing to a managerial position.

 

Medical Billing Manager Salary Expectations

A Medical Billing Manager earns an average salary of $59,922 (USD) per year.

The actual earnings can fluctuate based on factors such as the individual’s professional experience, the size and type of the healthcare facility, and the geographical location.

 

Medical Billing Manager Job Description FAQs

What skills does a Medical Billing Manager need?

Medical Billing Managers should have excellent organizational and management skills to effectively oversee the billing department.

They should also have a strong understanding of medical codes, billing practices, and insurance procedures.

Their analytical skills should be top-notch for accurately reviewing and interpreting billing data.

Communication skills are also essential to liaise with healthcare providers, patients, and insurance companies.

 

Do Medical Billing Managers need a specific degree?

Most Medical Billing Managers have a Bachelor’s degree in health administration, business, or a related field.

However, experience in medical billing and coding can sometimes substitute for formal education.

Certification in medical billing or coding, although not always required, can enhance job prospects.

 

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

A strong Medical Billing Manager resume should highlight the candidate’s experience in medical billing and coding.

It should also showcase their knowledge of healthcare administration, insurance procedures, and medical terminology.

Look for demonstrated experience in management or supervision, as well as any certifications in medical billing or coding.

 

What qualities make a good Medical Billing Manager?

A good Medical Billing Manager should be highly detail-oriented to ensure accurate processing of patient bills and insurance claims.

They must have strong leadership abilities to manage and motivate their team effectively.

They should also be adaptable, as they may need to adjust strategies to comply with ever-changing healthcare regulations and insurance policies.

 

What are the daily duties of a Medical Billing Manager?

A Medical Billing Manager typically oversees the operations of the billing department, which includes supervising staff, coding medical procedures, and processing insurance claims.

They also handle patient inquiries regarding billing and act as a liaison between healthcare providers, patients, and insurance companies.

They ensure compliance with applicable laws and regulations, and they also analyze and report on billing trends and issues.

 

Conclusion

And there you have it.

Today, we’ve unveiled the intricacies of being a Medical Billing Manager.

And guess what?

It’s not just about billing and coding.

It’s about orchestrating financial healthcare processes, one bill at a time.

With our trusted Medical Billing Manager job description template and real-life examples, you’re ready to take the plunge.

But why stop there?

Venture further with our job description generator. It’s your roadmap to creating precise job listings or refining your resume to excellence.

Remember:

Every financial transaction is part of a larger healthcare system.

Let’s streamline that system. Together.

How to Become a Medical Billing Manager (Complete Guide)

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