_{16th April, 2026}

Medical RCM Billing Manager
Multi-Locations Medical Practice exp
Remote ( preferred in EST or CST time zone)
Reports to: CEO/Medical Director
 
Our client is a well-established privately owned organization with over 20 years.  The company grew to a be large, multi-site practice with 11 locations across Virginia with a focus on sleep disorders in adults and children.
 
Position Summary
Our client seeking a highly organized, detail-oriented Medical RCM Billing Manager to oversee and manage all aspects of the Revenue Cycle Management (RCM) process in-house.  This role is responsible for optimizing cash flow, minimizing denials, ensuring compliance, and leading billing operations to support the financial health of the practice.
 
The ideal candidate is proactive, analytical, experienced in multi-payor environments, and comfortable managing both team members and external billing vendors.
 
Qualifications
 
Required:

• 5+ years of medical billing and RCM experience
• 2+ years in a supervisory or managerial role
• Must have RCM experience in a multi-location operations.
• Strong knowledge of commercial, Medicare, Medicaid, and Tricare billing
• Experience managing denials and appeals
• Proficiency with eClinical works EMR/EHR and practice management systems
• Strong analytical and reporting skills
• Experience in Clear action plan to reduce AR > 90 days
• The confidence and ability to work directly with C-level Executives

Preferred:

• CPC, CPB, or related coding certification
• Experience in Sleep Medicine or multi-specialty medical practice
• Experience managing external billing vendors
• Bachelors Degree or equivalence

 
Skills & Competencies

• Strong attention to detail
• Financial and operational analytical skills
• Excellent communication and leadership abilities
• Ability to prioritize and meet deadlines
• Process improvement mindset
• High level of accountability and integrity

 
Key Responsibilities
Revenue Cycle Oversight

• Manage end-to-end RCM operations including charge capture, claim submission, payment posting, denial management, appeals, and AR follow-up
• Monitor and improve key performance indicators (KPIs):
  • Days in AR
  • Clean claim rate
  • First-pass resolution rate
  • Net collection rate
  • Denial rate
• Ensure timely submission of claims and resolution of claim holds (e.g., credentialing, authorization, documentation issues)
• Oversee payer enrollment and credentialing tracking

 
Billing & Collections Management

• Supervise daily billing workflows and ensure claims are submitted accurately and timely
• Analyze and resolve denied or underpaid claims
• Review high-dollar AR accounts and oversee escalations
• Ensure accurate patient billing and collections processes
• Coordinate with front desk, clinical staff, and providers to address documentation or coding gaps

 
Compliance & Coding

• Ensure compliance with CPT, ICD-10, HCPCS coding standards
• Monitor payer-specific billing guidelines (Commercial, Medicare, Medicaid, Tricare, etc.)
• Ensure compliance with HIPAA and healthcare regulations
• Stay updated on regulatory and reimbursement changes

 
Reporting & Analytics

• Provide weekly and monthly financial performance reports to leadership with practice claims
• Ensure billing accuracy and collections quality across:
  • Office Consult
  • Office visits (E/M)
  • In-lab studies and other testing (HST)
  • Oral appliance therapy

 

• Track trends in denials, referrals, and reimbursement patterns
• Present actionable recommendations to improve revenue performance
• Audit billing vendor performance, work with offshore billing team members, and ensure accountability

Team Leadership

• Supervise and support offshore billing staff
• Provide training on billing processes and compliance updates
• Serve as liaison between administration, providers, and billing operations
• Establish SOPs for billing and collections

 
Key Performance Expectations (First 90 Days)

• Full audit of current AR and denial trends
• Clear action plan to reduce AR > 90 days
• Improve clean claim rate and decrease denial percentage
• Establish structured weekly reporting dashboard
• Ensure credentialing-related claim holds are minimized

 
Compensation

• Competitive salary based on experience.
• Performance-based incentives tied to revenue metrics
• Benefits package, PTO and more ( more info to come)
• 100% remote in the US, preferably in the EST or CST time zone
• Possible occasional travel

Apply:  Please provide your updated resume;  include all of your experience that is relevant to the position.  If you are a match, you will be contacted ASAP by email or VM ( maybe text) for the "NEXT STEPS". Monitor your inbox and check spam folder for messages.
 
 
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
 
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.
 

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