Billing Manager

Position Title: Billing Manager

Work Setup

Onsite

Work Schedule

Graveyard Shift

Target Start Date

ASAP

Company Overview

Our culture prioritizes accuracy, efficiency, and professional development, providing team members with tools and training to succeed in complex healthcare environments.

Position Overview

The Billing Manager (Pain Management & Surgical Services) is a highly skilled, independent professional responsible for managing the full cycle of billing for both the physician and associated surgery center. Beyond routine billing tasks, this role is critical in establishing and building the billing department for a small medical office, ensuring efficient, accurate, and compliant billing workflows.

The ideal candidate is detail-oriented, proactive, and solutions-driven, capable of handling multiple billing cases, optimizing workflows, and implementing best practices in pain management and surgical billing.

Core Responsibilities

• Prepare and submit accurate claims for pain management and surgical services, including injections, nerve blocks, procedures, therapies, and consultations
• Review patient records and documentation to ensure compliance with payer requirements and billing regulations
• Verify patient insurance coverage, benefits, and eligibility for both physician and surgical procedures
• Apply appropriate CPT, ICD-10 codes, and modifiers specific to pain management and surgical billing
• Post payments, adjustments, and reconcile accounts accurately
• Maintain comprehensive records of billing activities within Practice Fusion, Tebra, and other billing/CRM systems

• Monitor claim status and follow up on unpaid, delayed, or denied claims
• Investigate and resolve billing discrepancies, denials, and underpayments
• Communicate effectively with insurance providers regarding authorizations, claims, and reimbursement issues

• Establish and standardize billing workflows for the practice, including both the physician and surgery center operations
• Identify inefficiencies, implement process improvements, and optimize billing solutions
• Develop internal documentation, protocols, and best practices for accurate claim submission and follow-ups
• Provide reporting and insights on billing trends, denials, and revenue cycle performance
• Collaborate with clinic staff to ensure smooth coordination across clinical and administrative functions

• At least 1-3 years of experience in medical billing, preferably in pain management, anesthesia, or allied healthcare
• Expert in CPT, ICD-10 codes, and modifiers relevant to pain management services
• Familiarity with insurance requirements for pain management procedures (e.g., pre-authorization, visit limits, medical necessity)
• Ability to manage moderate complexity tasks with accuracy
• Strong multi-skill capability and ability to handle multiple billing processes simultaneously
• Proven problem-solving and case resolution skills for denied or complex claims
• Ability to make decisions within established billing and compliance guidelines
• Proficiency in Practice Fusion and Tebra EMR/billing software
• Strong organizational, analytical, and time management skills
• Excellent written and verbal communication skills
• Ability to work independently in a fast-paced healthcare environment

• Salary Range: ₱28,000 - ₱40,000 (dependent on experience)
• Additional benefits, depending on performance

30 / 60 / 90 Days Success Measures

• Complete onboarding and training on current billing systems (Practice Fusion and Tebra) and clinic workflows
• Understand existing billing processes for both physician and surgery center
• Begin processing basic claims under supervision
• Identify initial opportunities for process improvement

• Independently manage end-to-end billing for both physician and surgical cases
• Reduce errors and increase first-pass claim acceptance rates
• Handle denials and discrepancies effectively
• Begin implementing process improvements and workflow optimizations

• Establish and standardize the billing department and processes
• Fully own the billing workflow for the practice, ensuring timely and accurate claim submission
• Demonstrate measurable improvements in claim accuracy, denials, and revenue cycle efficiency
• Develop and document best practices for continued department growth