[Remote] Operations Manager - Billing

Note: The job is a remote job and is open to candidates in USA. Currance is a company focused on billing operations and compliance in the healthcare sector. They are seeking an Operations Manager - Billing to oversee client billing workflows, develop key performance indicators, and ensure compliance with policies and laws while fostering a positive work environment.

Responsibilities

• Supervises billing leadership and staff, including hiring, training new team members, performance evaluation, workload allocation, and professional development
• Serves as the department’s subject matter expert on coding and billing processes
• Serves as the subject matter expert for each project’s clearinghouse and advises best practices within the client’s clearinghouse
• Responsible for reviewing improvements with clients pertaining to billing and DNFB recommendations
• Responsible for reviewing, advising, and building clearinghouse edits and bridge routines to ensure industry standard clean claim rates
• Ensure compliance with HIPAA, State, and Federal laws and guidelines among team members
• Implement audit and productivity standards to uphold compliance across the billing teams
• Ensure leadership teams are informed proactively pertaining to client billing issues and opportunities; attend client meetings as needed for explanations
• Strive to meet or exceed all KPIs and goals
• Coach and mentor supervisors when employees do not meet expectations
• Design, implement, and maintain billing best practice workflows and policies
• Foster teamwork and a positive working environment
• Support supervisors with team member payroll accuracy and approvals as needed
• Participate in client or internal meetings as requested
• Complete all assigned projects promptly
• Perform other related duties as needed

Skills

• High school diploma or equivalent (required); Associate degree preferred
• Bachelor's degree in healthcare management or a related field (preferred)
• CRCR certification required or must be obtained within 90 days of hire
• Minimum 5 years of experience as a revenue cycle lead or supervisor, including direct reports
• Minimum 5 years of hands-on billing experience
• Experience working with multiple clearinghouses and EHR systems
• Current billing certification (CPB) or actively pursuing certification
• Understanding of healthcare revenue cycle administration, including CMS rules, HIPAA, and record retention guidelines
• Familiarity with time management and continuous performance improvement
• Understanding of IPO, WMM, and WMB processes
• Competence in basic math
• Strong written and verbal communication skills
• Initiative and adaptability in learning new software applications
• Ability to mentor, coach, and develop team members
• Advanced analytical skills and problem-solving abilities
• Proficiency in time management, leadership, decision-making, and ethical standards
• Independence in managing and carrying out projects
• Positive attitude and professional demeanor
• Openness to feedback and commitment to growth and improvement
• Reliability, punctuality, and flexibility to adapt to change
• Ability to demonstrate accountability and measurable achievements within the revenue cycle

Company Overview