ASC Billing Manager

Overview

The ASC Billing Manager is responsible for overseeing all aspects of the billing and revenue cycle operations to ensure accurate, timely, and compliant billing, collections, and reimbursement. This role provides leadership, guidance, and support to the billing team while ensuring adherence to payer guidelines, regulatory requirements, and organizational policies. The ASC Billing Manager plays a critical role in optimizing revenue performance, reducing denials, and improving overall ASC billing efficiency.

ESSENTIAL FUNCTIONS

· Oversees daily ASC billing operations for large practice with multiple sites, including charge entry, claims submission, payment posting, accounts receivable, and denial management.

· Demonstrates advanced knowledge of ICD-10, CPT, and HCPCS coding guidelines and payer-specific requirements.

· Monitors ASC billing workflows to ensure accuracy, completeness, and compliance throughout the full billing cycle.

· Reviews accounts, reconciles discrepancies, and ensures timely resolution of denials, rejections, and underpayments.

· Identifies, tracks, and reports billing trends, denials, and productivity metrics; implements corrective action plans as needed.

· Provides leadership, training, and ongoing performance feedback to billing staff.

· Develops and maintains billing policies, procedures, and internal controls to support compliance and best practices.

· Serves as a liaison between billing staff, providers, management, and insurance carriers.

· Ensures timely and professional communication with patients regarding billing inquiries and account resolutions.

· Supports audits, compliance reviews, and payer inquiries as required.

· Utilizes reporting tools to monitor revenue performance and recommend process improvements.

· Perform all other job functions, as assigned.

EDUCATION

· High school diploma / GED Certification

· Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred

· Billing or Coding Certification COC, CPC or CASCC is required

EXPERIENCE

· Minimum of five (5) years of medical ASC billing experience

· At least two (2) years of Management experience

· Experience with NextGen Office (NGO), AdvancedMD, or similar EMR/practice management systems preferred

· Ortho and GAE coding experience required

· Spine, Pain Management, Anesthesia, or Specialty Practice experience preferred

KNOWLEDGE

· Advanced knowledge of CPT, HCPCS, ICD-10, and payer guidelines

· Strong understanding of revenue cycle management and insurance reimbursement processes

· Knowledge of medical terminology

· Knowledge of authorizations, benefits verification, adjustments, and appeals

· Proficiency with EMR and practice management systems

· Working knowledge of Microsoft Office, including Outlook, Word, and Excel

SKILLS

· Strong leadership and team management skills

· Exceptional organizational and time-management abilities

· Highly detail-oriented with strong analytical skills

· Effective verbal and written communication skills

· Ability to problem-solve and make data-driven decisions

· Ability to work independently while fostering a positive team environment

ABILITIES

· Ability to interpret and apply insurance payer guidelines accurately

· Ability to prioritize tasks and meet deadlines in a fast-paced environment

· Ability to communicate professionally with insurance carriers, patients, providers, and leadership

· Ability to analyze billing data and implement process improvements

· Ability to maintain confidentiality and handle sensitive information appropriately

· Ability to escalate critical issues to executive leadership when necessary

ENVIRONMENTAL WORKING CONDITIONS

· Indoors in a climate-controlled medical office environment

ORGANIZATIONAL REQUIREMENTS

This job description is intended to provide guidelines for job responsibilities and requirements. Some job functionalities, responsibilities, knowledge, skills, abilities, and working conditions may change as organizational needs evolve.

Pay: $62,000.00 - $78,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Retirement plan

Work Location: In person

Salary : $62,000 - $78,000