Billing and Collections Manager

We are a leading Orthotic and Prosthetic provider committed to delivering exceptional patient care and outcomes across multiple states. With clinic locations in Indiana, Wisconsin, Texas, Tennessee, Kentucky, Ohio, Illinois, Florida, North Carolina, New Jersey, Michigan, and Philadelphia, we pride ourselves on operational excellence and compassionate service.

We are currently seeking an experienced Billing and Collections Manager to oversee and streamline our billing operations.

Responsibilities:

• Lead and manage end-to-end billing and collections operations for multiple states.

• Ensure timely and accurate submission of insurance claims and patient invoices.

• Oversee claim denials, re-submissions, and appeals processes.

• Monitor aging reports and drive collections performance across all payer types.

• Coordinate and supervise the work of our offshore billing team to ensure efficiency and compliance.

• Maintain compliance with state-specific healthcare billing regulations, especially Medicare, Medicaid, and private insurance.

• Collaborate with clinic managers and internal departments to resolve billing issues and improve workflows.

• Provide regular reports to executive leadership on revenue cycle performance, trends, and areas for improvement.

• Develop and implement SOPs to ensure consistency, accuracy, and regulatory compliance.

Qualifications

• Minimum of 5 years of experience in medical billing and collections, preferably in orthotics and prosthetics or DME/POS settings.

• Proven experience managing remote or offshore billing teams.

• Strong knowledge of billing guidelines for Medicare, Medicaid, and commercial insurance plans across multiple states.

• Excellent analytical, problem-solving, and communication skills.

• Ability to thrive in a fast-paced, multi-state environment.

• Experience with electronic medical records and billing software systems (e.g., OPIE, or similar).

• Strong leadership and team management abilities.

Preferred Qualifications:

• Certified Medical Reimbursement Specialist (CMRS) or similar certification.

• Familiarity with healthcare regulations including HIPAA and state-specific billing rules.

• Prior experience in Orthotic and Prosthetic billing is strongly preferred.