Medical Billing & Collections Manager - Diagnostic Testing

Own the Revenue Cycle for a Growing EMG/Nerve Testing & MSK Ultrasound Company

We are seeking an experienced Medical Billing & Collections Manager to lead billing, collections, claims follow-up, reporting, and revenue cycle performance for a growing diagnostic testing business specializing in EMG/Nerve Conduction Studies and Musculoskeletal Ultrasound.

This is an in-person position in Astoria, NY

This is not a basic billing position. We are looking for a sharp, organized, highly-accountable revenue cycle leader who understands how to get claims paid, reduce denials, follow up aggressively but professionally, and keep the financial engine of a healthcare business running smoothly.

Our diagnostic services support physicians, physical therapy practices, and healthcare providers by delivering objective testing that helps guide patient care. The right person for this role will understand the importance of accuracy, speed, compliance, documentation, statistics, reporting, and persistent follow-through.

What You’ll Be Responsible For

• You will oversee and manage the full billing and collections process for diagnostic testing services, including:
• Managing claims submission, payment posting, collections, and accounts receivable follow-up.
• Reviewing EMG/NCS and MSK Ultrasound billing activity for accuracy and completeness.
• Monitoring unpaid claims, denied claims, rejected claims, aging reports, underpayments, and payer delays.
• Working with insurance companies, provider offices, internal team members, and billing staff to resolve claim issues.
• Identifying patterns in denials, documentation issues, payer problems, coding concerns, and collection delays.
• Creating stronger systems, reports, and follow-up processes to improve cash flow.
• Maintaining key billing and collections metrics in a statistics system and various internal spreadsheets.
• Preparing and updating weekly statistics, reports, and production summaries for leadership.
• Attending weekly Zoom meetings with company leadership to review billing performance, collections progress, problem areas, and action plans.
• Reporting to leadership on a weekly basis with clear data, current status, obstacles, and recommended solutions.
• Helping ensure billing is performed in accordance with payer rules, documentation requirements, and healthcare compliance standards.
• Holding the billing and collections process accountable to measurable results.

Who We’re Looking For

The ideal candidate is someone who is experienced, detail-oriented, persistent, and able to manage both people and processes. You should be comfortable taking ownership, finding problems, creating solutions, reporting honestly, and following through until money is collected.

You should have experience with:

• Medical billing and collections.
• Insurance claim follow-up.
• Denial management.
• Accounts receivable management.
• Healthcare documentation and payer requirements.
• Revenue cycle reporting.
• Maintaining statistics, spreadsheets, and production tracking systems.
• Communicating with leadership through weekly reporting and meetings.
• Managing billing staff, vendors, or outside billing partners.
• Experience with diagnostic testing, EMG/NCS, nerve conduction studies, musculoskeletal ultrasound, physical therapy, neurology, pain management, orthopedics, or related healthcare services is strongly preferred.

What Makes Someone Successful in This Role

• You are not passive. You chase down problems.
• You do not simply “check claims.” You get claims paid.
• You know how to communicate professionally with payers, providers, internal staff, and leadership.
• You understand that billing and collections require accuracy, organization, persistence, urgency, and strong reporting.
• You can look at an aging report and know exactly where attention is needed.
• You can maintain clean statistics and spreadsheets that show what is actually happening.
• You are comfortable reporting your results weekly and being measured by performance.
• You care about clean claims, strong follow-up, reduced denials, improved collections, and accurate data.

Why Join Us

This is an opportunity to step into a meaningful leadership role inside a specialized healthcare diagnostics business with significant growth potential. You will be working in an area of healthcare where objective testing matters, proper documentation matters, and strong revenue cycle management directly supports the company’s ability to expand.

We are looking for someone who wants responsibility, ownership, and the ability to make a real impact.

Ideal Background

Medical Billing Manager, Revenue Cycle Manager, Collections Manager, A/R Manager, Billing Supervisor, or Senior Medical Biller with leadership experience.

Strong knowledge of insurance billing, claims follow-up, denials, appeals, collections, payer communication, statistics, and reporting.

Experience with Medicare, commercial insurance, workers’ compensation, no-fault, or out-of-network claims is a plus.

Experience in diagnostic testing, EMG/NCS, MSK Ultrasound, physical therapy, neurology, orthopedic, pain management, or physician-based services is highly preferred.

Position Details

Position: Billing & Collections Manager
Industry: PT / Diagnostic Testing
Services: EMG/Nerve Conduction Studies and MSK Ultrasound
Job Type: Full-time
Work Setting: In-person
Location: Astoria, NY
Meetings: Weekly Zoom meetings with leadership
Reporting: Weekly leadership reporting, statistics tracking, and spreadsheet management
Compensation: 60K w/bonus potential based on experience