Medical Billing Manager

About Us

At Neaman Plastic Surgery, we are more than a medical practice we are a destination for transformation, healing, and self-confidence. With a state-of-the-art surgery center, full-service medi spa, and dedicated wellness program, we provide patients with a truly comprehensive experience. Our success is driven by a passionate team that values collaboration, excellence, and patient-centered care.

Position Overview

We are seeking an experienced, highly engaged Billing Manager who leads from within the work someone who not only oversees billing operations but is actively involved in the day-to-day billing, reconciliation, and problem-solving alongside the team.

This is a working manager role, ideal for a seasoned billing professional who values transparency, accuracy, and accountability. You will partner closely with our outside billing company while also rolling up your sleeves to review claims, reconcile accounts, investigate discrepancies, and support real-time solutions. You will have visibility into the full revenue cycle and play a critical role in ensuring billing integrity, compliance, and financial clarity across the organization.

The ideal candidate is detail-oriented, analytical, confident in independent decision-making, and collaborative someone who enjoys mentoring others while staying directly connected to the work itself.

Key Responsibilities

Hands-On Billing & Revenue Cycle Management

• Actively participate in daily billing operations, working side-by-side with on-site billers and reviewing work from the outside billing company.
• Review, post, and reconcile charges, payments, adjustments, and denials across cosmetic, insurance, surgery, medi spa, and wellness services.
• Serve as the primary escalation point for complex billing issues, payer disputes, and patient account concerns.

Oversight & Partnership

• Manage and maintain a strong, accountable working relationship with the outside billing company.
• Ensure workflows between EMR (Nextech), billing systems, and financial reporting are aligned, accurate, and timely.
• Hold all billing partners (internal and external) to clear standards for accuracy, follow-through, and documentation.

Reconciliation & Reporting

• Perform and oversee daily, monthly, and year-end reconciliations to ensure EMR data aligns with financial statements.
• Investigate and resolve discrepancies proactively.
• Prepare and present clear, actionable reports on revenue performance, trends, and risks.

Analytics & Performance Improvement

• Monitor key revenue cycle metrics including denials, rejections, underpayments, A/R aging, collection rates, and payer trends.
• Identify root causes of issues and implement corrective actions.
• Design and track KPIs to support leadership decision-making and operational improvement.

Compliance & Auditing

• Conduct regular internal audits for billing accuracy, CPT/ICD-10 coding compliance, modifier usage, and payer-specific rules.
• Stay current on billing regulations, payer changes, and best practices to ensure ongoing compliance.
• Develop and update billing policies and workflows to support consistency and accuracy.

Leadership & Collaboration

• Lead by example, fostering a culture of transparency, accountability, and continuous improvement.
• Support, mentor, and train billing staff through direct involvement and knowledge-sharing.
• Collaborate closely with clinical teams, front desk, and leadership to ensure documentation and scheduling support accurate billing.
• Participate in special projects and process improvements as business needs evolve.

Qualifications

· 5 years of medical billing or revenue cycle management experience required.

· 2 years of management or supervisory experience preferred (experience leading staff or overseeing external vendors a plus).

· CPC or equivalent CPT coding certification highly preferred.

· Experience with both insurance and cosmetic/self-pay billing.

· Proven reconciliation and analytics skills.

· Bachelor’s degree in business, healthcare administration, accounting, or related field highly preferred.

· Proficiency with EMRs (Nextech or similar) required.

· Demonstrated expertise in financial reconciliation, KPI development, and analytical reporting.

· Proven ability to exercise independent judgment, problem-solving, and process improvement in billing operations.

· Excellent organizational, communication, and leadership skills.

· Team-oriented, adaptable, and solutions-driven.

Compensation & Benefits

$38/hr. -$48/hr.

Comprehensive benefits package, including:

• Medical, dental, and vision insurance
• 401(k) retirement plan
• Paid time off
• Employee discounts on services/products

Why Join Us?

• Leadership: Take ownership of the billing and revenue cycle function, guiding policies, workflows, and performance metrics with the support of a collaborative leadership team.
• Impact: Drive accuracy, compliance, and financial integrity through data-driven reporting and process improvement — directly supporting both patient experience and practice growth.
• Culture: Join a team that values professionalism, accountability, teamwork, and a positive, solutions-focused approach.

Why This Role Is Different

• This is not a “hands-off” manager role you will be in the work, every day.
• High visibility and trust with leadership.
• Opportunity to truly own billing integrity and improve systems.
• Supportive, professional culture that values accuracy and transparency.

Job Type: Full-time

Pay: $38.00 - $48.00 per hour

Expected hours: No less than 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid sick time
• Vision insurance

Application Question(s):

• Do you have excellent organizational and communication skills?

Education:

• Bachelor's (Preferred)

Experience:

• Management: 2 years (Required)
• Medical billing: 5 years (Required)

Ability to Commute:

• Salem, OR 97302 (Required)

Work Location: In person

Salary : $38 - $48