Medical Billing Manager

SpineSearch is working with a busy and well-established multi-specialty surgical practice in Somerset, NJ in need of a hands-on Insurance & Billing Manager with strong leadership skills and deep knowledge of Personal Injury Protection (PIP), Personal Injury (PI), and Workers' Compensation (WC) billing.

This is a fully
on-site position
, ideal for someone who thrives in a fast-paced, high-volume environment and takes pride in ensuring billing accuracy, efficient claims processing, and smooth operational flow between clinical and administrative teams.

Key Responsibilities:

• Review schedules at least one week in advance, verify insurance, and update billing alerts in the EMR
• Work directly with surgical coordinators and the outsourced billing team to ensure alignment and efficiency
• Communicate with new patients regarding insurance benefits, co-pays, and financial responsibilities
• Manage PIP, PI, and WC claims from verification through settlement or appeal
• Prepare detailed, itemized statements and fee schedules for LOPs and attorney settlements
• Oversee claim submissions, track reprocessing, and assist in resolving payment discrepancies
• Negotiate out-of-network reimbursements
• Supervise billing workflows and staff to ensure accuracy and timely follow-up
• Maintain comprehensive claim and payment logs for audit and tracking purposes
• Review and process EOBs; escalate and resolve underpayments when necessary

Qualifications:

• Minimum 3–5 years of strong PIP and personal injury billing experience (required)
• Prior management or supervisory experience in medical billing (required)
• Solid understanding of EMR systems, CPT coding, and claim workflows
• Proven ability to handle high volume, multitasking, and meet deadlines
• Strong communication skills, professionalism, and attention to detail

Salary : $60,000 - $120,000