Our client, a medical billing company, is seeking a strategic Medical Billing Manager with expertise in overseeing medical billing operations for insurance reimbursement related to durable medical equipment and supplies.

The ideal candidate will be responsible for managing a high-performing insurance billing department, optimizing claim submissions, solving operational challenges, and ensuring timely and accurate reimbursement from insurers.

Responsibilities:

• Lead and manage the insurance billing department, overseeing both local and offshore teams responsible for filing insurance claims for medical supply reimbursements.
• Develop, implement, and refine billing workflows and procedures to ensure operational efficiency, accuracy, and timely payments.
• Monitor claims processes end-to-end, ensuring that rejections, denials, and appeals are handled with speed and precision.
• Collaborate closely with the finance department to ensure accurate revenue recognition and cash flow forecasting based on billing performance.
• Analyze billing trends and performance metrics to identify gaps, bottlenecks, and opportunities for automation or optimization.
• Act as a subject matter expert on insurance billing regulations, compliance issues, and payer-specific guidelines.
• Investigate and resolve escalated issues or discrepancies in billing processes or claim submissions.
• Provide leadership, training, and performance management to internal and outsourced billing teams to maintain high standards and accountability.

Qualifications:

• 3+ years of experience in medical billing, with at least 2 years in a leadership or manager-level role overseeing insurance claims operations.
• Proven experience managing both domestic and offshore billing teams, with a strong focus on team performance and quality assurance.
• Knowledge of DME (Durable Medical Equipment) billing procedures and payer-specific insurance claim submission requirements.
• Strong analytical skills with experience in workflow optimization, efficiency tracking, and data-driven process improvements.
• Proficiency in medical billing software and platforms, with the ability to oversee system implementation or integration projects.
• Excellent communication and leadership skills, with the ability to work cross-functionally and report effectively to finance and executive leadership.
• Adept at resolving complex billing issues, denials, and compliance-related challenges.

Location: Brooklyn, NY
Salary: $150K

Compensation: $150,000.00