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Billing Manager

Finance | San Francisco, CA | Full Time

Job Description


Position Summary:

This Billing Manager position is responsible for creating and implementing the Golden Gate Urgent Care internal billing department as well as leading and planning the billing operations. This role is responsible for designing, implementing, and enforcing policies and procedures, as well as streamlining effective billing processes across the organization. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department.

This role reports to the Chief Financial Officer.

Essential Functions:   

  • Responsible for developing and directing the operations of the billing department to ensure efficient and prompt collection and resolution of accounts receivable for services and supplies provided for urgent care services
  • Plan, design, develop, implement, and monitor process, systems, and strategies to optimize revenue cycle processing and claims resolution with private, institutional, and government payers
  • Review and identify gaps in collections and reimbursements then act to mitigate and improve results
  • Perform collections for complex and sensitive customer accounts, while maintaining HIPAA confidentiality, negotiate payment programs with delinquent customers, identify accounts requiring legal action or bad debt write off, and work with outside collection agencies on an as needed basis
  • Responsible for keeping in contact with the responsible parties involved as to payments due and the status of their accounts
  • Develop and implement written policies and procedures that govern the billing department
  • Prepare and mail billing statements as well as post payments received to appropriate patient’s account
  • Reconcile statements as needed
  • Prepare and analyze financial and statistical reports and statements to include preparing balance sheets and income reports
  • Oversee month-end and year-end closing
  • Evaluate billing software and implement and maintain the system
  • Oversee credentialing and provider enrollment process
  • Maintain quality service by enforcing quality and customer service standards
  • Other duties as assigned by the CFO    

Skills, Qualifications, and Competencies:

  • Proven ability to perform strategic planning and priority setting for a billing department
  • Proven track record for improving process efficiencies and solving problems
  • Strong leadership skills with an ability to motivate direct reports
  • Detail oriented with an accounting or finance background
  • Excellent communication skills both written and verbal, and internal personal skills
  • Excellent analytical and problem solving skills
  • Ability to manage multiple projects concurrently
  • Technical capability
  • Personal effectiveness/credibility
  • Business acumen
  • Consultation
  • Critical evaluation
  • Ethical practice
  • Global and cultural awareness
  • Relationship management 

Required Education and Experience:

  • Bachelor's degree in accounting, finance, or business management or equivalent combination of education and experience including managing a successful transition from a third party billing vendor to internal medical billing
  • Three to five years of related billing experience
  • A minimum of one year of supervisory or management experience in a medical related field or training, or equivalent combination of education and experience
  • Experience with eClinical Works
  • Healthcare experience

Preferred Education and Experience:                                                      

  • Master’s degree in accounting, finance, or business management