Medical Billing Manager
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Job Description
Medical Billing Manager scaling multi-state billing for Abby Care’s AI-powered family-care platform. Leading claims optimization, compliance, SOP creation, and revenue collection.
Responsibilities:
- Directly manage, mentor, and elevate the medical billing team
- Set clear KPIs, conduct performance reviews, and foster accountability and continuous improvement
- Oversee end-to-end billing and collections across multiple states
- Ensure compliance with state Medicaid, Medicare, and commercial payer regulations
- Manage high daily claim volumes
- Identify bottlenecks, reduce denial rates, and optimize clean claim rate
- Design, document, and implement standardized billing workflows and SOPs for new state launches
- Liaise with Clinical to ensure documentation meets medical necessity and coding compliance guidelines
- Collaborate with Care Operations to streamline intake-to-billing workflows and reduce front-end errors
- Provide Expansion teams with regulatory and payer insights for new-territory rollouts
- Track and report DSO, aging buckets, denial trends, and other financial metrics to executive leadership
Requirements:
- Minimum 4+ years of experience in medical billing
- At least 2+ years in a supervisory or managerial role
- Proven experience managing billing operations across multiple states
- Knowledge of diverse state-specific regulations and payer landscapes
- Experience in a fast-paced, high-volume claims environment
- Experience with electronic health records and clearinghouses
- Experience clearing complex denials at scale
- Advanced proficiency with medical billing software
- Advanced proficiency with EHR/EMR systems and clearinghouses such as Waystar and Availity
- Excellent Excel and data skills
- Experience in Home Health, Hospice, or Community-Based Care billing highly preferred
- Prior startup or fast-growing healthcare company experience, including new market or state launches, preferred
- Ability to create streamlined, scalable SOPs
- Ability to translate billing concepts for clinical and operations teams
- Analytical problem-solving skills
Benefits:
- Opportunity to support family caregivers and help redefine healthcare
- Collaborative, mission-driven startup environment
- Human review and input in all hiring decisions involving automated decision tools
- Alternative hiring process available upon request
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