Billing Manager

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Summary  

The Billing Manager oversees day-to-day front-end billing operations, ensuring accurate claim flow, team productivity, and adherence to established workflows. This role is responsible for managing Billing Team Leads, Billing Senior Associates, and Billing Associates, maintaining performance standards, and driving operational efficiency across assigned billing portfolios.  

Key Responsibilities  

Team Leadership & Development  

• Lead, coach, and develop Billing Team Leads, Senior Associates, and Associates to support accuracy, consistency, and accountability  
• Allocate accounts based on complexity, volume, and team capacity  
• Establish clear performance expectations and conduct regular evaluations  
• Provide ongoing training, workflow guidance, and professional development support  
• Address performance gaps through structured coaching and corrective action plans  

Operational Oversight  

• Monitor team-level KPIs including timeliness, accuracy, charge throughput, and backlog levels  
• Ensure proper account setup and billing rule adherence across all assigned accounts  
• Maintain consistency in escalation handling and resolution processes  
• Identify workflow inefficiencies and implement tactical process improvements  
• Ensure steady claim flow and prevent unnecessary billing holds  
• Monitor backlog levels and operational risks; escalate systemic issues with data-backed recommendations to the Associate Director or Director of Billing Operations  

Cross-Functional Collaboration  

• Partner with Coding and AR teams to improve claim acceptance and downstream collections  
• Address root causes impacting denial trends or operational slowdowns  
• Escalate systemic risks to senior leadership when necessary  

Client & Escalation Management  

• Serve as escalation point for complex account-level billing issues elevated by Team Leads or Senior Associates  
• Support Account Managers in client performance discussions  
• Ensure service-level expectations are consistently met across assigned portfolios  

Operational Risk & System Integrity  

• Monitor claims approaching timely filing limits and coordinate resolution  
• Oversee aging reports and ensure administrative delays are prevented  
• Ensure all outbound billing communication meets company standards for professionalism and accuracy  

Qualifications  

• 5+ years of medical billing or revenue cycle experience  
• 2+ years of team leadership experience preferred  
• Strong understanding of front-end revenue cycle operations  
• Demonstrated ability to manage workflows and drive team accountability  
• Strong communication and problem-solving skills  
• Proficiency in billing systems and workflow management tools  

Preferred Qualifications  

• Experience managing billing teams in a service-based environment  
• Cross-functional experience with coding and AR operations  

Performance Metrics  

• Team charge release timeliness and accuracy rate  
• First-pass yield and coding-related denial rate for assigned accounts  
• Backlog aging and queue health metrics  
• Team productivity against established benchmarks  
• Escalation resolution timeliness and documentation quality  
• SLA compliance across assigned portfolio  

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.