Medical Billing Manager

Medical Billing ManagerAn employer is seeking an experienced Medical Billing Manager to join a mission-driven healthcare organization in Orange County. This individual will oversee day-to-day billing and reimbursement operations for both clinical and infusion services while leading a team of 3 billing and collections professionals.The ideal candidate will bring strong hands-on knowledge of outpatient medical billing, infusion reimbursement, payer requirements, and Epic workflows. This person will also be responsible for improving revenue cycle performance, reducing denials and aging A/R, and ensuring billing practices remain compliant with government and commercial payer guidelines.Key ResponsibilitiesLead daily revenue cycle operations, including charge entry, claim review/submission, payment posting, collections, and account follow-upManage, train, and support a team of onsite and remote billing professionalsOversee infusion billing, including J-codes, pharmacy benefits, and reimbursement workflowsMonitor and resolve Epic billing, claim, account, and charge-related workqueuesReview denied and rejected claims, identify trends, and develop appropriate appeal or resolution strategiesMonitor A/R aging, DSO, reimbursement trends, and monthly revenue cycle KPIsMaintain compliance with CMS, Medicare, Medi-Cal/Medicaid, commercial payers, and managed care requirementsEnsure accurate application of CPT, ICD-10, HCPCS, E&M codes, and modifiersMaintain payer information and address escalated billing or reimbursement concernsSupport billing processes involving CCS, GHPP, Medi-Cal, and other government-sponsored programsSchedule: Monday-Friday, 8:30 AM-5:00 PM Work Model: Hybrid, 3 days onsite / 2 days remote PTO: 4+ weeks per year 10 paid holidays Medical and vision coverage with 100% employee premium coverage and 50% dependent coverage Dental coverage with 99% of employee premium covered Employer-provided life insurance 403(b) retirement plan with 4% employer match