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Role Description

The Billing Integrity Manager is responsible for overseeing the accuracy, compliance, and overall quality of the organization’s billing processes. This role ensures that claims are submitted correctly, payer guidelines are followed, and revenue cycle workflows maintain the highest level of integrity and efficiency.

The Billing Integrity Manager works closely with billing teams, coding specialists, and operations leadership to:

• Identify errors
• Improve processes
• Reduce denials
• Maintain compliance with payer and regulatory requirements

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred
• 5+ years of experience in medical billing, revenue cycle management, or healthcare finance
• 2+ years of leadership or supervisory experience preferred
• Strong knowledge of:
  • Medical billing processes
  • Claims submission and denial management
  • Insurance payer guidelines
  • Revenue cycle workflows
• Experience with EHR/EMR and billing systems
• Strong analytical and problem-solving skills
• Ability to identify trends and implement process improvements

Requirements

• Experience with neurology, behavioral health, or specialty care billing preferred
• Certifications such as:
  • CPB (Certified Professional Biller)
  • CPC (Certified Professional Coder)
  • CRCR (Certified Revenue Cycle Representative)

Benefits

• Competitive salary
• Remote work environment
• Opportunities for growth within the revenue cycle leadership team
• Continuing education and professional development support