Job Description

ClinicMind is a leading healthcare technology and services company dedicated to providing healthcare clinics with comprehensive Patient Engagement, EHR, and RCM solutions. Our mission is to empower clinicians and their teams to deliver superior patient care, maximize reimbursement, streamline workflows, and facilitate healthcare practice growth.

As we continue to scale, we seek a Senior Medical Billing Manager with a proven track record in high-volume medical billing, large-scale team leadership, and payer-provider contract negotiations to enhance our billing operations and financial performance.

Position Overview:

The Senior Medical Billing Manager will manage the revenue cycle, build accurate and timely billing processes, and resolve complex billing issues specific to chiropractic and mental health practices. This role requires a deep understanding of the billing procedures, insurance regulations, and proficiency in medical coding.

Key Responsibilities:

1. Oversee High-Volume Billing Operations

   1. Manage the end-to-end RCM process, ensuring the efficient processing of at least $500M in insurance payments annually.

   2. Develop and implement best practices for claims submission, denials management, and revenue optimization.

   3. Monitor and drive KPIs such as Net Collections Ratios, clean claims rate, DSO, collections efficiency, and reimbursement improvements.

2. Large-Scale Team Leadership & Development

   1. Build, lead, and manage a high-performing RCM team of at least 400 members across multiple functions (billing, coding, collections, A/R follow-up, and payer relations).

   2. Implement structured training, performance monitoring, and continuous improvement initiatives to drive excellence.

   3. Foster a culture of accountability, collaboration, and innovation within the billing team.

3. Payer-Provider Contract Negotiations & Reimbursement Optimization

   1. Negotiate, implement, and consistently improve payer-provider reimbursement contracts to secure optimal payment rates.

   2. Work closely with payers to reduce denials, increase collections, and optimize fee schedules.

   3. Stay ahead of industry trends, regulatory changes, and reimbursement policies to ensure compliance and maximize revenue potential.

4. Billing Performance Improvement & Process Optimization

   1. Design and execute strategic initiatives to improve billing accuracy, reduce rework, and accelerate cash flow.

   2. Leverage data analytics, automation, and technology to enhance operational efficiency.

   3. Drive continuous improvements in collections, aging A/R resolution, and revenue recovery strategies.

Qualifications & Experience:

1. 15+ years of medical billing and RCM leadership experience, with a focus on high-volume claims processing.

2. Proven success in managing a billing team of 400+ members across multiple locations or departments.

3. Strong expertise in processing at least $500M in annual insurance payments.

4. Extensive experience in negotiating and improving payer-provider reimbursement contracts.

5. Deep knowledge of chiropractic and mental health billing, coding, compliance, and payer policies.

6. Track record of achieving and consistently improving billing performance KPIs.

7. Strong leadership, communication, and problem-solving skills to drive organizational growth.

8. Proficiency in RCM software, billing platforms, analytics tools, and automation technologies.

Why Join ClinicMind?

1. Be part of a fast-growing, industry-leading SaaS EHR and RCM company.

2. Lead large-scale, high-impact initiatives in medical billing and revenue optimization.

3. Drive real financial success by improving provider reimbursements and operational efficiency.

4. Collaborate with a team of industry experts in a dynamic and innovative work environment.

5. Competitive salary, performance incentives, and career advancement opportunities.

Position Requirements:

• Must have a stable internet connection minimum of 25 MBPS.

• Must have a mobile data plan as a backup.

• Must be in a quiet environment.

• Must be comfortable working the US Eastern Time business hours.

• Minimum system requirement: Desktop or Laptop at least 16GB.

Job Tags

Similar Jobs