Medical Billing Manager Job Description for Busy Practice Managers [+ Free Download]
Hiring a Medical Billing Manager? Let’s make it easy.
I know how chaotic managing a medical practice can be—between juggling patient care, staffing issues, and daily operations, finding time to write job descriptions feels nearly impossible. That’s why I put together this simple, effective Medical Billing Manager job description you can copy and paste without hassle.
This job description reflects what real practices need: someone who understands the full revenue cycle, can lead a billing team, and isn’t afraid to dig into denials and keep cash flowing. By using this, you’ll attract candidates who get it—people who know billing is more than just claims. It's strategy, compliance, and communication.
Job Title: Medical Billing Manager
Department: Revenue Cycle / Billing
Reports To: Practice Manager, Administrator, or CFO
Employment Type: Full-Time
About the Role
As the Medical Billing Manager, you’ll lead the billing department and make sure we get paid—accurately and on time. You’ll oversee the entire revenue cycle from charge entry to collections, while also making sure the team follows payer rules, coding standards, and compliance guidelines.
I’m looking for someone who understands how a medical office runs and knows that billing is more than just sending claims. It’s follow-up, it’s appeals, and it’s relationships—with payers, patients, and providers. You’ll be the one making sure we don’t leave money on the table.
Key Responsibilities
- Oversee day-to-day billing operations: Claims submissions, payment posting, denials, and collections.
- Supervise billing staff: Train, schedule, and support team members to ensure billing is done efficiently and accurately.
- Monitor and report on KPIs: Track AR aging, denial rates, clean claim percentages, and cash flow.
- Stay on top of compliance: Ensure HIPAA, OIG, and payer-specific guidelines are followed.
- Work with providers and coders: Help resolve coding or documentation issues that slow down reimbursements.
- Manage patient billing concerns: Oversee statements, payment plans, and handle escalated patient questions.
- Handle insurance follow-ups: Work with commercial plans, Medicare, Medicaid, and third-party payers on denials, appeals, and underpayments.
- Use billing software effectively: Pull reports, clean up data, and find trends that help us get paid faster.
Required Qualifications
- Minimum 3 years of medical billing experience; at least 1 year in a supervisory role.
- Solid understanding of CPT, ICD-10, and HCPCS coding systems.
- Experience with EHR and practice management software (e.g., Athena, eClinicalWorks, NextGen).
- Knowledge of Medicare, Medicaid, and commercial payer rules.
- Strong understanding of the full revenue cycle—not just claims.
- Excellent attention to detail and follow-through.
- Strong communication and team leadership skills.
Preferred Qualifications
- CPC or CPB certification (AAPC or equivalent).
- Experience in a multispecialty or high-volume practice.
- Prior work with outsourced billing partners or clearinghouses.
Work Environment
This role is primarily in-office, though we may allow hybrid work depending on team setup. You’ll work closely with the front desk, clinical staff, and leadership team to make sure our financial health stays strong.
You can upload and save a copy of my Medical Milling manager job description to your Google Cloud account. Don’t forget to Save > Make a copy to extract the template to something you can edit.
What to Look for When Hiring a Medical Billing Manager for Your Practice
The right medical billing manager is central to managing insurance claims, reducing billing issues, overseeing accounts receivable, and ensuring that your practice gets paid on time—all while maintaining compliance and patient satisfaction. Here's what to prioritize during the hiring process.
1. Relevant Healthcare Experience and Credentials
Start by verifying a candidate’s background in healthcare billing. Look for prior experience in patient accounts, insurance companies, or working as a billing specialist or professional coder. While experience levels vary, having at least a few years in a related field is crucial. Degrees like an associate's or bachelor's in business administration, healthcare administration, or a similar field indicate foundational knowledge.
Credentialing experience is also a plus—especially if your manager will handle or oversee provider onboarding and payer enrollment.
2. Mastery of Billing Processes and Tools
Your billing manager should have a deep understanding of billing processes, billing procedures, and the ability to troubleshoot billing issues. They should be fluent in the entire revenue cycle—from claim creation and submission to accounts receivable follow-ups and denial management.
Proficiency with Excel, Microsoft tools, and billing software is essential. Ask about their experience generating financial reports, working with metrics, and analyzing discrepancies to uncover revenue leaks or workflow bottlenecks.
3. Organizational and Operational Insight
The role demands someone who can manage people and processes with confidence. Look for management experience, especially related to supervising billing teams, improving workflows, and implementing performance initiatives.
A good billing manager knows how to prioritize tasks, stay organized under pressure, and meet deadlines without compromising quality. They should also have experience conducting audits to ensure accuracy and compliance with payer regulations.
4. Soft Skills That Drive Team Success
Beyond technical know-how, a successful billing manager must bring strong interpersonal skills and communication skills to the table. They'll be working across departments, negotiating with insurers, resolving disputes, and potentially engaging with patients.
Look for someone with excellent problem-solving abilities and strong leadership traits—someone who can mentor their team, drive results, and represent your practice professionally.
What Next?
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