QUALIFICATIONS:

• Minimum 5 years of experience in revenue cycle or medical billing, with at least 3 years in a leadership or supervisory role.
• Strong knowledge of medical billing, insurance contracts, and payer guidelines.
• Understanding of CPT, ICD-10, and HCPCS coding systems.
• Experience in claim denial management and resolution.
• Excellent written and verbal communication skills, with the ability to present complex information clearly.
• Proven ability to lead and motivate teams in a high-volume, deadline-driven environment.
• Strong analytical, time management, and organizational skills.
• High level of integrity, professionalism, and ethical decision-making.
• Exceptional attendance and a commitment to leading by example.

PREFERRED QUALIFICATIONS:

• College degree in business, healthcare administration, or a related field; or equivalent experience (minimum 5 years in business office administration).
• Coding certification (CPC, CCA, or equivalent) preferred but not required.
• Experience with Epic or other practice management software strongly preferred.

ABOUT THE ROLE:

We are seeking a knowledgeable, detail-oriented, and motivated Assistant Business Office Manager to help lead our Insurance Analyst Team. In this role, you’ll support the Director of Business Services in driving efficient revenue cycle operations, leading denial management efforts, mentoring staff, and optimizing billing workflows. Your leadership will directly impact the financial health of the organization by improving claim resolution and preventing revenue leakage.
This is an ideal position for a collaborative leader with a deep understanding of payer policies, denial trends, and healthcare reimbursement processes.

KEY RESPONSIBILITIES:

• Assist the Director of Business Services in overseeing daily operations of the Insurance Analyst Department.
• Supervise, mentor, and support the Insurance Analyst Team, promoting a positive and productive work environment.
• Manage denial workflows, identify root causes, and implement strategies for prevention and timely resolution.
• Help develop, document, and enforce policies and procedures that support efficient billing operations.
• Analyze claims data to identify patterns, improve performance, and reduce denials.
• Stay current on payer regulations, medical policies, and contract requirements to ensure compliance.
• Collaborate cross-functionally with providers, site managers, and administrative teams to enhance revenue cycle performance.
• Communicate with patients regarding complex billing issues and insurance coverage when necessary.
• Write and submit clear, well-documented insurance appeals in alignment with each payer’s guidelines.
• Monitor KPIs and performance metrics to evaluate department effectiveness.
• Conduct regular team meetings and participate in broader leadership meetings to share insights and provide education.