Billing Operations Manager - MedicalDirect Hire | $65,000 – $75,000Port Huron, MISummaryThe Billing Operations Manager oversees all billing-related functions within the organization, ensuring efficient, accurate, and compliant financial workflows. Reporting directly to executive leadership, this individual will lead a team of billing professionals, drive process improvements, and ensure timely processing of claims and accounts receivables. This role is critical to optimizing revenue performance, maintaining regulatory compliance, and fostering a high-performing, collaborative team culture.Key ResponsibilitiesLead and support billing staff, including performance monitoring, training, conflict resolution, and workflow management.Oversee accurate and timely claims processing, denial resolution, and compliance with payer guidelines and internal policies.Monitor cash flow impacts and implement strategies to maintain financial stability.Develop, update, and enforce standard operating procedures (SOPs).Coordinate and deliver staff training programs; maintain up-to-date knowledge resources.Identify and implement process improvements to increase efficiency, accuracy, and revenue capture.Ensure compliance with regulatory standards across commercial and government payers (Medicare, Medicaid, etc.).Collaborate with software vendors and payers to resolve billing and system-related issues.Analyze aging reports, identify underpayment trends, and implement corrective actions.Participate in hiring decisions and provide consistent performance feedback.Track and report departmental KPIs to support strategic planning.Maintain confidentiality and uphold data security standards (e.g., HIPAA).Promote a professional and supportive work environment across departments.QualificationsBachelor’s degree in Business, Healthcare Administration, or related field preferred (relevant experience may substitute).Proven experience in billing operations, revenue cycle management, or medical claims processing required.Leadership experience within healthcare or service-based settings strongly preferred.Solid knowledge of commercial and government payer billing guidelines, including Medicare and Medicaid.Strong understanding of claims systems, A/R processes, and denial management.Certification in Medical Billing or Revenue Cycle (preferred, not required).Excellent organizational, analytical, and communication skills.