Medical Billing Manager jobs

Medical Billing Manager
Full-Time | U.S. Medical Billing | Remote

About the Role

We are a growing U.S.-based medical practice seeking an experienced Billing Manager / NSA Arbitration Manager to oversee our billing operations, accounts receivable workflows, and No Surprises Act (NSA) arbitration processes.

This role requires strong leadership, advanced knowledge of U.S. medical billing, and experience managing complex insurance disputes and arbitration cases. The ideal candidate is highly organized, detail-oriented, proactive, and capable of managing both billing operations and high-level payer escalations effectively.

Responsibilities

• Oversee daily medical billing operations and billing team performance
• Monitor claim submission, payment posting, denials, and AR follow-up
• Manage NSA (No Surprises Act) arbitration workflows and deadlines
• Handle insurance disputes, underpayments, and out-of-network reimbursement cases
• Coordinate arbitration submissions, supporting documentation, and communication with legal/vendors as needed
• Review and analyze payer trends, denials, and reimbursement issues
• Ensure timely resolution of denied or unpaid claims
• Assist with escalated patient billing concerns and complex account issues
• Review accounts for:
• Insurance processing
• Patient responsibility
• Adjustments and balances
• Approve or apply account adjustments based on company policy
• Monitor team productivity, accuracy, and workflow compliance
• Train and support billing staff as needed
• Develop and improve billing and arbitration SOPs/workflows
• Coordinate with providers, management, attorneys, and third-party vendors regarding billing and arbitration operations
• Maintain accurate reporting and documentation for billing and NSA cases

Requirements (Required)

• Previous experience managing U.S. medical billing operations
• Experience with NSA arbitration, IDR processes, or payer dispute management
• Strong knowledge of:
• Insurance claims and denials
• EOBs (Explanation of Benefits)
• Accounts receivable (AR)
• Patient responsibility and insurance balances
• Out-of-network billing and reimbursement workflows
• Excellent English communication skills (spoken and written)
• Strong organizational and leadership skills
• Ability to manage multiple deadlines and high-volume workflows
• Strong analytical and problem-solving skills
• Ability to handle escalated billing and insurance issues professionally

Preferred Experience

• eClinicalWorks (ECW)
• Pain management or specialty practice billing experience
• Experience with NSA/IDR vendors or legal coordination
• Experience with reporting, KPI tracking, and workflow management
• CRM or call management systems

Schedule

• Full-Time (40 hours/week)
• Must be available during U.S. Eastern Standard Time (EST) business hours

Compensation

• $10 - $12 USD per hour (depending on experience)
• Long-term opportunity with growth potential

What We’re Looking For

We are looking for someone who:

• Has strong knowledge of U.S. medical billing and NSA arbitration processes
• Can effectively lead and manage billing workflows
• Is proactive, detail-oriented, and highly organized
• Communicates professionally with patients, insurance companies, and vendors
• Can improve processes and maintain accountability within the team

How to Apply

Please send your CV/resume.

Please also include a voice recording answering the following:

• Your experience with U.S. medical billing
• Your experience managing billing teams or workflows
• Your experience with NSA arbitration, IDR, or insurance disputes
• Why you believe you are a good fit for this role

Important Note

This is a leadership role requiring prior experience in U.S. medical billing and insurance dispute management. Please apply only if you are confident managing billing operations, escalations, and NSA arbitration workflows professionally.

Job Type: Full-Time
Work Location: Remote

Pay: Php440.00 - Php660.00 per hour

Benefits:

• Promotion to permanent employee

Work Location: Remote