Business Manager - Medical
We are looking for an experienced Business Manager specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.<br><br>Responsibilities:<br>• Perform multi-specialty coding with precision to ensure timely submission of claims.<br>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.<br>• Develop and implement an audit process to validate clinical documentation and coded data integrity.<br>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.<br>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.<br>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.<br>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.<br>• Prepare and analyze monthly aging reports to support financial oversight.<br>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.<br>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.
• Extensive experience in medical billing and collections.<br>• Proficiency in multi-specialty coding practices.<br>• Certified Coding credentials are required.<br>• Familiarity with federal and state medical billing regulations.<br>• Strong analytical skills for trend analysis and audit processes.<br>• Proven ability to supervise and manage billing teams effectively.<br>• Excellent communication skills for collaboration with healthcare providers and payers.<br>• Attention to detail and commitment to maintaining data accuracy.
<p>Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.</p>
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<p>All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit <a href="https://roberthalf.gobenefits.net/" target="_blank">roberthalf.gobenefits.net</a> for more information.</p>
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- Scranton, PA
- onsite
- Temporary
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- USD / Hourly
- We are looking for an experienced Business Manager specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.<br><br>Responsibilities:<br>• Perform multi-specialty coding with precision to ensure timely submission of claims.<br>• Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively.<br>• Develop and implement an audit process to validate clinical documentation and coded data integrity.<br>• Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions.<br>• Supervise the daily tasks of billing specialists to maintain workflow efficiency.<br>• Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances.<br>• Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies.<br>• Prepare and analyze monthly aging reports to support financial oversight.<br>• Establish best practices to uphold data integrity and quality throughout the revenue cycle.<br>• Lead staff training initiatives to promote adherence to industry standards and compliance requirements.
- 2025-12-18T15:38:48Z