Offshore Billing Manager

Position Summary: The Offshore Billing Manager will build and lead an offshore revenue-cycle support team serving emergency medicine and hospital medicine operations. The manager will initially work hands-on in Claims Center and accounts receivable to gain detailed knowledge of the company's systems, clients, specialties, payers, and operating standards.

Concurrent with the learning period, the manager may recruit, train, supervise, and evaluate 1-2 additional offshore billing personnel.

Job Specification & Preferences

• Out of network
• Emergency Medicine hospital exp
• No Surprise Act, insurance website
• How to add the Insurance and other details
• Hands-on experience with Payer access

Essential Responsibilities

• Perform hands-on Claims Center and AR work during the initial implementation phase.
• Manage daily offshore billing operations and work allocation.
• Recruit, onboard, train, and coach offshore staff.
• Develop and maintain standard operating procedures.
• Monitor inventory, aging, productivity, accuracy, and turnaround times.
• Conduct quality audits.
• Ensure timely escalation of high-value, complex, or regulatory-sensitive accounts.
• Analyze denials, underpayments, payer trends, and operational bottlenecks.
• Collaborate with onshore billing, coding, compliance, technology, and leadership teams.
• Manage attendance, staffing coverage, performance improvement, and capacity planning.
• Prepare daily, weekly, and monthly performance reports.
• Ensure compliance with HIPAA, company security requirements, client obligations, and applicable billing rules.
• Support the rollout of new offshore functions as each phase is approved.

Required Qualifications

• At least five years of U.S. healthcare revenue-cycle experience.
• At least two years of team-lead or management experience.
• Demonstrated out-of-network emergency medicine billing experience.
• Demonstrated hospital medicine billing experience.
• Strong professional-claims and accounts-receivable knowledge.
• Experience with denials, appeals, underpayments, payer follow-up, and aging management.
• Experience working directly in practice-management or billing software.
• Strong written and spoken English.
• Strong analytical, documentation, coaching, and communication skills.
• Ability to work hours that provide meaningful overlap with the U.S. operating team.

Preferred Qualifications

• No Surprises Act and independent dispute resolution experience
• State out-of-network or balance-billing knowledge
• Experience launching or expanding an offshore billing operation
• Experience managing data entry, AR, payment posting, or coding teams
• Familiarity with EDI transactions, clearinghouses, payer portals, and reporting tools

Initial Success Measures

• Completion of training and competency assessments
• Claims Center accuracy and turnaround time
• AR productivity and account-resolution quality
• Adherence to escalation procedures
• Quality and completeness of operating procedures
• Readiness of the phase-two staffing and training plan