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Health Plans, Inc.

Billing Manager

Health Plans, Inc.

Billing Manager overseeing billing operations for a third-party administrator with a focus on accuracy and compliance. Guiding a team and optimizing workflows in healthcare billing processes.

Posted 7/9/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $88,236 - $101,861 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in billing management, including oversight of billing activities, compliance with HIPAA regulations, and effective team leadership. Proficient in analyzing billing reports and implementing process improvements to enhance operational efficiency.

Highest-signal resume keywords
Billing ManagementHIPAA ComplianceTeam LeadershipBilling ReconciliationProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Billing CoordinationBilling ReconciliationPerformance Metrics AnalysisSoftware MigrationHealthcare Administration
Soft Skills
Organizational SkillsAttention to DetailEffective CommunicationCollaborationProblem Solving
Tools & Technologies
MS OfficeSAPJavelina SystemPowerStepp System
Certifications & Qualifications
ACAACCACIMA
Industry Keywords
Healthcare BillingThird-Party AdministratorPayer RequirementsBilling DiscrepanciesBilling Workflows

About the role

Key responsibilities & impact
  • Supervise, mentor, and train billing team members.
  • Foster a collaborative and positive work environment.
  • Assign tasks and monitor performance to ensure targets are met.
  • Oversee daily billing activities, including billing coordination, billing, and reconciliation.
  • Ensure timely and accurate submission of invoices to clients.
  • Review and resolve billing discrepancies or errors.
  • Maintain up-to-date knowledge of industry regulations and payer requirements.
  • Ensure billing practices comply with HIPAA and other relevant standards.
  • Conduct regular audits to identify and correct issues.
  • Address escalated billing inquiries from clients.
  • Provide clear explanations of billing procedures and resolve concerns promptly.
  • Identify opportunities to streamline billing workflows.
  • Implement best practices and new technologies to enhance efficiency.
  • Generate and analyze billing reports to track performance metrics.
  • Present findings and recommendations to management.
  • Monitor key indicators such as billing accuracy and invoice punctuality.
  • Lead prior experience in leading the Billing department in software migrations.
  • Ability to successfully lead the migration of the Medcost clients from the PowerStepp system to the Javelina system.

Requirements

What you’ll need
  • Associate’s or Bachelor’s degree in Healthcare Administration, Finance, or Business related discipline preferred.
  • 5-7 years of experience in Finance department at a third-party administrator of health plans in billing
  • Strong organizational skills with the ability to manage multiple priorities
  • Exceptional attention to detail and accuracy
  • Proven ability to meet deadlines in a fast-paced environment
  • Effective verbal and written communication skills; experienced in collaborating with internal teams, vendors, and customers to resolve inquiries
  • Skilled at working cross-functionally to identify and resolve business process challenges
  • Excellent knowledge of MS office and familiarity with relevant computer software (e.g. SAP)
  • ACA, ACCA or CIMA is a plus.

Benefits

Comp & perks
  • Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the duties and responsibilities of the position.