Regional Manager of Provider Billing - Primary Care Job Listing at Thompson Health in Canandaigua, NY (Job ID c92521c5-efc9-447b-af88-6e7424a9361a)

Description

Schedule: Full time, days 

Job Duties: 

• Responsible for overall management and supervision of Professional billing in the following areas:
  • Primary Care
  • Internal Med
  • Family Med
  • OB/GYN and Women's Health
  • Rural Health Center
  • Pediatrics
• Develop and execute billing strategies aligned with organizational goals and payer requirements.
• Coach, mentor, and build high‐performing teams across multiple locations.
• Promote a culture of collaboration, accountability, and professional growth.
• Ensure timely and accurate claim submission, denial management, and follow‐up activities.
• Standardize workflows and best practices across service lines (Primary Care, Internal Med, Pediatrics, Rural Health, OB/GYN).
• Monitor key performance indicators (e.g., days in Accounts Receivable, denial rates) and drive corrective action.
• Maintain adherence to federal/state regulations, payer contracts, and internal policies.
• Partner with Compliance on internal audits and oversight of external reviews.
• Implement process improvements to reduce rework, minimize denials, and ensure coding accuracy.
• Serve as primary liaison between billing team, Practice Management, IT, and finance departments.
• Partner with EHR analysts to optimize system configurations for billing efficiency.
• Communicate regularly with health‐system executives on revenue‐cycle trends and risks.
• Produce monthly reports and detailed operational reports.
• Use data analytics to identify root causes of denials, underpayments, and delays.
• Recommend technology enhancements or staffing adjustments based on performance insights.
• Oversee hiring, onboarding, performance reviews, and professional development plans.
• Allocate resources effectively to manage peak billing cycles or special projects.
• Foster ongoing training on coding updates, payer policies, and system changes.
• Daily supervision of 10-15 associates. 

Qualifications: 

• Proficiency with billing systems (EPIC preferred) and data‐analysis tools (Excel, BI platforms)
• Deep understanding of CPT/ICD‐10 coding, claim adjudication, payer rules, and HIPAA regulations
• Strong analytical mindset, with proven track record of process improvement and KPI management
• Excellent communication skills—able to influence at all organizational levels and build collaborative partnerships

Education and Experience: 

• Bachelors Degree in Healthcare Administration, Finance, Business or related field preferred or 8 years work related experience in health care billing required (physician billing preferred).
• 7+ years of progressive revenue‐cycle experience, with at least 3 years in a leadership role
• Experience with EPIC is preferred
• Familiarity with all form's payer claims by paper and electronic media is preferred.
• Excellent public/patient relations and communication skills.
• Skills in using computers including Excel and Work required.
• Skills in using mainframe preferred.

Pay Range: $75,000 - $90,000

Starting Pay: Based on experience 

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply