Billing and Cash Applications Manager

Manager, Billing & Cash Applications

Location: Towson, MD 21286
Position Type: Full-Time | Exempt
Department: Revenue Cycle Operations

Job Summary

We are seeking an experienced Manager, Billing & Cash Applications to oversee billing, cash applications, payment posting, and scanning operations within a healthcare revenue cycle department.

The ideal candidate will have strong leadership skills, hands-on knowledge of medical billing and EDI processes, and experience managing staff and revenue cycle workflows. This individual will ensure accurate and timely claims submission, payment posting, reconciliation, and payer enrollment while maintaining compliance with applicable regulations and organizational policies.

Key Responsibilities

• Oversee daily billing operations, ensuring claims are accurately generated, reviewed, and submitted on time.
• Monitor electronic claim submissions and resolve rejections, denials, and transmission issues.
• Supervise insurance and patient payment posting, adjustments, refunds, and cash reconciliation.
• Oversee ERA processing, bank deposit reconciliation, and resolution of unapplied cash and posting discrepancies.
• Manage payer enrollment for electronic claims and remittance processing.
• Supervise, coach, and develop Billing, Cash Applications, and Scanning team members.
• Establish performance expectations, monitor productivity, and manage staffing and workloads.
• Develop and maintain departmental procedures, workflows, and process improvements.
• Monitor performance metrics and prepare reports for Revenue Cycle leadership.
• Ensure compliance with HIPAA, payer requirements, and applicable federal and state regulations.

Qualifications

• Associate's degree in Business, Healthcare Administration, or a related field required; Bachelor's degree preferred. Additional 2–3 years of progressive revenue cycle experience may substitute for the Associate's degree.
• Minimum of 1–2 years of lead, senior, or supervisory experience.
• Strong knowledge of EDI processes, electronic claims submission, clearinghouse rejections, ERA/835 payment posting, and payer enrollment.
• Experience with medical billing, accounts receivable, and third-party payer requirements.
• Proficiency with billing and A/R systems; Athena IDX experience preferred.
• Healthcare or behavioral/mental health billing experience preferred.
• Strong leadership, analytical, organizational, and problem-solving skills.
• Excellent communication skills and the ability to manage multiple priorities in a fast-paced environment.

Experience in Group Life and Health more specifically in medical stop loss highly preferred.