Billing Operations Manager Personal Injury & Workers Compensation
MedullaOak Brook, IL, USjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionProvide coaching, training, and development opportunities to team members to enhance skills and knowledge. Monitor team productivity and quality metrics and implement performance improvement plans as needed. Foster a collaborative, professional, and positive team culture. Workflow & Process Management Ensure timely verification, submission, and follow-up of claims through effective delegation and oversight. Establish and maintain standardized procedures to ensure consistency, accuracy, and compliance across all cases. Coordinate cross-functional collaboration with billing, clinical, and legal teams to streamline operations. Compliance & Quality Assurance Conduct regular audits of open and closed cases to ensure documentation accuracy and ethical billing practices. Stay current on regulatory changes and industry best practices and update departmental protocols accordingly. Stakeholder Communication Maintain strong relationships with internal and external stakeholders to facilitate case resolution and settlement negotiations. Provide regular updates to leadership on departmental performance, challenges, and opportunities for improvement. Technology & Reporting Ensure accurate and timely reporting of departmental KPIs, including case turnaround times, settlement rates, and outstanding balances. Leverage data to identify trends, forecast needs, and support strategic decision-making. 5+ years of experience in healthcare billing, with a focus on personal injury and workers' compensation. Strong understanding of insurance guidelines, lien laws, and HIPAA compliance. Proven experience managing or leading a team in a healthcare or revenue cycle environment. 2+ years of supervisory experience in a healthcare or legal billing setting. Familiarity with EHR systems and case management software. Strategic thinking and process optimization Team leadership and staff development Strong communication and interpersonal skills Analytical mindset with attention to detail Ability to manage competing priorities in a fast-paced environment Professionalism and composure in high-stakes situations
Billing Operations Manager Personal Injury & Workers' Compensation
The PI / WC Billing Manager is responsible for leading and overseeing the operations of the Personal Injury and Workers' Compensation function. This role focuses on managing a team of coordinators, optimizing workflows, ensuring compliance with legal and ethical standards, driving performance outcomes, ensuring that departmental goals align with organizational objectives and that all PI / WC cases are handled efficiently and professionally.
Key Responsibilities
- Team Leadership & Oversight
Supervise and support a team of PI / WC coordinators, ensuring clarity of roles, accountability, and high performance.
Design, implement, and continuously improve workflows for PI / WC case management, billing, and documentation.
Ensure all PI / WC processes comply with HIPAA, state lien laws, and personal injury statutes.
Serve as the primary escalation point for complex or high-risk cases involving insurance companies, attorneys, or providers.
Oversee the effective use of EHR systems and departmental software to track case progress and performance metrics.
Minimum Qualifications
Preferred Qualifications
Job Competencies
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Personal Injury • Oak Brook, IL, US
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