Job Title: Medical Billing Manager
Location: Mount Dora, FL (In-Office)
Job Type: Full-Time
Salary: $60,000–$80,000
About Us
Medek Health is a healthcare technology and services company committed to delivering innovative care solutions to patients across the country. We specialize in Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and other digital health services that improve outcomes and patient engagement—especially for those managing chronic conditions from home.
Our team works closely with providers, payers, and patients to ensure accurate, compliant, and efficient care delivery. We pride ourselves on a collaborative, fast-paced, and mission-driven work environment where every team member plays a critical role in improving patient health and streamlining provider workflows.
Role Summary
We are seeking an experienced Medical Billing Manager to oversee day-to-day billing operations and optimize revenue cycle performance. In this role, you will lead a dedicated team, implement standardized workflows, minimize denials, and ensure accurate, timely, and compliant reimbursement across our RPM (Remote Patient Monitoring), CCM (Chronic Care Management), and, where applicable, RTM (Remote Therapeutic Monitoring) services.
Key Responsibilities
- Claims Ownership: Manage thefull claims lifecycle, including charge review and scrubbing, submissions, payment posting, reconciliations, rejections and denials, appeals, and patient balance oversight..
- KPI Management: Monitor and optimize key performance indicators, including clean claim rate, first-pass resolution, denial rate, days in A/R (DSO), and net collection rate; prepare and deliver weekly and monthly performance reports
- Payer Relations: Serve as the escalation point; maintain payer portals and clearinghouse connectivity; manage appeals and reconsiderations.
- Process & Compliance: Create/maintain SOPs; implement process improvements/automation; ensure adherence to CMS and payer rules, CPT/HCPCS, ICD-10, modifiers, and HIPAA.
- Cross-Functional Partnership: Work with Intake, Coding, Clinical/Reviewers, and Finance to prevent upstream errors and support accurate month-end close.
- Policy Currency: Stay current on CMS updates and payer-specific guidance, including RPM/CCM (and RTM, if applicable) billing rules.
Qualifications
- 3-5 years medical billing/revenue cycle experience, including 2 + years leading a team (lead/supervisor/manager).
- Extensive expertise in Medicare, Medicaid, and commercial payer billing, including managing denials and appeals.
- Strong command of CPT/HCPCS, ICD-10, modifiers, payer edits, and medical necessity.
- Proficiency with PM/EHR and clearinghouses (e.g., Kareo, eCW, Athena, AdvancedMD, etc.).
- Strong reporting skills (Excel/Google Sheets) and confidence presenting results to leadership.
- Experience with RPM/CCM (and ideally RTM) preferred.
- Certifications are a plus: CPB, CMRS, CPC, CRCR.
- Excellent communication, organization, and follow-through.
What We Offer:
- Competitive pay based on experience
- Opportunity for growth and advancement within the company
- Friendly and supportive work environment
- Paid Holidays
- 2 Weeks Paid Time Off
- Healthcare reimbursement
- Gym membership reimbursement
How to Apply
If you are a billing professional with a strong work ethic and the expertise to make an immediate impact, we invite you to apply by submitting your resume along with a brief statement highlighting your relevant experience
Job Type: Full-time
Base Pay: $60,000.00 - $80,000.00 per year
Benefits:
- Health insurance
- Paid time off
Experience:
- Medical Billing: 3 years (Required)
- Medical Management: 3 years (Required)
- Medical office: 1 year (Preferred)
- Remote Patient Monitoring (RPM): 1 year (Preferred)
Ability to Commute:
- Mount Dora, FL 32757 (Required)
Work Location: In person
