This individual will oversee a team responsible for managing personal injury and third-party liability claims, including attorney liens, Letters of Protection (LOPs), and no-fault billing workflows. The ideal candidate brings a strong combination of operational leadership, billing expertise, problem-solving capability, and people development.
Core Leadership Competencies
- Operational Leadership & Accountability: Demonstrates ownership over departmental performance, team execution, operational outcomes, and revenue cycle effectiveness. Leads with professionalism, consistency, urgency, and accountability.
- Strategic Problem-Solving: Identifies workflow inefficiencies, operational bottlenecks, and root causes proactively while implementing scalable and compliant solutions.
- Results Orientation: Drives measurable performance outcomes while balancing productivity, quality, compliance, and customer experience.
- Team Development & Coaching: Builds, develops, and mentors high-performing teams through coaching, feedback, accountability, and ongoing professional development.
- Customer & Partner Experience: Maintains strong and professional relationships with patients, providers, attorneys, adjusters, third-party representatives, and internal stakeholders while delivering timely and solution-oriented support.
- Adaptability & Change Leadership: Thrives in fast-paced and evolving environments while effectively navigating ambiguity, shifting priorities, and operational change.
Essential Responsibilities & Duties
Department Leadership & Operations (50%)
- Lead the daily operations of the Personal Injury billing team while ensuring productivity, quality, compliance, and service expectations are consistently achieved.
- Develop, implement, and optimize workflows, operational processes, and departmental procedures related to personal injury and third-party liability billing.
- Monitor accounts receivable performance, workload distribution, claim resolution timelines, and operational KPIs.
- Drive accountability across the team through performance management, coaching, feedback, and clear expectations.
Department:
Revenue Cycle Management
Reports To:
Senior Manager of BIlling
Job Title: Billing Manager, Personal Injury
Form 10153 Rev 3.0
- Partner cross-functionally with Reimbursement leadership, Legal, Sales, Compliance, and other internal teams to resolve escalations and improve operational effectiveness.
- Oversee complex claim resolution efforts involving attorneys, adjusters, insurance carriers, and third-party administrators.
- Ensure all communication and operational activity aligns with company standards, compliance expectations, and organizational values.
- Assist with workforce planning, staffing recommendations, and operational resource allocation based on departmental volume and business needs.
- Identify trends, risks, and operational improvement opportunities and escalate recommendations to leadership as appropriate.
- Support departmental reporting initiatives and operational performance analysis.
Team Development, Training & Onboarding
- Lead onboarding and training efforts for new team members, ensuring a structured and successful transition into the department.
- Provide ongoing coaching, mentorship, and performance feedback to team members.
- Foster a culture centered around accountability, collaboration, continuous learning, and operational excellence.
- Identify skill gaps and training opportunities to support individual and team development.
- Participate in interviewing, hiring, onboarding, disciplinary actions, and performance evaluations as needed.
Personal Injury Billing & Escalation Management
- Oversee and support billing workflows involving attorney liens, Letters of Protection (LOPs), no-fault claims, and third-party liability billing.
- Correspond professionally with attorneys, adjusters, insurance representatives, employers, and third-party stakeholders regarding claim status, documentation, settlements, and reimbursement activity.
- Ensure compliance with applicable state and federal regulations related to personal injury medical billing.
- Support escalated account reviews and resolution efforts while ensuring accurate documentation and claim management.
- Verify subpoena responses, notary requirements, and supporting documentation accuracy when applicable.
- Maintain operational accuracy within billing systems and documentation platforms.
Experience & Education Requirements
- Bachelor's Degree required; advanced degree preferred
Department:
Revenue Cycle Management
Reports To:
Senior Manager of BIlling
Job Title: Billing Manager, Personal Injury
Form 10153 Rev 3.0
- Minimum 3 years of leadership experience managing teams within a healthcare reimbursement, billing, or revenue cycle environment
- Demonstrated experience managing personal injury medical billing operations
- Strong working knowledge of attorney liens, LOPs, third-party liability claims, and insurance workflows
- Proven experience communicating and negotiating with attorneys, insurance adjusters, TPAs, and related stakeholders
- Strong analytical, organizational, and operational leadership skills
- Ability to effectively manage priorities within a fast-paced environment
- Notary Public certification required or ability to obtain upon hire (company-sponsored)