Show your expertise in medical billing software

Hiring managers want to see that you have hands-on experience with the medical billing software and tools commonly used in the industry. Highlight your proficiency in your skills section and work experience. Here are some examples:

• Proficient in medical billing software including Epic, Cerner, and Meditech
• Expertise in IDC-10 coding, medical terminology, and HIPAA regulations
• Skilled in using Kareo and AdvancedMD for claims processing and denial management

Avoid simply listing the names of the software without context, like this:

• Epic, Cerner, Meditech, Kareo

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   Quantify your billing and collections achievements

As a Medical Billing Manager, your main goal is to ensure timely and accurate billing and maximize collections. Employers want to see evidence of your success in these areas. Use numbers and metrics to quantify your achievements. For example:

• Reduced aged accounts receivable from 25% to 10% within 6 months by implementing new collection strategies
• Increased clean claims rate from 85% to 95%, resulting in $500K additional revenue per year
• Managed a team of 15 billing specialists processing over 10,000 claims per month

Compare those to less impactful statements like these that lack specific numbers:

• Reduced aged accounts receivable
• Improved clean claims rate
• Managed a billing team

   Highlight your revenue cycle management improvements

Billing managers are responsible for optimizing the entire revenue cycle, not just collections. Show how you've improved processes and KPIs across the cycle. Here are some examples:

• Cut average days in A/R from 50 to 35 days by redesigning claim scrubbing and submission workflows
• Reduced billing related denials by 20% through implementing a denials prevention program and staff training
• Improved patient collections by 15% by introducing new payment plan options and collection scripts

Avoid generic phrases that could apply to any billing manager:

• Responsible for revenue cycle management
• Worked to reduce denials and improve collections

   Demonstrate leadership and team management skills

To advance to a Medical Billing Manager position, you need to demonstrate your ability to lead and manage a team. Provide examples of how you've coached, motivated and developed billing staff. For instance:

• Directly managed a team of 20 including billers, coders and collections specialists
• Implemented cross-training program that improved team productivity by 25%
• Mentored and promoted 5 junior billers into senior roles within the department

Don't just say you have leadership skills - prove it with specifics:

• Responsible for leading the billing team
• Helped train and mentor junior staff

   Feature your payer relations experience

A key part of a Medical Billing Manager's role is managing relationships with insurance payers. Showcase your experience and success in this area, especially if you've worked with major payers. For example:

• Served as primary contact for contract negotiations with commercial payers including Aetna, Cigna and UnitedHealthcare
• Collaborated with Medicare and Medicaid to resolve complex billing issues and recover $250K in payments
• Developed positive relationships with payer representatives to speed up claims processing and adjudication

Don't simply list the payer names without expanding on your role:

Payer Relations: Medicare, Medicaid, Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna

   Include your coding and compliance knowledge

While Medical Billing Managers don't do the day-to-day coding, they are ultimately responsible for ensuring coding accuracy and compliance. Emphasize your knowledge of coding guidelines and regulations. For instance:

• Deep knowledge of CPT, HCPCS, ICD-10-CM coding guidelines for outpatient services
• Ensured compliance with HIPAA, Stark Law, and Anti-Kickback regulations
• Developed and implemented coding audit process that reduced coding related denials by 30%

Avoid simply name-dropping regulations and guidelines:

• Knowledge of HIPAA, Stark Law, Anti-Kickback Statute
• Familiar with CPT, HCPCS, ICD-10 coding