Revenue Cycle Manager / Senior Medical Biller (eClinicalWorks Required)

OptiClaim Business Solutions LLP is hiring a hands on Revenue Cycle Manager / Senior Medical Biller to take complete ownership of revenue cycle operations for a growing physician practice. This role suits a leader who is willing to do the work directly while also building the processes and team needed for future growth. The practice spans Outpatient Clinic, Primary Care, Endocrinology, Hospital Visits, Skilled Nursing Facilities, and Nursing Home Visits.

Key Responsibilities Coding and Documentation Review Review provider documentation for coding accuracy and completeness Assign and validate CPT, ICD 10 CM, HCPCS, and modifier usage Identify documentation gaps and communicate with providers Review coding across office visits, AWVs, endocrinology, hospital and SNF visits, procedures, labs, and diagnostics Billing Operations Manage claim submission from charge entry through payment Resolve claim edits and rejections Manage clearinghouse workflows Ensure timely billing and reimbursement compliance Accounts Receivable and Denials Manage aging accounts and collections Analyze denial trends and implement corrective action Submit appeals and corrected claims Reduce AR days and improve cash collections Payer Relations Navigate Medicare, Medicaid, and commercial payer portals Manage appeals, reconsiderations, and payer relationships Credentialing and Enrollment Manage provider credentialing and recredentialing Maintain CAQH profiles Complete payer enrollments and monitor participation status eClinicalWorks (eCW) Manage all billing workflows within eCW Configure billing settings and work queues Drive operational efficiency within the system Leadership and Team Development Build and lead future coding, billing, and AR teams Create SOPs, workflows, and quality standards Train staff and set productivity and collection goals Required Qualifications 5+ years of professional medical billing experience 3+ years in a senior, lead, supervisor, manager, or director level billing role Extensive hands on experience with eClinicalWorks (required) Experience with Primary Care, Endocrinology, Hospital E&M, Nursing Facility, and SNF billing Advanced knowledge of CPT, ICD 10 CM, HCPCS, modifiers, and E&M guidelines Strong experience with Medicare, Medicaid, and commercial insurance Experience with payer portals, denials, appeals, and AR follow up Experience with provider credentialing and enrollment Preferred Qualifications CPC, CPB, or CRC certification Experience building a billing department from the ground up Experience managing remote billing teams Experience with revenue cycle reporting and analytics Interested candidates can apply by sending their resume to ak@opticlaim.co