City of Baltimore
RCM Billing and Reimbursement Manager II, Grant Service Specialist III (NCS) - B
City of Baltimore, Baltimore, Maryland, United States, 21276
RCM Billing and Reimbursement Manager II, Grant Service Specialist III (NCS) - Baltimore City Health Department
Join the City of Baltimore as an RCM Billing and Reimbursement Manager II in the Bureau of Maternal Child Health. This role offers a challenging environment for professionals in revenue cycle management.
Location:
Baltimore City Health Department, Baltimore, MD
Salary Range:
$64,427.00 – $110,756.00 annually (Starting pay: $64,427.00 per year)
THIS IS A NON-CIVIL SERVICE POSITION
Get to Know Us:
Welcome to the City of Baltimore! Experience the reward of a fulfilling career in a vibrant, diverse atmosphere. We offer medical, prescription drug, dental, vision, optional life, AD&D, FSA plans, wellness programs, support groups, and workshops. Learn more about benefits here: https://humanresources.baltimorecity.gov/hr-divisions/benefits
Job Summary:
Under the supervision of the Director, Revenue Cycle Management, the RCM Billing and Reimbursement Manager II is responsible for assigned programs within the Bureau of Maternal Child Health (MCH). Responsibilities include medical billing charge capture, patient enrollment demographics, eligibility verification, claims submission, and resolution of claims rejections/denials. The role also entails reconciling charges, enrollment data, reimbursements, and preparing end‑of‑month reports while maintaining the RCM dashboard. The manager will be a subject‑matter expert for billing/reimbursement guidelines for MCH and Maryland Medicaid, and will provide excellent customer service to community partners and internal teams.
Essential Functions
Working knowledge with medical claims clearinghouse
Charge capture
Processing and submitting claims, and resolving claim denials
Patient communication – verifying insurance and data entry
Generating monthly reports, maintaining billing dashboard, and ad‑hoc reporting
Ensuring revenue cycle management integrity
Resolving A/R discrepancies and claim denial management
Timely filing guidelines for Medicaid, Medicare, and third‑party billing
Interpreting EOBs and payer remits from various insurance payers
Working knowledge of CPT and ICD‑10 code application
Minimum Qualifications Education:
Bachelor’s degree from an accredited college or university.
Experience:
Six (6) years of experience in medical billing and reimbursement in a physician office or group setting, with prior experience in physician billing systems and MS Office products (Word, Excel, Outlook).
Epic EMR/PM – Required
Equivalency Notes:
Ten (10) years of medical billing and reimbursement/revenue cycle management experience accepted in lieu of a BA degree.
Knowledge, Skills, & Abilities
Ability to read, write, and speak English effectively
Ability to work independently and make independent decisions when warranted
Strong communication skills to interact tactfully with personnel, visitors, patients, physicians, customers, and the public
Flexibility, personal integrity, and effective teamwork with other employees
Ability to follow written and oral instructions
Additional Information Background Check:
Eligible candidates under final consideration will be required to complete a criminal background check and/or fingerprint authorization, which must be successfully completed.
Probation:
All persons, including current city employees, selected for this position must complete a mandatory six‑month probation.
Financial Disclosure:
This position requires completion of a financial disclosure pursuant to Sections 7‑7, 7‑8, and 7‑9 of the City Ethics Law. The initial disclosure must be submitted within 30 days of hire.
Baltimore City Government is an Equal Employment Opportunity Employer.
We are committed to a workplace that values diversity, equity, and inclusion. The City of Baltimore prohibits discrimination on the basis of race, color, religion, age, sex, ancestry, creed, national origin, disability status, genetics, marital status, military service, sexual orientation, gender identity/expression, or any other characteristic protected by law. Applicants requiring accommodations during the hiring process should contact the Department of Human Resources directly. Do not attach your request for accommodation to the application.
Seniority level:
Mid‑Senior level
Employment type:
Full‑time
Job function:
Finance and Sales; Industry: Government Administration
#J-18808-Ljbffr
Location:
Baltimore City Health Department, Baltimore, MD
Salary Range:
$64,427.00 – $110,756.00 annually (Starting pay: $64,427.00 per year)
THIS IS A NON-CIVIL SERVICE POSITION
Get to Know Us:
Welcome to the City of Baltimore! Experience the reward of a fulfilling career in a vibrant, diverse atmosphere. We offer medical, prescription drug, dental, vision, optional life, AD&D, FSA plans, wellness programs, support groups, and workshops. Learn more about benefits here: https://humanresources.baltimorecity.gov/hr-divisions/benefits
Job Summary:
Under the supervision of the Director, Revenue Cycle Management, the RCM Billing and Reimbursement Manager II is responsible for assigned programs within the Bureau of Maternal Child Health (MCH). Responsibilities include medical billing charge capture, patient enrollment demographics, eligibility verification, claims submission, and resolution of claims rejections/denials. The role also entails reconciling charges, enrollment data, reimbursements, and preparing end‑of‑month reports while maintaining the RCM dashboard. The manager will be a subject‑matter expert for billing/reimbursement guidelines for MCH and Maryland Medicaid, and will provide excellent customer service to community partners and internal teams.
Essential Functions
Working knowledge with medical claims clearinghouse
Charge capture
Processing and submitting claims, and resolving claim denials
Patient communication – verifying insurance and data entry
Generating monthly reports, maintaining billing dashboard, and ad‑hoc reporting
Ensuring revenue cycle management integrity
Resolving A/R discrepancies and claim denial management
Timely filing guidelines for Medicaid, Medicare, and third‑party billing
Interpreting EOBs and payer remits from various insurance payers
Working knowledge of CPT and ICD‑10 code application
Minimum Qualifications Education:
Bachelor’s degree from an accredited college or university.
Experience:
Six (6) years of experience in medical billing and reimbursement in a physician office or group setting, with prior experience in physician billing systems and MS Office products (Word, Excel, Outlook).
Epic EMR/PM – Required
Equivalency Notes:
Ten (10) years of medical billing and reimbursement/revenue cycle management experience accepted in lieu of a BA degree.
Knowledge, Skills, & Abilities
Ability to read, write, and speak English effectively
Ability to work independently and make independent decisions when warranted
Strong communication skills to interact tactfully with personnel, visitors, patients, physicians, customers, and the public
Flexibility, personal integrity, and effective teamwork with other employees
Ability to follow written and oral instructions
Additional Information Background Check:
Eligible candidates under final consideration will be required to complete a criminal background check and/or fingerprint authorization, which must be successfully completed.
Probation:
All persons, including current city employees, selected for this position must complete a mandatory six‑month probation.
Financial Disclosure:
This position requires completion of a financial disclosure pursuant to Sections 7‑7, 7‑8, and 7‑9 of the City Ethics Law. The initial disclosure must be submitted within 30 days of hire.
Baltimore City Government is an Equal Employment Opportunity Employer.
We are committed to a workplace that values diversity, equity, and inclusion. The City of Baltimore prohibits discrimination on the basis of race, color, religion, age, sex, ancestry, creed, national origin, disability status, genetics, marital status, military service, sexual orientation, gender identity/expression, or any other characteristic protected by law. Applicants requiring accommodations during the hiring process should contact the Department of Human Resources directly. Do not attach your request for accommodation to the application.
Seniority level:
Mid‑Senior level
Employment type:
Full‑time
Job function:
Finance and Sales; Industry: Government Administration
#J-18808-Ljbffr