Manager, Medical Billing and Collections
Apply NowCompany: Pantherx Specialty LLC
Location: Pittsburgh, PA 15237
Description:
7,000 Diseases - 500 Treatments - 1 Rare Pharmacy
PANTHERx is the nation's largest rare disease pharmacy, and we put the patient experience at the top of everything that we do.
If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don't need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
We are seeking team members who:
Are inspired and compassionate problem solvers;
Produce high quality work;
Thrive in the excitement of the ever-challenging environment of modern medicine; and
Are committed to achieving superior health outcomes for people living with rare and devastating diseases.
At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.
Join the PANTHERx team, and define your own RxARE future in healthcare!
Location: Pittsburgh, PA; Hybrid
Classification: Exempt
Status: Full-Time
Reports to: Director, Revenue Reconciliation
Purpose:
The Medical Billing and Collections Manager oversees and manages all billing and collections activities, ensuring accurate and timely submission of claims, efficient collection of payments, and compliance with healthcare regulations. This role leads the billing team, implements best practices, and optimizes revenue cycle processes to improve cash flow, reduce outstanding balances, and provide key financial forecasts. Additionally, the leader manages department operations within the established budget.
Responsibilities:
Required Qualifications:
Work Environment:
This job operates in a professional office or home office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands:
While performing the duties of this job, the employee is regularly required to see, talk or hear. The employee frequently is required to sit; stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.
Benefits:
Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too!
Equal Opportunity:
PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.
PANTHERx is the nation's largest rare disease pharmacy, and we put the patient experience at the top of everything that we do.
If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don't need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
We are seeking team members who:
Are inspired and compassionate problem solvers;
Produce high quality work;
Thrive in the excitement of the ever-challenging environment of modern medicine; and
Are committed to achieving superior health outcomes for people living with rare and devastating diseases.
At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.
Join the PANTHERx team, and define your own RxARE future in healthcare!
Location: Pittsburgh, PA; Hybrid
Classification: Exempt
Status: Full-Time
Reports to: Director, Revenue Reconciliation
Purpose:
The Medical Billing and Collections Manager oversees and manages all billing and collections activities, ensuring accurate and timely submission of claims, efficient collection of payments, and compliance with healthcare regulations. This role leads the billing team, implements best practices, and optimizes revenue cycle processes to improve cash flow, reduce outstanding balances, and provide key financial forecasts. Additionally, the leader manages department operations within the established budget.
Responsibilities:
- Manages the daily operations of the medical billing and collections department.
- Ensures accurate submission of claims and timely follow-up on outstanding payments.
- Oversees billing team, providing training and support to optimize performance.
- Analyzes and resolves billing discrepancies, denials, and payment delays.
- Ensures compliance with healthcare regulations, policies, and payer requirements.
- Monitors and forecasts bad debt, cash flow, and overall financial performance related to billing.
- Collaborates with finance teams to create accurate cash flow forecasts and bad debt provisions.
- Implements financial controls and reporting to improve revenue cycle management and cash collection efficiency.
- Manages departmental operations to ensure alignment with budgetary goals and cost-effectiveness.
- Produces analytics and responds as needed to those reports and takes action.
Required Qualifications:
- Bachelors degree preferred in finance, healthcare administration or related field, with a minimum of three years of related experienceEquivalent work experience may substitute education requirements.
- Strong financial acumen, with experience in cash flow forecasting, bad debt management, and budget adherence.
- Proven experience in medical billing, collections, and revenue cycle management.
- Knowledge of healthcare billing regulations, HIPAA compliant 837 billing, and coding (ICD, CPT, etc.).
- Excellent leadership, communication, and analytical skills.
- Certified in Medical Billing or Coding preferred (e.g., CPC, CPB).
Work Environment:
This job operates in a professional office or home office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands:
While performing the duties of this job, the employee is regularly required to see, talk or hear. The employee frequently is required to sit; stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.
Benefits:
Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too!
Equal Opportunity:
PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.