Company Overview
Cardio Metabolic Institute is a growing multi-specialty medical group serving patients throughout Central New Jersey, with locations in Somerset, Edison, Monroe Township, and Perth Amboy. Cardio Metabolic Institute provides comprehensive services including preventive and interventional cardiology, vascular and vein care, primary care, pain management, physical therapy, nutrition, weight management, cardiac rehabilitation, diagnostic testing, and clinical research. We are committed to delivering compassionate, patient-centered care through collaboration, education, innovation, and personalized treatment. Our goal is to address the needs of the whole patient while improving health outcomes and supporting the communities we serve.
Job Summary
Cardio Metabolic Institute is seeking an experienced Practice Manager to oversee the daily operations and financial performance of our multi-specialty medical practice. This full-time, onsite position is primarily based in Somerset, New Jersey. The ideal candidate is a hands-on healthcare leader with strong knowledge of revenue cycle management, accounts receivable, medical billing, coding, payer requirements, staff supervision, and outpatient practice operations. This individual will work closely with providers, employees, billing teams, vendors, and executive leadership to improve collections, strengthen workflows, maintain compliance, and support a high-quality patient experience.
Duties:
- Oversee daily clinical, administrative, and front-office operations across the practice.
- Manage the complete revenue cycle, including registration, eligibility verification, prior authorizations, charge entry, claim submission, payment posting, denial management, patient balances, and account resolution.
- Monitor accounts receivable aging, days in accounts receivable, collection performance, denial trends, payment delays, underpayments, and outstanding claims.
- Review billing and coding workflows for accuracy, documentation support, medical necessity, payer compliance, and timely filing.
- Maintain working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, coding guidelines, and specialty-specific billing requirements.
- Coordinate with providers and clinical staff to resolve incomplete documentation, unsigned encounters, delayed charge entry, coding questions, and authorization issues.
- Work with internal or outsourced billing teams and hold vendors accountable for established performance standards.
- Review payer reimbursement, fee schedules, payment variances, and recurring denial or billing issues.
- Prepare and review revenue cycle, accounts receivable, collection, productivity, and operational reports for leadership.
- Identify opportunities to reduce revenue leakage, improve clean-claim rates, accelerate collections, and strengthen overall financial performance.
- Recruit, train, supervise, coach, and evaluate clinical, administrative, front-office, and billing staff.
- Monitor staffing levels, schedules, attendance, timekeeping, overtime, productivity, leave requests, and cross-training needs.
- Coordinate provider schedules, patient access, referral intake, patient flow, and operational coverage.
- Monitor referral conversion, scheduling lead times, cancellations, no-shows, unused capacity, patient wait times, and service concerns.
- Support provider onboarding, credentialing, payer enrollment, and practice orientation.
- Ensure compliance with HIPAA, OSHA, Medicare, Medicaid, commercial payer requirements, coding standards, organizational policies, and applicable regulations.
- Oversee supplies, purchasing, equipment maintenance, facility needs, vendor performance, and operating expenses.
- Travel to other practice locations, meetings, or training sessions as needed.
- Proven expertise in healthcare practice management with strong knowledge of medical office operations across multiple specialties.
- Extensive experience with fiscal management—including budgeting, financial analysis, and cost control strategies—within a healthcare setting.
- Proficiency in medical office software such as ECW, Microsoft Office Suite, and other EMR/EHR systems.
- Demonstrated leadership skills in supervising healthcare staff and managing multidisciplinary teams effectively.
- In-depth understanding of healthcare regulations including HIPAA compliance and health policy guidelines.
- Excellent managerial communication skills for team coordination, conflict resolution, and stakeholder engagement.
- Strong background in medical administrative support functions such as medical billing, coding, patient records management, and utilization management.
Required Qualifications:
- Three to five years of medical practice management with revenue cycle management, medical billing, and coding oversight, or a full comprehension of healthcare operations.
- Strong knowledge of accounts receivable, claims management, payment posting, denial resolution, payer reimbursement, and patient collections.
- Working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, medical necessity, documentation standards, and timely filing requirements.
- Experience supervising clinical, administrative, front-office, billing, or revenue cycle employees.
- Knowledge of Medicare, Medicaid, commercial insurance, managed care, prior authorization, and payer requirements.
- Ability to analyze financial and operational reports, identify performance gaps, and implement corrective action.
- Strong leadership, organization, communication, problem-solving, and follow-through skills.
- Proficiency with electronic health records, practice management systems, clearinghouses, billing platforms, microsoft Office, and financial reporting tools.
- Valid driver's license and reliable transportation.
- Ability to work full-time onsite in Somerset, New Jersey.
Preferred Qualifications:
- Experience in a multi-specialty physician practice or outpatient medical setting.
- Proficiency with eClinicalWorks (eCW), including scheduling, patient registration, clinical workflows, billing, claims management, accounts receivable reporting, and revenue cycle functions.
- Associate or bachelor's degree in healthcare administration, business administration, finance, management, or a related field.
- Bilingual proficiency.
Work Requirements:
- Full-time, onsite position primarily based in Somerset, New Jersey.
- Regular and dependable attendance is required.
- Reliable transportation and availability to travel between practice locations, meetings, or training sessions as needed.
- Occasional availability outside standard business hours may be required for operational or staffing matters.
- Ability to move throughout the practice and use standard computer, telephone, and office equipment.
Equal Opportunity Statement: Cardio Metabolic Institute is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Join us in leading a dedicated team committed to delivering exceptional cardiovascular and metabolic healthcare through effective practice management!
Pay: From $70,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
