The Finance Manager oversees Spine Institute of Central Florida/OSPINE Ambulatory Surgical Center’s financial operations, including revenue generation, expenses budgeting, forecasting, accounts payable and receivable, medical billing and coding, insurance contracts, credentialing, and related administrative functions. This role helps ensure that financial systems are accurate, timely, compliant, and aligned with the practice’s mission and long-term sustainability.

Responsibilities:

Lead finance, revenue cycle, and administrative finance functions, including cash flow, budgeting, forecasting, accounts payable, accounts receivable, and monthly budget reporting.

Partner with the Medical Director/CEO, Practice Administrator, and other leadership to manage accounting processes, reporting, Medicare/Commercial Insurance cost reporting, and related financial procedures.

Oversee revenue cycle operations, including billing, coding, collections, claims submission, payer follow-up, payment posting, and patient account processes.

Create, implement, audit, and improve patient account and billing processes to support timely, accurate, compliant reimbursement.

Analyze financial, billing, claims, collections, and accounts receivable trends, then recommend process, staffing, or policy improvements as needed.

Review payer contracts annually, identify areas for renegotiation, and evaluate alternative payment model opportunities.

Ensure coding and billing operations follow practice protocols and applicable federal, state, and payer regulations, guidelines, and requirements.

Stay current on HIPAA, health information management, billing and coding regulations, payer requirements, and carrier rule changes, and share updates with the appropriate teams.

Provide, oversee, or coordinate training and support for billing and finance-related staff on systems, procedures, standards, and best practices.

Required Qualifications:

Bachelor's degree in business administration, accounting, finance, or a related field.

Minimum of three (3) years of senior finance leadership experience in a healthcare organization.

Strong understanding of medical billing, collections, payment posting, revenue cycle, third-party payers, Medicare, and federal payer regulations.

Working knowledge of HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes.

Knowledge of business management and basic accounting principles, with the ability to partner effectively with accounting support and organizational leadership.

Experience supervising, training, organizing, prioritizing, and scheduling work to meet operational and financial timelines.

Proficiency with Microsoft Office, including Outlook, Word, and Excel.

Strong organization, attention to detail, critical thinking, professional judgment, and the ability to work independently with frequent interruptions.

Ability to communicate calmly, respectfully, transparently, and professionally with staff, patients, partners, payers, and other stakeholders.

Preferred Qualifications:

Prior Financial management experience in a Health Clinic, Federally Qualified Health Center, or similar healthcare setting.

Experience with accounting management and reporting.

Experience with Medicare Cost Reporting, payer contracting, and alternative payment models.

Experience producing and presenting detailed financial, billing, and accounts receivable reports.

Strong negotiation skills and tact when discussing payer, partner, or patient financial matters.

The Comprehensive Spine Center at Spine Institute of Central Florida provides a full scope of Spinal services. We specialize in the entire spectrum of non-surgical and surgical care of the spine. For your convenience, all services are available under one roof; including very effective and highly sophisticated spinal evaluation and treatment programs, diagnostic imaging, interventional pain management, spine specialized rehabilitation and therapy programs specially designed for specific spinal conditions and injuries to ensure maximal results.