Office Manager – Interventional Pain Management Practices

Job Title:

Office Manager – Interventional Pain Management (High-Volume Practice)

Position Summary

The Office Manager for a high-volume interventional pain management practice is responsible for leading daily operations, optimizing patient throughput, and overseeing a complex revenue cycle driven by procedural services. This role requires strong leadership, deep expertise in interventional pain billing, and the ability to manage fast-paced clinical and procedural workflows while maximizing reimbursement and minimizing denials.

Key Responsibilities

High-Volume Operations Management

• Oversee daily clinic and procedure schedule (high patient volume, rapid turnover)
• Coordinate provider schedules, procedure blocks, and room utilization
• Optimize patient flow from check-in through discharge
• Reduce wait times while maintaining quality of care
• Ensure adequate staffing levels to support clinic and procedure days

Interventional Procedure Coordination

• Manage scheduling and logistics for procedures such as:
• Epidural steroid injections
• Facet joint injections
• Radiofrequency ablation (RFA)
• Spinal cord stimulator (SCS) trials and implants
• Ensure all required documentation, imaging, and clearances are completed prior to procedures
• Oversee prior authorizations and medical necessity documentation

Medical Billing & Revenue Cycle Oversight

• Supervise end-to-end revenue cycle for high-dollar procedural billing
• Ensure accurate coding for interventional procedures (CPT, ICD-10, HCPCS)
• Monitor and improve:
• Charge capture accuracy
• First-pass claim acceptance rate
• Days in A/R
• Denial rates and appeals success
• Oversee billing for both professional and facility fees (if applicable)
• Ensure correct use of modifiers (e.g., 26, TC, 50, 59, RT/LT)
• Manage payer-specific requirements for interventional pain procedures
• Work closely with billing team to resolve complex claims and audits

Financial & Performance Management

• Track key performance indicators (KPIs), including:
• Daily patient volume
• Procedures per day
• Revenue per provider
• Collection rates
• Generate and review financial and operational reports
• Identify inefficiencies and implement workflow improvements to increase profitability

Team Leadership & Development

• Supervise front office, billing staff, medical assistants, and procedure coordinators
• Train staff on workflow efficiency, compliance, and patient experience
• Conduct performance evaluations and manage staffing schedules
• Foster a culture of accountability, speed, and accuracy

Compliance & Risk Management

• Ensure compliance with HIPAA, OSHA, and payer guidelines
• Maintain documentation standards for audits (especially Medicare and commercial payers)
• Stay current on pain management regulations and reimbursement changes
• Monitor for fraud, waste, and abuse risks

Patient Experience

• Ensure a smooth, efficient, and professional patient experience despite high volume
• Address patient concerns related to procedures, billing, and scheduling
• Maintain clear communication regarding financial responsibility and expectations

Qualifications

Education & Experience

• Bachelor’s degree in Healthcare Administration, Business, or related field (preferred)
• 5+ years of experience in a medical practice, with interventional pain management strongly preferred
• 3+ years in a leadership or office manager role
• Proven experience managing high-volume clinics or procedure-driven practices

Technical Expertise

• Advanced knowledge of:
• Interventional pain CPT coding (e.g., injections, RFA, SCS)
• ICD-10 diagnosis coding for chronic pain conditions
• Modifier usage and payer-specific billing rules
• Experience with prior authorizations for complex procedures
• Strong understanding of both in-office and ASC (Ambulatory Surgery Center) billing workflows
• Proficiency in EHR/EMR systems and billing software

Preferred Qualifications

• Certified Professional Coder (CPC) or equivalent certification
• Experience with spinal cord stimulator workflows and implant billing
• Familiarity with Medicare Local Coverage Determinations (LCDs) for pain procedures
• Experience managing multi-provider or multi-location practices

Work Environment

• Fast-paced, high-demand clinical and procedural setting
• Requires multitasking, rapid decision-making, and strong organizational skills
• Frequent coordination with providers, billing teams, and insurance companies

Compensation & Benefits (Customize)

• Competitive base salary + performance-based bonus tied to KPIs
• Health, dental, and vision insurance
• Paid time off and holidays
• Retirement plan options
• Potential incentive based on revenue cycle performance and clinic growth

Ideal Candidate Profile

• Highly organized and performance-driven
• Strong background in procedural billing and revenue optimization
• Thrives in a fast-paced, high-volume environment
• Data-driven with a…