Billing and Revenue Cycle Manager

Position Summary:

The Billing Manager is responsible for overseeing the daily operations of the billing department to ensure accurate, timely, and compliant revenue cycle processes. This role leads billing staff, manages invoicing and collections, and ensures alignment with organizational, local, state, and federal requirements. The Billing Manager plays a critical role in securing revenue, maintaining financial integrity, and supporting operational efficiency across the organization.

Reporting Relationship:

Reports To: Sr. Director of Healthcare Systems Operations

Supervises: Revenue Cycle Analysts and (other staff as assigned)

Key Responsibilities:

Billing Operations Oversight

• Manage the full billing cycle, including invoicing, collections, account reconciliation, and reporting
• Ensure timely and accurate submission of claims and invoices
• Monitor accounts receivable and follow up on outstanding balances
• Identify and resolve billing discrepancies and denials

Team Leadership and Development

• Supervise, train, and support billing staff to ensure fiscal responsibility and accuracy and efficiency
• Conduct performance evaluations and provide ongoing coaching and professional development
• Establish clear expectations and workflows to support best practices and team cohesion

Policy and Process Management

• Develop, implement, and enforce billing policies and procedures IAW with local, state, and federal regulatory agencies
• Ensure alignment with organizational standards and regulatory requirements
• Continuously evaluate processes and implement improvements to enhance efficiency and accuracy

Financial Reporting and Analysis

• Prepare and analyze reports related to billing, accounts receivable, and cash flow, and revenue recovery
• Provide insights and recommendations to leadership to support financial decision-making
• Monitor key financial indicators and identify trends impacting revenue

Compliance and Auditing

• Ensure compliance with all applicable state and federal regulations, including Medicaid and other payer requirements
• Conduct internal audits of billing practices to ensure accuracy and adherence to policy
• Collaborate with Quality Assurance for Continuous Quality Improvement (CQI) efforts

Stakeholder Relations

• Provide direction and solutions regarding any billing inquiries and disputes with internal and external stakeholders
• Maintain professional and effective communication with payers and internal departments
• Support cross-functional collaboration with clinical, administrative, and finance teams

Reporting

• Generate, analyze, and maintain reports within the electronic health record (EHR) system to support billing accuracy, revenue tracking, and oversight.
• Conduct routine internal audits of billing data to ensure alignment with documentation, coding standards, and payer requirements.
• Identify discrepancies, trends, and areas of risk through data analysis and reporting.
• Collaborate with clinical, compliance, and finance teams to address audit findings and implement corrective actions.
• Ensure data integrity within the EHR system to support accurate billing and reporting processes.

Required Qualifications:

Education

• Bachelor's degree in finance, Accounting, Healthcare Administration, or a related field required

Experience

• Minimum of 5 years of experience in billing, revenue cycle, or finance
• At least 1–3 years of supervisory or leadership experience preferred
• Experience in healthcare or behavioral health billing strongly preferred

Skills and Competencies

• Strong attention to detail and accuracy
• Advanced analytical and problem-solving skills
• Demonstrated ability to lead and develop a team
• Knowledge of billing systems, electronic health records, and payer requirements
• Strong organizational and time management skills
• Effective written and verbal communication skills

FT Role

Compensation

85,000 -100,000 Annually

Benefits

• Paid vacation
• Paid Sick Time
• 12 Paid Holidays
• Medical
• Dental
• Vision
• 403(b) Plan  
• Life Insurance
• Long-term & short-term disability
• Employee assistance program (EAP)
• Family medical leave
• Tuition reimbursement
  

Benefit options and eligibility vary by Fulltime and Part-time positions. Compensation within the posted salary range varies based on factors including, but not limited to, experience, skills, education, and performance at the time of the offer.

Mental and Physical Demands:

• Ability to analyze and solve practical problems, managing multiple variables in complex situations.
• Ability to communicate effectively, both verbally and in writing, with internal and external stakeholders.
• Ability to interpret and apply written and verbal instructions.
• Ability to perform essential job functions in a primarily sedentary environment, including extended periods of computer use.
• Ability to perform tasks requiring manual dexterity, such as typing and operating standard office equipment.
• Ability to move within and between work locations, as needed.
• Ability to lift and/or move up to 25 pounds on an occasional basis.
• Ability to perform essential job functions requiring visual acuity, including reviewing documents and screens, with or without reasonable accommodation.

Work Environment:
This role operates within a professional office environment and requires regular collaboration with internal departments and external stakeholders. The position may involve occasional meetings or cross-functional coordination efforts. The Billing Manager is expected to maintain a high level of professionalism, confidentiality, and accountability in all aspects of the role.