What are the responsibilities and job description for the Billing Manager position at Imagine!?
Company Description
Imagine! is a nonprofit organization founded in 1963 and based in Colorado, dedicated to creating a world of opportunities for all abilities. We support people with intellectual and developmental disabilities (I/DD), brain injury (BI), and autism to live lives of choice, independence, and connection.
Through strong partnerships with individuals, families, and community organizations, we provide person-centered services across residential supports, employment and community engagement, therapeutic and behavioral health services, and family supports. With decades of experience, innovative approaches, and deep community roots, Imagine! works to remove barriers and ensure people have the support they need to thrive—at home, at work, and in their communities.
Role Description
We are seeking an experienced Billing Manager to lead and oversee Medicaid billing operations; we are based in Lafayette, CO.
This role is responsible for ensuring accurate, timely, and compliant billing practices while supporting and supervising a billing team. The Billing Manager serves as the internal expert on Medicaid billing processes and regulations and plays a critical role in maintaining the financial integrity of our services.
This is both a detail-driven operational role and a leadership role—someone who can see the system, support the team, and ensure the work gets done right.
Key Responsibilities
Billing Operations & Compliance
- Oversee daily Medicaid billing operations across programs
- Ensure accurate and timely claim submission through the Electronic Health Record (EHR) system
- Monitor and maintain compliance with federal and state Medicaid regulations
- Identify, investigate, and resolve billing discrepancies, denials, and errors
- Maintain strong internal controls to reduce risk and ensure audit readiness
Leadership & Team Management
- Supervise, support, and develop billing staff
- Set clear expectations, workflows, and accountability structures
- Provide training and guidance on billing processes and regulatory requirements
- Foster a collaborative, solutions-oriented team environment
Systems, Processes & Improvement
- Develop, implement, and refine billing policies and procedures
- Monitor performance metrics and identify opportunities for improvement
- Partner with program and finance teams to ensure alignment between service delivery and billing
- Support audits, reporting, and continuous quality improvement efforts
Qualifications
Required
- Experience with Medicaid billing, preferably in human services or healthcare
- Strong knowledge of Medicaid regulations, compliance, and billing practices
- Experience supervising or leading a team
- High attention to detail and accuracy
- Strong problem-solving and analytical skills
- Ability to manage multiple priorities and meet deadlines
Preferred
- Experience in I/DD, behavioral health, or community-based services
- Familiarity with HCBS waivers and service codes
- Experience working with EHR systems
- Bachelor’s degree in accounting, finance, healthcare administration, or related field
What Success Looks Like
- Billing is accurate, timely, and compliant
- Issues are identified early and resolved quickly
- The billing team is supported, clear, and accountable
- Systems and processes improve over time—not just maintained
- Program and finance teams trust the billing function as a strong partner
Why This Role Matters
Billing is not just transactional—it is what allows services to continue.
- Accurate Medicaid billing ensures that people receive the supports they need to live independently, build skills, and stay connected to their communities.
- This role directly contributes to the sustainability and integrity of that work.