Behavioral Health Billing Manager
About The Position
Health Solutions is hiring a full-time Behavioral Health Billing Manager to provide leadership and oversight for behavioral health billing operations across multiple divisions. The role ensures accurate, compliant, and timely reimbursement from government, commercial, and other funding sources. The work location will be determined upon hire, and the position supports multiple divisions. The manager supervises and develops billing staff, establishes consistent operational processes, and drives performance through monitoring, coaching, and accountability. The role collaborates with clinical, revenue cycle, compliance, technology, insurance verification, authorization, credentialing, and payment posting teams to resolve billing challenges, improve workflow efficiency, and support accurate documentation and coding. It also analyzes operational performance, identifies improvement opportunities, and implements strategies to strengthen revenue integrity and support organizational goals. The role reports under the supervision of the Director and Supervisor. The job is based in Southern Colorado and includes travel of up to 25%.
Requirements
- Bachelor’s degree in healthcare administration, Health Care Management, or a related field, or an equivalent combination of education and experience.
- Demonstrated experience in behavioral health billing and revenue cycle operations, including staff supervision.
- Strong knowledge of behavioral health coding, documentation requirements, and payer-specific billing rules for Colorado Medicaid and RAEs, Medicare, commercial insurance, BHASO/BHA funding, and self-pay.
- Experience with EHR billing configuration, claim troubleshooting, and performance analysis.
- Ability to lead teams across locations, coach staff, and manage competing priorities.
- Valid Colorado driver’s license and clean driving record.
- Must already be authorized to work in the United States; sponsorship is not available.
- Ability to stand, sit, drive, and walk for prolonged periods; occasionally lift and carry items up to 20 pounds; work under stress in emergency situations; use normal hearing and eyesight to record data electronically and communicate with clients; occasionally drive between facilities in adverse weather; and frequently use hands and fingers to operate a computer keyboard and mouse.
Nice To Haves
- Spanish language abilities.
Responsibilities
- Manage behavioral health billing teams across multiple divisions, establishing consistent standards, clear responsibilities, and dependable coverage.
- Supervise staff through regular check-ins, coaching, training, and performance evaluations; address concerns promptly and participate in hiring and onboarding.
- Assign and balance workloads, monitor billing and follow-up queues, and ensure timely claim submission, appeals, and resolution of outstanding balances.
- Serve as the operational resource for behavioral health coding and payer-specific billing requirements, including CPT/HCPCS codes, modifiers, units, and provider eligibility.
- Ensure billing practices reflect applicable requirements for Colorado Medicaid and RAEs, Medicare, commercial payers, BHASO/BHA funding, and self-pay accounts.
- Oversee claim quality reviews and investigate coding, documentation, and billing errors; engage qualified coding or compliance resources when specialized review is needed.
- Investigate recurring denials, rejections, and payment delays; assign corrective actions and follow them through to resolution.
- Maintain working knowledge of EHR billing workflows and configuration; identify build issues, submit change requests, and validate approved corrections with EHR/IT teams.
- Partner with clinical leaders to resolve documentation gaps and provide practical feedback supporting accurate behavioral health billing.
- Coordinate with insurance verification, authorization, credentialing, and payment posting teams to resolve issues affecting claim readiness and account accuracy.
- Monitor billing lag, clean-claim rates, denials, aging balances, and backlog trends; report performance, reasons for missed targets, and corrective plans to the VP of Revenue Strategy.
- Develop consistent billing procedures and staff education across divisions, incorporating approved payer updates and documenting necessary division-specific differences.
- Coordinate with the payer contracting specialist on contract interpretation and recurring payment discrepancies while retaining responsibility for operational billing follow-through.
- Build team capability through cross-training and backup coverage, and recommend staffing or workflow changes based on workload and performance.
- Maintain accurate records, protect confidential information, and perform other assigned duties consistent with behavioral health billing management.
Benefits
- Paid holidays and generous paid time off (PTO).
- Employee Assistance Program (EAP).
- Tuition reimbursement.
- Retirement plan: 403(b) with employer match up to 6%.
- Medical, dental, and vision insurance with low deductibles.
- Flexible spending account (FSA).
- Premier wellness program and wellness benefits program.
- Life and AD&D insurance and long-term disability (LTD) coverage.
- Additional voluntary insurance benefits, including voluntary life and Sun Life voluntary benefits.
- Pet insurance.
- Childcare.
- Flexible work schedule.
- Employee recognitions and celebrations.
- Warm and friendly work environment in which staff respect and learn from one another.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
