Behavioral Health Billing Manager

Health Solutions West•Grand Junction, CO

7d•$70,630 - $74,162•Hybrid

About The Position

Health Solutions West is the Western Slope’s largest behavioral health care organization, serving more than 23,000 square miles across 10 counties and employing more than 250 people in Western Colorado. The Behavioral Health Billing Manager leads daily behavioral health billing operations and staff across multiple divisions. The position is based in Grand Junction, Colorado, with a hybrid in-person/remote arrangement considered; travel between division locations may be required. The manager directly supervises assigned behavioral health billing staff and is accountable for team performance, billing quality, and timely follow-through. The position reports to the VP of Revenue Strategy.

Requirements

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.
Relevant education or an equivalent combination of education and experience.
Must successfully pass background checks.
Must already be authorized to work in the United States; sponsorship is not available.
Ability to perform the position’s duties with or without reasonable accommodation.

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 that supports 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, causes of 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 ownership of 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.