Behavioral Health Billing Manager (56086)

Health Solutions • Pueblo, CO

5d

About The Position

Health Solutions is a wellness center focused on whole-person care, with more than 400 employees in Southern Colorado. The Behavioral Health Billing Manager supports multiple divisions; the work location is determined upon hire. This full-time position provides leadership and oversight for behavioral health billing operations, ensuring accurate, compliant, and timely reimbursement from government, commercial, and other funding sources.

The manager supervises and develops billing staff, establishes consistent operational processes, and monitors performance through coaching and accountability. The role collaborates with clinical, revenue cycle, compliance, technology, and payer-related teams to resolve billing challenges, improve workflows, and support accurate documentation and coding. It also analyzes operational performance and implements improvements that strengthen revenue integrity and support organizational goals. The position is under the supervision of the Director and Supervisor.

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 a clean driving record.
• Must already be authorized to work in the United States; sponsorship is not available.

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, 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 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.

Benefits

• Competitive pay of $70,630 annually, dependent on experience, certification, and shift.
• Generous benefits package for most positions, including paid holidays, generous PTO, EAP, tuition reimbursement, retirement, insurance, FSA, and a wellness program.
• Medical, dental, and vision insurance with low deductibles.
• Wellness benefits program.
• Employer-funded EAP, LifeLock, Ask Charlie, life and AD&D insurance, and LTD.
• 403(b) retirement plan with employer match up to 6%.
• FSA, voluntary life, Sun Life voluntary benefits, and pet insurance.
• Childcare.
• Flexible work schedule.
• Employee recognitions and celebrations.
• Warm and friendly work environment in which staff respect and learn from one another.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager