Billing Manager - 130802

Claratel Behavioral Health•Decatur, GA

26d•Onsite

About The Position

Claratel Behavioral Health is seeking a dedicated and experienced Billing Manager to oversees the day-to-day operations of the billing department ensuring accurate and timely claims submission, payment posting, and accounts receivable management. This position leads a team of billing specialists, denial management specialists, eligibility verification specialists, and credentialing specialists and works cross-functionally with the clinical and utilization management teams to optimize revenue, minimize denials, and ensure compliance with payer guidelines and regulatory standards.

Requirements

In-depth knowledge of behavioral health billing, including Medicaid, Medicare, and managed care payers
Proficiency in EHR and billing systems (Preferably Avatar)
Strong understanding of CPT, HCPCS, ICD-10 coding, and behavioral health modifiers
Excellent leadership, team management, and communication skills
Ability to analyze data, generate reports, and drive performance improvements
Strong organizational and time management skills with attention to detail
Ability to manage competing priorities and deadlines in a fast-paced environment
Knowledge of compliance standards and HIPAA requirements
3–5 years of billing experience in a healthcare setting, with at least 2 years in behavioral health
2+ years of experience in a supervisory or management role
Pre-employment drug screening and successful completion of a criminal history background check is required.

Nice To Haves

Certification such as Certified Professional Biller (CPB), Certified Revenue Cycle Professional (CRCP), or related credential preferred

Responsibilities

Manage the billing team, including hiring, training, supervising, and evaluating staff performance
Ensure accurate and timely submission of behavioral health claims to Medicaid, Medicare, and commercial payers
Oversee payment posting, charge entry, refunds, and accounts receivable follow-up processes
Monitor billing performance metrics and aging reports to ensure timely collections and minimize outstanding balances
Analyze claim denials, identify trends, and implement corrective actions in collaboration with denial management and clinical teams
Coordinate with clinical and utilization management teams to prevent billing disruptions
Ensure compliance with all applicable billing regulations, coding guidelines, and HIPAA requirements
Maintain and update billing policies and procedures to reflect payer updates and regulatory changes
Prepare regular reports for leadership on collections, AR trends, denials, and billing KPIs
Lead billing-related audits and support financial reporting requirements
Serve as the billing subject matter expert for new program implementations and payer contracts