Billing Manager

Amherst H Wilder Founda•St. Paul, MN

About The Position

Lead the billing team and oversee medical billing and collection functions for the Community Mental Health & Wellness division. Oversee revenue cycle management and performance, financial accuracy, and compliance with relevant healthcare regulations and payer requirements. Develop and document operating procedures and manage the integrity of billing and information systems. Ensure strict adherence to HIPAA guidelines, coding standards and payer contracts. This role requires a detail-oriented professional who can analyze financial data to provide insights that support strategic decision-making, including monitoring claim submissions and accounts receivable, reviewing rejected or underpaid claims, direct appeals and resolving payer disputes to maximize cash flow and minimize claim denials. Ultimately, the Billing Manager contributes to the financial health and transparency of the organization by maintaining robust billing and accounting practices and controls, and supporting the billing team with third party billing and receivables management to optimize revenue cycle performance.

Requirements

BA degree in Accounting, Finance, Business Administration or related field
Minimum of 5 years medical billing experience
At least 2 years of supervision and management experience required
Strong knowledge of Generally Accepted Accounting Principles (GAAP)
Proficiency in accounting software systems and Microsoft Excel
Proficiency with medical billing systems, accounts receivable, and revenue cycle management
Excellent analytical, organizational, and communication skills

Nice To Haves

Certification in Medical Billing or Coding (CPC, CPB) or Certified Revenue Cycle Professional (CRCP) preferred
Familiarity with healthcare regulations and CMS guidelines strongly preferred

Responsibilities

Lead the billing team and oversee medical billing and collection functions for the Community Mental Health & Wellness division.
Oversee revenue cycle management and performance, financial accuracy, and compliance with relevant healthcare regulations and payer requirements.
Develop and document operating procedures and manage the integrity of billing and information systems.
Ensure strict adherence to HIPAA guidelines, coding standards and payer contracts.
Analyze financial data to provide insights that support strategic decision-making.
Monitor claim submissions and accounts receivable.
Review rejected or underpaid claims.
Direct appeals and resolving payer disputes to maximize cash flow and minimize claim denials.
Maintain robust billing and accounting practices and controls.
Support the billing team with third party billing and receivables management to optimize revenue cycle performance.