Billing Manager | Healthcare

Wesley Des Moines•Des Moines, WA

About The Position

Enrich the lives of older adults through community, choice, and continuing care in the Manager, Care Center Billing. We are seeking a detail-oriented and experienced candidate to oversee all billing processes for our Care Center at Des Moines. This role provides leadership to billing staff, manages revenue cycle performance, and collaborates with internal teams to maintain financial integrity and regulatory compliance. The ideal candidate will have a strong background in healthcare billing, particularly within senior living or long-term care settings, and a thorough understanding of Medicare, Medicaid, and private insurance billing procedures. Find your sense of belonging at Wesley!

Requirements

Bachelor’s degree in Business Administration, Accounting, Finance, or related field.
Two years or more of related experience and/or training; or an equivalent combination of education and experience.
Minimum of three years of managerial experience supervising billing or accounts receivable staff.
Advanced knowledge of Medicare, Medicaid, Managed Care, and insurance billing processes in healthcare or senior living settings.
Strong leadership and team management abilities.
In-depth understanding of HIPAA privacy laws and ability to maintain confidentiality.
Proficient with Microsoft Office suite and other common workplace technology.
Ability to understand and communicate in the English language.

Nice To Haves

Ability to travel locally for meetings and training
Ability to sit, stand, bend, and lift up to 20 lbs as needed

Responsibilities

Oversee accurate and timely billing and collections for Medicare, Medicaid, Managed Care, and Private Pay.
Monitor accounts receivable aging; implement actions to reduce outstanding balances and improve cash flow.
Ensure compliance with CMS, WA State Medicaid (HCA), and payer regulations. Learn and apply Federal, State, and local rules, regulations, and policies.
Responsible for the hiring, training, performance management, and engagement of Care Center front desk and billing staff, including scheduling, timecard oversight, and policy enforcement to ensure consistent, high-quality service and operational excellence.
Reconcile census, authorized, and billed days; coordinate admissions, discharges, transfers, and payer changes.
Oversee Medicaid pending applications, spend-downs, and client liability to ensure timely resolution.
Prepare and distribute billing performance and revenue cycle reports; support audits and process improvement initiatives.
Work closely with Finance, Clinical, Admissions, and Compliance teams for accurate documentation and billing integrity.
Perform other duties as assigned.

Benefits

medical insurance (full time and ACA eligible)
dental (full time)
vision (full time)
group life (employee only coverage - full time)
combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. The PTO accrual rate increases after two years of service and again after five years of service.
6 Paid Holidays (8 hours - full time, 6 hours - part-time per event, excluding on-call staff)
1 Personal Holiday of Choice per year (excluding on-call staff)
403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule for the company match, and minors are ineligible for the company match.
on-demand pay through Dayforce Wallet.
Employee Assistance Program (EAP), which is 100% company paid.
Wesley Community Foundation provides grants to qualifying employees for both emergency assistance and educational advancement.
A food and beverage discount of 50% is available to all employees at any Wesley bistro and marketplace.
recognition and reward platform, Inspire. Points earned for assorted reasons may be redeemed for a variety of merchandise, gift cards, cash cards, tickets, travel and other experiences selected by the employee.