Manager I

Yakima County

1d•Onsite

About The Position

There is one Manager I opening in the Yakima County Department of Corrections. This position is responsible for managing all aspects of the revenue cycle, ensuring compliance with Medicaid and other payer regulations, and optimizing financial performance. The role oversees billing, coding, collections, denial management, and process improvement initiatives to maximize reimbursements and maintain operational efficiency. Additionally, this position provides leadership, training, and guidance to staff while managing stakeholder communications and project deliverables related to the Washington Demonstration Initiative. This position operates within a correctional facility, where security restrictions, limited access, and technology constraints may affect timelines and data availability. The role involves handling sensitive health and justice information, requiring strict compliance with HIPAA, Medicaid regulations, and facility protocols. Failure to maintain compliance can result in claim denials, financial loss, and reputational risk. Mitigation includes robust access controls, encryption, compliance audits, standardized documentation, and adherence to safety and communication protocols.

Requirements

Bachelor's of Arts / Sciences degree in field related to position. Social Work or counseling
Three (3) years of experience related to Medicaid billing with a solid understanding of healthcare billing practices, Medicaid regulations, and familiarity with medical billing software, such as electronic health records and coding systems.
Employee must provide proof that he/ she is a United States veteran, per RCW 73.08.
Valid US State Driver’s License and proof of insurance, if requested
Successful completion of a criminal and financial background investigation and general employment verification
Active member in good standing with one of the following: American Academy of Professional Coders (AAPC)
Supervisory theories, practices, and principles
Project management
Computer applications and systems such as Electronic Medical Records systems, Medicaid portal ProvderOne, Microosoft Office Excel, Word, Outlook
Presentation methods, public participation theory, and facilitation methods
Physical, social, political and geographic principles applicable to Yakima County
Principles, theories, and practices related to homeless population
Roles and responsibilities of other federal, state and local public and private organizations
Customer service techniques and team building concepts
Working knowledge of social service agencies, and DSHS
Ability to work independently & unsupervised on a daily basis
Revenue cycle management principles, Medicaid regulations, and compliance standards.
Billing, coding, and claims processing systems.
Project management methodologies and reporting tools.
Using a personal computer and related software applications, and operating basic office equipment
Researching, interpreting and applying a wide variety of inter-related laws, codes and legislation
Managing and prioritizing projects, researching and resolving problems
Using organizational and auditing methods and techniques
Working independently and maintaining composure in difficult circumstances
Determining priorities, making critical decisions, and developing initiatives and projects
Preparing and making presentations to or facilitating groups and taking notes
Providing technical expertise to community partners, service providers, and elected officials
Writing and editing technical reports and other documents
Managing a budget and monitoring provider contract obligations using basic math, algebra and statistics
Solving problems, resolving conflict and building teams
Establishing and maintaining effective interpersonal relationships with County, DSHS, Veterans Affairs, and other officials, at all organizational levels, and with the public
Communications, oral and written, sufficient to exchange or convey information and to give and receive work direction, and to present materials in a clear and understandable manner.

Nice To Haves

Resident of Yakima County
HIPPAA compliance training
Active member in good standing with one of the following: American Medical Billings Association (AMDA) or Certified Professional Coder (CPC)

Responsibilities

Manage the complete revenue cycle process, including billing, coding, collections, denial management, and compliance with payer requirements.
Monitor and ensure the accuracy and efficiency of patient billing information; review and resolve issues related to claim generation, rejections, and denials.
Implement coding changes and provide education to clinical and billing staff; ensure adherence to Medicaid and regulatory standards.
Develop and execute strategies to increase reimbursements, optimize cash flow, minimize bad debt, and improve overall financial performance
Conduct monthly Medicaid analysis; assist the State with Medicaid billing programs; review and assess current claiming policies and procedures; provide recommendations for improvement
Deliver consulting services, data transfer, and claims processing to increase federal Medicaid revenues; prepare and present reports and data analyses to State stakeholders.
Manage time, deliverables, and budgets within the scope of the Washington Reentry Demonstration Initiative; develop and implement project documentation templates and methodologies.
Communicate project expectations to team members and stakeholders; facilitate meetings, create agendas, and track action items; escalate issues to upper management as needed.
Identify and implement process enhancements related to revenue cycle management, including automation and system upgrades. Prepares related reports to ensure compliance with program guidelines and legal requirements.
Maintain comprehensive project documentation; ensure adherence to Medicaid Reentry Initiative regulations and standards.
Other duties as assigned. May be required to travel to other work sites and meetings.

Benefits

Medical Coverage
Dental Coverage
Vision Coverage
Basic Life Insurance
Basic Long-Term Disability Insurance
Retirement Benefits
Paid Vacation
Paid Holidays
Paid Sick Leave
Employee Assistance Program (EAP)
Health Reimbursement Account (HRA- VEBA)
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Voluntary Benefits – vision, term life, critical illness, disability and other insurance plans
Washington State Retirement Plan (DRS)
457 Deferred Compensation Program (DCP)
Public Service Loan Forgiveness Program eligibility