Billing Manager

Position: Billing ManagerStatus: Full Time, ExemptReports to: Chief Financial OfficerJob Summary:The Billing Manager will oversee and manage all aspects of the billing and collections operations to ensure timely and accurate billing, reimbursement, reporting, accounts reconciliation and collection of payments for services rendered. This position will play a critical role in optimizing the billing and collections performance, improving operational efficiency, and ensuring compliance with relevant regulations.Primary Duties And ResponsibilitiesManage all aspects of the billing and collection operations for multiple programs (Autism, CCBHC, Outpatient Services, Vocational Services).Manage insurance verification processes.Oversee billing processes, including claims submission, rejection and denials management, payment posting, and reconciliation.Manage and assist with ‘not billed’ and ‘held claims’ reports.Manage and assist with insurance coverage reporting.Maintain billing system rate updates and work with IT on new service configurations.Manage insurance contracts, rates, and authorizations.Manage patient collections, including statements, phone calls, and payment plans.Conduct audits and identify areas for improvement in billing processes.Prepare and analyze revenue, accounts receivable, and other related reports and dashboards.Serve as a liaison between the organization and insurance payers.Maintain compliance with all relevant regulations and industry standards.Support program development and implementation from a billing perspective.Maintain strong relationships with both internal departments and external stakeholders, including insurance companies and vendors.Collaborate with other departments to ensure efficient billing and accounts receivable management.Assess current and future billing department and make recommendations on staffing, task assignments, and efficiencies.Attend internal meetings.Function as a Liaison between current Electronic Health Records (EHR) provider.Maintain Electronic Health Records (EHR) as it relates to billing/ collections.Complete all internal trainings as required.Other duties as assigned.Qualifications5+ years of experience in insurance billing and collections.1-3 years of supervisory experience.Bachelor’s degree or certification in Healthcare/Business Administration, Finance, or related field preferred.Medicaid and Autism (ABA) billing experience preferred.Knowledge of billing software and systems.Strong analytical and critical thinking skills.Excellent communication and interpersonal skills.Ability to work independently and as part of a team.Valid Michigan Driver’s License, appropriate insurance and use of own vehicle.Skills RequiredAdvanced working knowledge of HIPAA, ICD-10, CPT codes, and healthcare compliance regulations.Working ConditionsJob requires long-term concentration and focus.Able to work in an office setting.Flexible schedule required; including rare evenings.This description is intended to describe the type and level of work being performed by a person assigned to this job. It is not an exhaustive list of all duties and responsibilities of a person so classified. The employee is expected to adhere to all company policies and perform other duties as assigned for the good of the consumers, the program, the department and the agency.Judson Center is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, ethnicity, color, religion, national origin, age, gender, disability, marital status, height, weight, veteran status, sexual orientation, pregnancy, childbirth, hair texture or style, or other classifications established by law.” We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.