Billing and Revenue Cycle Manager

Position Summary

The Billing Manager is responsible for overseeing the daily operations of the billing department to ensure accurate, timely, and compliant revenue cycle processes. This role leads billing staff, manages invoicing and collections, and ensures alignment with organizational, local, state, and federal requirements. The Billing Manager plays a critical role in securing revenue, maintaining financial integrity, and supporting operational efficiency across the organization.

Reporting Relationship

Reports To: Sr. Director of Healthcare Systems Operations
Supervises: Revenue Cycle Analysts and (other staff as assigned)

Key Responsibilities

• Billing Operations Oversight
  - Manage the full billing cycle, including invoicing, collections, account reconciliation, and reporting
  - Ensure timely and accurate submission of claims and invoices
  - Monitor accounts receivable and follow up on outstanding balances
  - Identify and resolve billing discrepancies and denials

• Team Leadership and Development
  - Supervise, train, and support billing staff to ensure fiscal responsibility and accuracy and efficiency
  - Conduct performance evaluations and provide ongoing coaching and professional development
  - Establish clear expectations and workflows to support best practices and team cohesion

• Policy and Process Management
  - Develop, implement, and enforce billing policies and procedures IAW with local, state, and federal regulatory agencies
  - Ensure alignment with organizational standards and regulatory requirements
  - Continuously evaluate processes and implement improvements to enhance efficiency and accuracy

• Financial Reporting and Analysis
  - Prepare and analyze reports related to billing, accounts receivable, and cash flow, and revenue recovery
  - Provide insights and recommendations to leadership to support financial decision-making
  - Monitor key financial indicators and identify trends impacting revenue

• Compliance and Auditing
  - Ensure compliance with all applicable state and federal regulations, including Medicaid and other payer requirements
  - Conduct internal audits of billing practices to ensure accuracy and adherence to policy
  - Collaborate with Quality Assurance for Continuous Quality Improvement (CQI) efforts

• Stakeholder Relations
  - Provide direction and solutions regarding any billing inquiries and disputes with internal and external stakeholders
  - Maintain professional and effective communication with payers and internal departments
  - Support cross-functional collaboration with clinical, administrative, and finance teams

• Reporting
  - Generate, analyze, and maintain reports within the electronic health record (EHR) system to support billing accuracy, revenue tracking, and oversight.
  - Conduct routine internal audits of billing data to ensure alignment with documentation, coding standards, and payer requirements.
  - Identify discrepancies, trends, and areas of risk through data analysis and reporting.
  - Collaborate with clinical, compliance, and finance teams to address audit findings and implement corrective actions.
  - Ensure data integrity within the EHR system to support accurate billing and reporting processes.

Required Qualifications

• Education
  - Bachelor's degree in finance, Accounting, Healthcare Administration, or a related field required

• Experience
  - Minimum of 5 years of experience in billing, revenue cycle, or finance
  - At least 1–3 years of supervisory or leadership experience preferred
  - Experience in healthcare or behavioral health billing strongly preferred

Skills And Competencies

• Strong attention to detail and accuracy

• Advanced analytical and problem-solving skills

• Demonstrated ability to lead and develop a team

• Knowledge of billing systems, electronic health records, and payer requirements

• Strong organizational and time management skills

• Effective written and verbal communication skills

Benefits

• Paid vacation
• Paid Sick Time
• 12 Paid Holidays
• Medical
• Dental
• Vision
• 403(b) Plan
• Life Insurance
• Long-term & short-term disability
• Employee assistance program (EAP)
• Tuition reimbursement