Billing Manager

Billing Manager

The Billing Manager will lead a team responsible for turning the exceptional care we provide to individuals in service into sustainable funding – thus ensuring Imagine! can continue changing lives for individuals with intellectual and developmental disabilities. This role isn't just about submitting claims. It's about building systems, solving problems, leading people and driving financial excellence that directly supports our mission.

Essential Duties/Responsibilities

• Leads People
  • Inspires, coaches and develops the billing operation team responsible for the end-to-end billing for the company.
  • Creates a culture of collaboration, continuous improvement and accountability by providing daily supervision for the billing operations team.
  • Monitors quality metrics, workloads and productivity and provides feedback and direction to the team.
• Financial Sustainability
  • Ensures timely and accurate Medicaid, Medicare, private pay and other third party billing in accordance with state and federal regulations.
  • Analyzes denials, identifies causes and creates and implements appropriate process changes to reduce denials and improve billing accuracy to maximize reimbursement opportunities.
• Process Improvement
  • Partner with operations, IT and accounting team to streamline processes
  • Build scalable workflows that reduce manual work
  • Supports claims testing and audits.
  • Stays up to date on Medicaid and other billing requirements in order to ensure billing process regulatory and compliance expectations including federal false claims criteria.
• Electronic Health Records (EHR) Subject Matter Expert – Billing Operations
  • Monitors and improves EHR practices for billing.
  • Coordinates with internal teams and IT on Imagine's EHR system, implementing changes as needed.
• Data Analytics
  • Responsible for generating and analyzing billing KPIs, data and monthly reports for review by internal teams and management.
  • Identifies trends and opportunities for improvement.
• Other duties as assigned.

How We Support You!

• Generous Time Off:
• Vacation Time : PTO accrual and availability from day one for regular employees. No waiting periods.
• Floating Holidays : Up to three paid days off for you to use when you need it.
• Sick Leave : Accrual and availability from day one. Higher maximum cap of 480 hours for full time employees. Colorado standard cap of 48 hours for part time employees
• Holidays : Ten paid holidays each year
• Wellness Reimbursement : Up to $200 available each year for wellness related use such as fitness gear, gym memberships, massage therapy, and more.
• Comprehensive Benefits: Medical, Dental, Vision, Accident/Critical Illness/Hospital Insurance, Pet Insurance, 403(b) with match, and HSA/FSA options.

Job Qualifications

Knowledge, Skill, and Ability:

• Advanced Excel and reporting skills.
• Can analyze and translate data into action.
• Ability to navigate a rapidly changing environment and manage time-sensitive/deadline driven projects while maintaining high levels of quality and productivity.
• Excellent written and verbal communication skills.
• Ability to work with cross-department teams on complex projects.
• Ability to develop cohesive processes from regulatory documentation.
• Highly organized.
• Ability to work independently and prioritize tasks/goals for self and teams.
• Ability to work effectively with various technologies.
• Effective with solving complicated problems
• Ability to handle sensitive information and maintain confidentiality.
• Moderate understanding of IDD or other Medicaid services and billing or ability to learn.
• Basic understanding of or ability to learn state survey practices and regulations.
• This position requires use of a personal mobile device such as a smartphone or tablet.

Training/Education:

• Bachelor's degree, preferably in accounting, finance or business.

Experience:

• Minimum of 3 years of billing experience.
• Minimum of 3 years of supervisory experience required.
• Electronic Health Records system experience preferred – preferably Therap.
• Medicaid billing experience a plus.

Working Environment/Physical Activities

• Effective with shifting roles, responsibilities, and expectations in a changing environment.
• Ability to work effectively under the pressure of deadlines.
• Work is primarily performed in a standard office environment with some ability to work from home.

Note:

• This above is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.
• Employment at Imagine! is at-will, meaning that either the employee or Imagine may terminate the employment relationship at any time, with or without cause or notice.
• Imagine! is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, protected veteran status, or any other legally protected status. We are committed to fostering an inclusive and diverse workplace.