BILLING MANAGER - FULL - TIME

InterCommunity, Inc. is a Federally Qualified Health Center Look‑Alike (FQHC LA) committed to providing accessible, compassionate care to everyone — regardless of life situation or ability to pay. We offer same‑day primary care and a wide range of behavioral health services across our community health centers located at 281 Main St., East Hartford; 40 Coventry St., Hartford; and 828 Sullivan Ave., South Windsor. Addiction Services Division provides a full continuum of care, including: Primary care integration Residential detox and treatment Outpatient mental health and substance use services for adults and children Intensive outpatient programs Employment and community support Mobile crisis evaluations Judicial support services Social rehabilitation Benefits All benefit‑eligible employees receive medical, dental, voluntary vision, group life, supplemental life, short‑term disability, and long‑term disability coverage. Eligible employees may contribute to the 401(k), and those who meet eligibility and service requirements receive company contributions. Benefits take effect from the first day of the month following the hire date. Work‑Life Balance Flexibility, generous paid PTO, and paid holidays. Health & dental insurance with flexible contribution options (2 HDHPs with HSA option or non‑HDHP at minimal cost to employees). Voluntary vision coverage. Employer‑paid short‑term disability, long‑term disability, and basic life & AD&D. Supplemental life insurance available. 401(k) with 3% employer match + 3% employer contribution after 12 months and 1,000 hours worked. Career advancement opportunities in a supportive, mission‑driven environment. Summary We are seeking an experienced and operationally strong Billing Manager to lead and support the day‑to‑day functions of our billing and revenue cycle operations across primary care, behavioral health, and residential programs. This position is ideal for a candidate who thrives in a fast‑paced healthcare environment, understands the complexities of integrated care billing, and has strong experience working within Epic EMR systems, provider credentialing/enrollment processes, and payer management. The Billing Manager is responsible for overseeing billing operations, claims management, revenue cycle workflows, payer relations, provider enrollment/credentialing coordination, and EMR billing optimization efforts. The ideal candidate will bring a strong understanding of healthcare billing regulations, payer requirements, and operational workflows related to FQHC, behavioral health, residential, and primary care services. This role will work collaboratively with Finance, Compliance, Clinical Leadership, Credentialing, and IT to ensure efficient and compliant billing operations while maximizing reimbursement and minimizing denials. Essential Duties & Responsibilities Oversees the daily operations of the Billing Department, including claims processing, accounts receivable follow‑up, payment posting oversight, denial management, collections, and overall revenue cycle performance across primary care, behavioral health, residential, and specialty programs. Provides direct supervision and leadership to Billing Specialists and related revenue cycle staff, including hiring support, onboarding, staff development, training, coaching, performance evaluations, disciplinary recommendations, workflow management, and ensuring appropriate departmental coverage and productivity standards. Works collaboratively with Practice Managers, Program Directors, Finance, Compliance, Credentialing, and clinical leadership to ensure accurate and timely billing practices, resolution of payer concerns, and optimization of revenue cycle workflows. Coordinates and oversees insurance verification processes, prior authorization workflow support, co‑pay collection procedures, and resolution of insurance eligibility and reimbursement issues. Serves as an organizational subject matter expert for Epic EMR billing functionality and revenue cycle workflows, including charge capture, claim edits, billing work queues, reporting tools, and system optimization initiatives. Identifies, recommends, and helps implement operational and EMR system enhancements that improve billing accuracy, workflow efficiency, reimbursement outcomes, compliance, and user experience. Oversees provider credentialing and payer enrollment coordination to support timely billing activation and uninterrupted reimbursement for providers across all service lines. Maintains and updates all organizational fee schedules, payer reimbursement structures, and Charge Master configurations to ensure billing accuracy and regulatory compliance. Monitors and interprets changes in federal, state, Medicaid, Medicare, commercial insurance, and managed care billing regulations, ensuring timely implementation of operational and system updates within the organization. Analyzes billing trends, denial patterns, aging reports, payer performance, and revenue cycle metrics to identify opportunities for operational improvement and financial optimization. Collaborates with Compliance and Quality teams to support audits, corrective action plans, documentation improvement initiatives, and regulatory readiness activities. Develops, maintains, and standardizes billing department policies, procedures, workflows, and training materials to support operational consistency and compliance. Facilitates regular department meetings and individual supervision sessions with staff to promote communication, accountability, engagement, and continuous improvement. Participates actively in agency leadership meetings, management team discussions, revenue cycle initiatives, and performance improvement activities while supporting and communicating organizational decisions effectively to staff. Maintains a strong customer service approach when working with patients, staff, providers, insurance payers, and external partners while promoting a collaborative and solution‑focused environment. All agency staff are required to attend all mandatory department/agency meetings and trainings. Schedule Monday – Friday, 8:00 or 8:30 AM – 4:30 or 5:00 PM. Requirements Education & Experience A Bachelor’s Degree or equivalent in education, training and experience, plus 4‑5 years of closely related experience. Knowledge of insurance requirements. Considerable knowledge of principles and practices of public and/or health care administration. Competencies Minimum of 5 years of healthcare billing and revenue cycle experience. Strong hands‑on experience with Epic EMR systems, particularly billing and revenue cycle functionality. Experience with provider credentialing and payer enrollment processes. Knowledge of primary care, behavioral health, and/or residential billing practices. Strong understanding of Medicare, Medicaid, commercial insurance, and payer guidelines. Experience managing denials, claims corrections, and reimbursement follow‑up. Strong analytical, organizational, and problem‑solving skills. Ability to work cross‑functionally with operational and clinical leaders. Excellent communication and leadership abilities. Initiative. Leadership. Team‑Player. Time Management. Decision Making. Communication Proficiency (Verbal & Written). Technology & Computer Literacy (Microsoft Word, Keyboarding). Organization Skills. Salary $52,000 to $95,000. #J-18808-Ljbffr InterCommunity