Medical Billing Director - 5709

Overview Medical Billing Director - 5709 – Medford, OR Requisition ID: 5709 • Salary Range: $100,000.00 To $125,000.00 Annually • Full Time APPLY TODAY AND MAKE A DIFFERENCE IN THE MENTAL HEALTH FIELD! What We Offer Affordable Medical/Dental/Vision plans Flexible Spending Account Generous Paid Time Off Whole Health & Wellness Reimbursement Program Professional development and training opportunities 100% Vested Retirement Plan w/ up to 6% Match Holiday Pay (9) Paid Time Off for Mental Health Company Paid Life Insurance Spontaneous & Longevity Bonuses Loan Forgiveness Program Eligibility Employee Assistance Program (EAP) & Tobacco Cessation Program About the Position ColumbiaCare is seeking an experienced Medical Billing Director to lead the billing department and billing functions of a large, multi-ge geographical and multi-service non-profit behavioral health organization. This leadership position oversees the organization's medical billing, reimbursement, payer relations, and compliance. The ideal candidate is a hands-on billing leader with deep Medicaid behavioral health experience who can quickly assess operations, identify opportunities for improvement, and provide immediate supervision to the billing team and consultation to program and department leaders. Candidates should have direct experience leading Medicaid behavioral health billing operations and be prepared to assume operational oversight. This position will also play a critical role in the organization's active transition to the Cantata Arize electronic health record (EHR) platform, providing leadership and subject matter expertise to ensure billing requirements, workflows, system functionality, and reimbursement processes are effectively designed, implemented, and optimized. Key Responsibilities Provide strategic and operational leadership for the organization’s behavioral health billing operations and revenue cycle activities within the Billing Department. Manage claims, payer relations, reimbursement optimization, accounts receivable oversight, billing compliance, and revenue cycle processes from authorization through claim adjudication and payment. Develop and implement policies, procedures, workflows, and system improvements to promote operational efficiency, billing accuracy, regulatory compliance, and financial performance. Collaborate with Finance, Quality, Clinical Services, Operations, Contracts, and Executive Leadership; analyze performance, identify trends, and provide solutions and reporting to support decision-making. Provide leadership, supervision, and professional development to billing staff; liaise with insurance carriers, managed care organizations, state and county agencies, and other external stakeholders on billing and regulatory matters; monitor Medicaid billing regulations and Oregon Administrative Rules (OARs). Work Schedule Monday through Friday, 8:00am – 5:00pm (Full Time, Day) What You’ll Make $8,333.33 - $10,416.67 per month DOE/Credentials Additional 5% Language Differential for bilingual or multilingual candidates. ColumbiaCare Services is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program. What You’ll Need Required Qualifications Minimum of five (5) years of progressively responsible billing management experience in a Medicaid behavioral healthcare setting. Prior supervisory or management experience. Strong expertise in behavioral health billing operations, revenue cycle management, claims processing, denial management, and insurance reimbursement. Working knowledge of Medicare, Medicaid, commercial insurance billing, payer requirements, and Oregon behavioral health billing regulations. Experience with electronic health record (EHR) systems, medical billing applications, workflow management systems, and Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint). Demonstrated ability to analyze complex billing and reimbursement data, identify operational challenges, and implement effective solutions. Experience collaborating across departments and building productive relationships with payers, regulatory agencies, and external stakeholders. Demonstrate alignment with the organization’s Core Values and Competencies. Regular and reliable attendance. Preferred Qualifications Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field. Certified Professional Coder (CPC) certification. Experience with Cantata Arize or similar behavioral health EHR platforms. Experience supporting EHR implementations, billing system conversions, or revenue cycle optimization initiatives. Must also have the ability to pass a DHS criminal background check. Physical Requirements This position requires the ability to frequently sit, talk, listen, and use hands and fingers. It may require the ability to occasionally walk, climb stairs and ladders, bend, stoop, squat/kneel, and perform other physical tasks; and lift, carry, push, and pull up to 20 pounds. About Us ColumbiaCare Services is a non-profit, behavioral health and Veteran’s service agency offering a full spectrum of programming to help people get better. We promote the whole health and wellbeing of the individuals and communities we serve. We value and honor the culture in our communities and welcome applicants from historically underrepresented groups. EEO and Application Information We recognize that expertise can arise from diverse experiences. If you’re passionate about our mission but unsure about meeting all qualifications, please apply. We encourage inquiries about eligibility or the application process through our HR department. #J-18808-Ljbffr ColumbiaCare Services, Inc.