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    "requisitionDescription": "<div><div><div><p data-pasted=\"true\"><strong>Job Summary</strong></p><p>The Billing Manager is responsible for managing all activities of the Billing Department within the Revenue Cycle, with a strong emphasis on collections, reducing accounts receivable (A/R), and ensuring compliance with HIPAA guidelines and company policies. This role also focuses heavily on team development and process improvement to meet departmental goals and performance standards.</p><p><strong>Essential Duties and Responsibilities</strong></p><ul><li>Oversee day-to-day operations of the billing team, including workflow management, staffing, training, and disciplinary actions.</li><li>Coordinate billing needs and onboarding processes for newly acquired centers and DeNovo facilities.</li><li>Monitor payment trends; evaluate and implement changes to billing and collections strategies to improve cash flow.</li><li>Ensure HIPAA compliance across all billing activities and implement regulatory updates in a timely manner.</li><li>Work with Payers to resolve complex billing or reimbursement issues beyond standard provider support.</li><li>Collaborate with Operations to ensure alignment and communication of billing requirements across facilities.</li><li>Ensure timely month-end close processes and reporting from the billing department.</li><li>Monitor and optimize the patient account to staff ratio.</li><li>Escalate reimbursement or payment issues to the VP of RCM proactively.</li><li>Contribute to and monitor adherence to the departmental budget.</li><li>Stay up-to-date with industry trends, Federal guidelines, and payer policy changes impacting reimbursement operations.</li><li>Oversee and continuously improve billing processes and systems for both internal and external stakeholders.</li><li>Develop and implement training programs to ensure staff proficiency in compliance, billing regulations, and policy adherence.</li><li>Conduct staff evaluations, set performance goals, and manage individual development plans.</li><li>Maintain knowledge and compliance with company handbooks, safety, and security policies.</li><li>Promote professional development through leadership coaching, mentorship, and regular performance audits.</li><li>Foster collaboration across the organization to improve efficiency and outcomes.</li><li>Serve as a communication bridge between executive leadership and frontline billing staff.</li><li>Address and resolve employee relations issues in a timely and constructive manner.</li></ul><p><strong>Qualifications and Experience</strong></p><ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or related field (preferred).</li><li>Minimum 5 years of medical billing experience, including 3+ years in a supervisory or management role, ideally in a behavioral health setting.</li><li>In-depth knowledge of medical billing codes (ICD-10, CPT, HCPCS) and Federal regulations relevant Behavioral Health</li><li>Proficiency in billing and EMR systems and financial reporting tools.</li><li>Professional certification preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB).</li><li>Proven leadership skills with experience managing and developing high-performing teams.</li><li>Exceptional organizational, analytical, and problem-solving capabilities.</li><li>Excellent written and verbal communication skills<strong>.</strong></li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Experience with federal ESRD Prospective Payment System (PPS) or behavioral health reimbursement models.</li><li>Familiarity with behavioral health terminology and physician billing protocols.</li><li>Ability to interpret complex payer policy changes and translate them into operational strategies.</li></ul></div></div></div>\n",
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