Job: Billing & Contracts Manager

Summary:
Management of multiple payor billing processes for 200+ providers and 5,000+ behavioral health clients.. Oversee all billing functions, compliance and reporting. Management and oversight of subcontract and insurance contract administration functions

Essential Duties and Responsibilities:

• Ensures effective billing procedures of all agency behavioral health claims.
• Ensures processes support accurate billing system set up including fee schedule, provider credentials, contract parameters, payor profiles, etc
• Ensures processes support accurate and timely payment posting
• Monitors and analyzes A/R trends, net collections performance and financial reports
• Ensures effective benefit verification processes support accurate and timely billings
• Ensures multiple payor billing is executed accurately
• Addresses procedural deficiencies quick and effectively
• Writes corrective action plans, implements and monitors results
• Ensures contract compliance with funders
• Works directly with other departments to improve processes and resolve issues.
• Works directly with Information Systems department to improve and optimize billing & collections in the agency
• Works directly with internal and external customer regarding Data Validation Study audits
• Ensures effective contracts administration and compliance
• Ensures processes support accurate provider credentialing information for insurance billing
•Recruitment, training, development, supervision, evaluation, coaching, discipline and termination of staff
•Performs other duties as assigned in keeping with the growth and general responsibilities of the position

Position Requirements:
Education: Bachelor’s degree in Business or related behavioral health field; or High School diploma and minimum of four years of progressive healthcare claims experience. Certifications: Certified Professional Coder desired
Experience: 3+ years healthcare billing management
Other: Aptitude for complex system problem solving
Skills:
o Effective Supervisor
o Effective verbal and written communications
o Working knowledge of healthcare claims best practices standards
o Knowledge of AHCCCS, the Arizona healthcare delivery systems
o Working knowledge of Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS) Covered Services Guide
o Working knowledge of Medicare claims processing
o Proficiency using billing, cash applications and A/R system
o Intermediate to Advanced level of overall computer proficiency
o Proficiency performing complex data analysis and manipulation techniques using CMHC, MS Access and Excel and other software as necessary