The Billing Manager oversees the daily operations of the Billing Department, leading billing staff and managing accounts receivable, provider credentialing, payer relations, and revenue cycle activities. This role partners with Finance, program leadership, providers, and payers to ensure accurate billing, regulatory compliance, and optimal financial performance.

Billing Manager Responsibilities

• Lead, coach, and supervise a team of three Billing Specialists, ensuring accurate and timely claim submission, payment posting, and accounts receivable follow-up.
• Serve as the primary liaison with payers, counties, and regulatory agencies regarding claims, reimbursement, eligibility, authorization, and enrollment matters.
• Manage outstanding accounts receivable by reviewing and resolving denied, rejected, unpaid, and underpaid claims; monitor billing exception reports and implement corrective actions to maximize collections.
• Collaborate with program leadership and staff to resolve billing issues and facilitate monthly Accounts Receivable meetings to review outstanding claims, collection efforts, reimbursement trends, and overall revenue cycle performance.
• Partner with the CEO, CFO, CCO, and Program Leadership by analyzing and presenting billing, accounts receivable, and revenue cycle performance data, identifying trends, recommending process improvements, and supporting revenue cycle optimization, financial performance, and strategic operational goals.
• Oversee provider credentialing, recredentialing, enrollment, and revalidation activities to ensure compliance with payer requirements.
• Maintain provider enrollment records, taxonomy information, the Credible billing matrix, and related billing configurations.
• Manage MN–ITS communications, payer registrations, and program enrollment requirements to support compliant and uninterrupted billing operations

Billing Manager Requirements

• Minimum of 3–5 years of medical billing and accounts receivable experience required.
• An equivalent combination of education, training, and relevant work experience may be considered.
• Experience with Medicaid, Medicare, managed care organizations, county funding sources, and payer portals required.
• Experience in behavioral health or human services billing strongly preferred.
• Previous leadership or supervisory experience preferred.
• Experience with provider credentialing, enrollment, and revalidation processes preferred.
• Experience with Credible EMR or a similar healthcare billing/EHR system strongly preferred.