Job Title:                 Business Support Billing Manager

 

Department:            Services Business Administration (Cost Center 600)

 

Reports to:              Assistant Director of Program Services-Program Compliance, Quality and Business Supports

 

 

Pay: $55K to $65K (exempt)

Position Type: Full-time, 40 hrs/week

 

Purpose of Position - Responsible for leading, supervising, training, and maintaining the daily operations of a team of Services Business Support personnel focused on billing and benefit management for Imagine! Services.  Responsible for the analysis, design, implementation, and follow-up of billing practices and resolution.  Responsible for the development of billing policies and systems. Assigns and audits work of Business Support II and IIIs.

 

Essential Duties/Responsibilities

• Provides daily supervision and direction to Service Business Support Staff that are responsible for billing and benefit management. 
• Provides Business Support Staff consultation on day-to-day decisions that may be time sensitive.
• Responsible for all billing practices including:
• Ensures timely filing of all billing out of Imagine!’s Electronic Health Record (EHR) system
• Ensures all billing meets federal false claims criteria
• Ensures all denied and held billing is addressed within timely filing practices
• Assists with claim testing
• Responsible for developing and managing billing policies and practices
• Responsible for keeping up-to-date on changing policies at the county, state and federal levels
• Responsible for collaborating with other departments on system changes
• Acts as Electronic Health Records (EHR) administrative user for services
• Responsible for creating EHR practices for billing
• Responsible for coordinating with other staff on EHR systems
• Coordinates with IT on system changes to the EHR that are needed for compliance or billing
• Provides oversight of benefit practices including:
• Assists with benefit audits and surveys
• Responsible for keeping up-to-date on changing polices at the county, state, and federal levels
• Responsible for communicating with the State of Colorado any system issues that are occurring
• Responsible for analysis of billing and benefits data
• Responsible for monthly billing reports
• Responsible for generating analytical data on billing

• Other duties as assigned

 

 

Job Qualifications

 

Knowledge, Skill, and Ability:	Experience with Excel/ability to create billing spreadsheets Able to analyze billing data Must meet billing deadlines; ability to work under pressure in order to accomplish time-sensitive tasks Effective written and verbal communication skills with individuals and groups at all professional levels. Ability to work with cross-department teams on complex projects. Ability to develop cohesive processes from regulatory documentation. Demonstrated organizational and time management skills. Ability to work independently and prioritize tasks/goals for self and teams. Ability to work effectively with various technologies including word processing software, internet-based databases, internal and state specific systems, etc. Effective problem solver. Ability to handle sensitive information and maintain confidentiality. Moderate understanding of IDD Services and billing Moderate understanding of Medicaid billing and State PAR system Basic understanding of Survey practices Basic understanding of federal and state regulatory regulations
Training/Education:	High School Diploma or GED required Bachelor’s Degree, preferred
Experience:	·       1-3 years’ experience in Billing or Long-Term Care Benefits ·       1-3 years’ experience in a supervisory role
Working Environment/Physical Activities	·         Effective with shifting roles, responsibilities, and expectations in a changing environment. ·         Ability to work effectively under the pressure of deadlines.

 

 

Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.