Billing Manager

ABOUT US:
At Park Place Behavioral Health Care, we've been leading the way in mental health and substance use disorder services since 1976. As a multi-site facility, we provide a full spectrum of innovative behavioral health services tailored to meet the needs of both inpatient and outpatient clients.

We're more than just a workplace.  We’re a mission-driven community dedicated to improving lives. Every member of our team plays a vital role in empowering individuals and families to achieve wellness, live self-directed lives, and reach their full potential. Join our team of over 300 passionate professionals and become part of something meaningful.

We’re proud to foster a diverse, inclusive, and respectful environment where every voice matters. We know that embracing different backgrounds and perspectives not only strengthens our culture but also enhances the care we provide.

WHY WORK WITH US?:
We offer more than just a job.  We offer growth, balance, and the opportunity to make a difference.

Our benefits include:

• Paid Time Off & Holiday Pay
• Medical, Dental, and Vision Insurance
• Basic Life and AD&D Insurance
• Short-Term Disability
• Flexible Spending Accounts
• 401(k) Retirement Plan
• FMLA Leave
• Ongoing Training & Development
• Flexible Work Options (Full-time, Part-time, Contract)
• Career Advancement Opportunities

With over 45 years of service in the community, Park Place Behavioral Health Care is a trusted leader with stability, flexibility, and purpose.

ABOUT THE ROLE:

SUMMARY:

Oversees the staff responsible for the billing and collection of insurance claims and patient fees.

SUPERVISORY RESPONSIBILITIES:

Will directly supervise some of the billing staff:

• Junior Claims Analyst
• Inpatient Billing Supervisor
• Patient Account Specialist
• Patient Account Analyst
• Senior Claims Analyst
• Contract Claims Analyst

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The Duties and Responsibilities reflect the general details considered necessary to describe the principal functions of the job and shall not be construed as a detailed description of all related work assignments that may be inherent to the job.

• Supervise Business Office staff (remote, in office, and hybrid) and billing related operations/systems.
• Responsible for billing and collection processes for insurance claims and patient fees.
• Resolve issues affecting billing and/or collections by communicating with other department managers, Business Office staff, insurance companies, etc. Find and implement timely and logical solutions.
• Conduct monthly staff meetings.
• Coordinate cross-training of staff; each duty should be able to be performed by at least two staff.
• Responsible for timely review of EHR data to ensure accurate reporting of revenue by the Controller on a monthly basis.
• Responsible for maintenance of EHR for billing related items (payers, fee schedules, billing rules, provider co-signatures, billing provider, etc.)
• Stay current on billing requirements as set by Medicaid, Medicare, and other insurance payers. Proactively implement new processes or procedures prior to effective date.
• Keep Controller informed of day-to-day operations including accomplishments, problems and solutions, and staff issues.
• Maintain no more than a 5% annual accrual in overtime hours.
• Maintain departmental budget.
• Performs other duties as required by supervisor

QUALIFICATIONS, EDUCATION AND/OR EXPERIENCE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions

• Associate’s degree or equivalent experience in related field.
• Certification in Medical Billing and Coding.
• Working knowledge of CPT codes, HCPCS codes, HCFA 1500 and UB-04 billing forms, 837I and 837P electronic billing formats, Medicaid, Medicare, and Commercial insurance billing rules for inpatient and outpatient behavioral health claims.
• Maturity and sensitivity to the special needs of those who have a co-occurring mental health and/or substance use disorder.
• Ability to utilize and navigate an electronic health record.
• Knowledge of Agency values, approach and services
• Ability to give directions, instructions and information to staff members.
• Communicate effectively with clients and other employees.

REQUIREMENTS:

• A valid Class E Drivers’ License for positions that require driving personal or Agency vehicle on Agency business.
• Must maintain a minimum Bodily Injury & Property Liability insurance limit of at least $50,000 for positions that require driving personal own vehicle (POV) on Agency business. (Proof Required)
• PPBH is a 24/7 Agency.  All employees must be available as needed when required.

PHYSICAL DEMANDS:

The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 

While performing the duties of this job, the employee is frequently required to use hands to finger, handle, or feel objects, tools, or controls and reach with hands and arms.  The employee is occasionally required to stand; walk; sit; climb or balance; stoop; kneel; crouch; or crawl; and talk or hear.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  This is a fast-paced behavioral health work environment.

If this sounds like you, we invite you to apply.  We can’t wait to meet you!

We are an equal opportunity employer, and we are committed to providing equal employment opportunities to all employees and applicants.  If you require reasonable accommodation during the application or interview process, please contact our HR Department at 407-846-0023.