FQHC Billing & Collections Manager

Your story. Our mission. A perfect match. You have a place at OhioGuidestone, the state's leader in behavioral health! We are currently seeking a Billing and Collections Manager to work with our expansion as a Federally Qualified Health Center (FQHC). OhioGuidestone is the state's leader in community behavioral health care, serving around 26,000 Ohioans each year. We focus on the needs of the whole person by providing telehealth and in-person prevention services, as well as mental health and substance use treatment. As we help people navigate the most difficult times in their lives-with compassion and respect-we ultimately empower them to take steps towards a healthier future.Essential FunctionsDirect supervision of assigned staff (Billings Specialists) including hiring, supervision and a high emphasis on employee development, ranging from growth within current positions and expanding leadership and supervisory skills necessary to ensure agency success. Enhances department's ability to work as a coherent and productive team. Demonstrates and models positive leadership and presents the agency in the most positive light with all internal and external contacts.Assures fiscal accountability of all assigned programs and services. This responsibility includes enhancement and maintenance of organizational and cross functional agency processes that impact and are impacted by assigned programming. Develops and implements goals designed to meet andor exceed agency budgetary expectations while ensuring the highest quality standards. Assures that assigned services are adequately documented and that billing requirements are met, working pro-actively to assure budget compliance, and taking immediate action to resolve fiscal problems should they occur. Exhibits and demands care and competence in managing agency resources.Develops detailed departmental, team and individual goals designed to meet external and internal agency performance expectations, enhancing the agency's role and a premiere service provider. Adapts programs and services to enhance this agencies ability to serve the needs of the community. Communicates all goals as well as programservice adaptations with clear reasoningjustification as well as departmental, team and individual roles and responsibilities. Ensures the integrity of program and service delivery, compliance and evaluation and moves to adapt programsservices as compliance standards change in an effective and efficient manner. Ensures compliance with internal standards and goals, all contractgrant specifications, as well as licensing, regulatory and accreditation standards including but not limited to ODJFS, ODE, County, Council on Accreditation, EAGLE Accreditation, NAEYC, SUTQ, StateCounty HMG, Medicaid, ODMH, etc.... Ensures all Local, State, Federal and GAAP laws and regulations. Acts with urgency and professionalism when dealing with program, team or employee concernsissues and includes, through on-going communication, all appropriate agency representatives as needed.Assumes a leadership role and acts as a team member of the agency as a whole in the interpretation and support of agency policies (including HR, PR and Communications), implementation of industry best practice standards throughout assigned programs, aiding in the developmentimplementation of program outcome measures to ensure quality service implementation.Responsible for directing and coordinating the overall functions of the billing office to ensure maximization of cash flow while improving client, clinical staff, and other customer relations.Under the supervisor of the Director of Revenue Cycle, manages the team's financial decisions to protectcollect revenues and adjust customer accounts.Delivers results against a defined scope of work with measurable ROI, strategic innovation, coupled with performance reporting and employee development.Proposes and develops initiatives, policies, procedures, and systems to increase cash flow and decrease bad debt expense.Prepares aging and various other revenue reports for upper management.Reviews month-end AR Analysis Report for Bad-Debt Expense adjustments, Aging Percentages, Bad DebtPercentage of Revenue and future aging impact.Develops and manages relationships with insurance company and other funder representatives.Controls EHR billing system to its farthest functionality to reduce manual processes.Handles all aspects of credentialing for providersIdentifies bottlenecks and duplicative steps in various processes; identify and develop streamlined municates relevant agencyclientinsurance information to the team on an ongoing basis through regular team meetings, and one-on-one communications and feedback.Remains current on ICD and CPT coding.Manages month-end close; prepare and communicate monthly overview reports.Develops and maintains relationships with agency management team members; communicate and collaborate to improve processes that are interconnected.Ensures that each team member is cross-trained to have the knowledge and capability of completing all tasks with the Revenue Cycle team.May be involved in the planning, organization, and implementation of special events, specific projects, or program changesEmployee may be asked to complete related duties other than those indicated above as assigned by their supervisorPerformance RequirementsMust maintain regular and reliable attendance to the satisfaction of managementMust be able to operate a computer and other position related technologiesMust be able to verbally exchange information in a confidential manner with employees, clients, students, participants, andor families in various settingsMust be available for crisis management by phone as neededMust be able to work flexible hours as neededMust be able to clearly and confidentially communicate with OhioGuidestone employees, clients, students, participants, and other stakeholdersPhysical Requirements Must be able to remain in a stationary position 75% of the timeMust be able to operate a motor vehicleMust be able to access work locations and, as necessary, client, student, or participant homes which may include ascendingdescending stairsMust be able to stoop, stand, walk, bend, and stay upright to perform workMust be able to visually read written and digital informationMust be able to visually determine the accuracy, neatness, and thoroughness of work assigned andor to make general observations of facilities or structuresMust be able to receive detailed information through oral communicationMust be able to hear clients, students, or participants, co-workers, and supervisors at normal speaking levelsMust be able to dictate with clients, students, participants, co-workers, and supervisors using all means of communication including but not limited to, in-person, phone, and computerMust adhere to all Our Promise Values and Guiding PrincipalsQualificationsSignificant experience in AR Management, collections, analysis and revenue cycle management7-10 years professional experience in a large billing department, with at least five years in a manager or senior supervisory capacity.Prior healthcare third party billingcollections experience with superior knowledge of government billing (Ohio, federal and industry standard third party billing processes and regulations).Experience working with Federally Qualified Health Clinics highly preferredICD-9 ICD 10 CPT HCPCS coding knowledge. Medical billingcoding certification preferred.Extensive experience with Client Billing SoftwareSignificant knowledge of Medicare, Medicaid, and 3rd Party Insurance RegulationsComplianceLawsDemonstrated managerial capabilities.Ability to prioritize workflow, problem solve and identify best possible solution, maintain knowledge on assigned accounts.Ability to work in a fast paced, always changing environment.Excellent organizational, analytical, communication, and interpersonal skills required.Valid driver's licenseCurrent proof of auto insuranceAbility to take and pass a physical exam, tuberculosis test, and drug screeningAt OhioGuidestone we care about the health and safety of our employees. OhioGuidestone requires applicants to complete a pre-employment screening process upon receipt of an offer of employment. We require and cover the cost of a fingerprint background screening, physical, Tuberculosis test, and drug screen after an employment offer is made. Any employment offer is contingent upon receipt of all satisfactory pre-employment mitted to creating a more diverse community, we encourage candidates from historically underrepresented groups to apply. EEOAA MFHV #IND1

Created: 2025-02-24