Mid-Fairfield Child Guidance Center, a private non-profit outpatient mental health clinic, is seeking a Billing Manager.

The individual will be responsible for overseeing and optimizing the financial performance of our revenue cycle

processes. The primary focus is maximizing revenue collection, minimizing payment denials, improving

operational efficiency, and ensuring compliance with applicable regulations. This is a role that requires strong

analytical, strategic, and communication skills. To be successful this individual will need to drive process

improvement both internally within the department but also with key organizational stakeholders across the

agency. Responsibilities include managing workflow, assisting with hiring talented staff, continuous process

improvement, and management reporting.

Billing Process Management:

Oversee the end-to-end billing process, ensuring accuracy and timeliness in the submission of claims to

funding sources.

Implement and maintain efficient billing systems and procedures.

Manage a team of Billing specialist who are responsible for verifying eligibility, claims integrity,

following up with payers to ensure timely claim processing

Revenue Cycle Oversight:

Manage the revenue cycle, including invoicing, collections, and reconciliation.

Monitor accounts receivable and work to minimize billing discrepancies.

Compliance and Regulation:

Stay updated on regulatory requirements related to billing in the non-profit sector.

Ensure compliance with funding source guidelines and reporting requirements.

Collaboration with Stakeholders:

Work collaboratively with internal departments, including finance, and program directors to gather

necessary billing information and resolve discrepancies.

Training and Development:

Provide training to staff involved in the billing process to ensure understanding of billing procedures and

compliance requirements.

Stay informed about industry best practices and share knowledge with the team.

Quality Assurance:

Implement quality assurance measures to ensure accurate and compliant billing practices.

Conduct regular audits to identify and address any billing errors or issues.

Reporting and Analysis:

Generate regular reports on billing performance, revenue collections, and other relevant metrics.

Analyze data to identify trends and areas for improvement.

Customer Service:

Address inquiries related to billing from clients, funding sources, and other stakeholders.

Provide excellent customer service and maintain positive relationships with funding agencies/revenue

resources.

Other duties as assigned

Qualifications

SKILLS & EXPERIENCE

Thorough understanding of the end-to-end RCM process including patient financial services (PFS)

processes and standards.

Strong technological abilities and competence with Microsoft Office, Google suite and electronic health

records (Carelogic experience is a plus)

Up-to-date knowledge of healthcare billing regulations, compliance requirements, and industry trends,

including a solid understanding of Medicaid and private payer reimbursement processes.

Ability to work and communicate effectively with a diverse group of people including other department

managers, staff, physicians, patients, and the public.

Ability to read, analyze and interpret financial reports, contracts, and other legal documents.

Outstanding ability to work independently to achieve results with minimal help in carrying out assigned

tasks.

Ability to coach and mentor new and existing staff as necessary to promote their personal and professional

growth.

Ability to set and maintain priorities when dealing with multiple demands and interruptions.

Strong analytical and problem-solving skills

Coding experience preferred

3-5 years of proven increased responsibility including supervisory experience

Bachelor’s degree or relevant experience in healthcare field

Excellent customer service skills and ability to escalate potentially tense patient encounters.