Billing Manager- Commuity Health

Billing Manager Community Health Center

Job Description

Join a Team That Makes a Difference at Optimus Health Care!

At Optimus Health Care, a career is more than a job—it’s an opportunity to make a meaningful difference in the lives of the people and communities we serve.
We’re proud of the dedicated professionals who bring compassion, skill, and purpose to their work every day, and we’re always looking for talented individuals who want to grow with us.
If you’re looking for a career where your work truly matters, we invite you to explore opportunities with Optimus Health Care.
Your career. Your purpose. Our community.

Optimus Healthcare is looking for an experienced Billing Manager with a minimum of five years' of billing experience & 2-3 years' in a Supervisory or Manager role to join our team onsite in Stratford.

The FQHC (Federally Qualified Health Center) Billing Manager is responsible for overseeing all aspects of the billing process for the health center. This includes managing the billing staff, ensuring compliance with federal and state regulations, and optimizing revenue cycle management. Working with the Director of Revenue Cycle, the Billing Manager will establish effective claims management processes and controls to ensure the accuracy and timeliness of claim submissions and collections efforts while maintaining compliance with contractual, state, and federal regulations. The Billing Manager will proactively identify, develop, and execute solutions to improve overall effectiveness and efficiency within the billing and collections area, to ensure the billing staff are meeting and/or exceeding key performance metrics.

 ESSENTIAL FUNCTIONS & RESPONSIBILITIES

Billing Operations Management:

Assist with the daily oversite of the operations of the billing department, ensuring accurate and timely submission of claims.

Monitor billing processes to ensure compliance with federal, state, and local regulations.

Implement and maintain billing policies and procedures to optimize efficiency and effectiveness.

Revenue Cycle Management:

Assist with the development and implementation of strategies to improve revenue cycle performance.

Analyze and report on key performance indicators (KPIs) related to billing and collections.

Identify and resolve issues related to claim denials, rejections, and underpayments.

Staff Management:

Supervise and mentor billing staff, providing guidance and training as needed.

Conduct performance evaluations and address any performance issues.

Ensure the billing team is up to date with changes in billing regulations and practices.

Compliance and Quality Assurance:

Ensure all billing practices comply with applicable laws and regulations, including HIPAA.

Conduct regular audits of billing activities to identify and correct errors.

Collaboration and Communication:

Work closely with other departments, including clinical, compliance, administration, and finance, to ensure smooth operations.

Assist financial management with quarterly and annual financial reporting of billing and receivable data. Assist in creating all data necessary to support non-Medicaid contracts, IRS990 and other reports as needed. 

Communicate regularly with management regarding billing issues, challenges, and performance.

Participate in management meetings and contribute to strategic planning.

JOB QUALIFICATIONS/REQUIREMENTS 

Strong understanding of medical billing and coding practices.

Knowledge of FQHC billing requirements and regulations.

Excellent leadership and team management skills.

Proficiency in billing software and electronic health records (EHR) systems; EPIC preferred

Strong analytical and problem-solving abilities.

Excellent communication and interpersonal skills.

Demonstrated ability to analyze complex problems and to arrive at sound decisions or recommendations. 

Knowledge of financial reporting in a community healthcare environment and to effectively operate within budget constraints. 

Must be able to work a flexible schedule when required

EDUCATION: Bachelor’s degree in healthcare administration, business, or a related field preferred.

EXPERIENCE: Minimum of 5 years of experience in medical billing, with at least 2-3 years in a supervisory or management role. Experience working in an FQHC or similar healthcare setting is highly preferred.

LANGUAGE SKILLS: Bi-lingual English/Spanish is helpful but not required.

LICENSURE / CERTIFICATION: CCA, CPB, CMRS or CPC certification desirable

Working for Optimus:

 • OHC provides a fun, fast-paced working environment, where our commitment to quality is present in every job function. 

• Excellent health & welfare benefit options

• Competitive Compensation 

• Optimus and its caring, multilingual staff proudly serve our community in a patient-centered environment.

Optimus is committed to providing equal employment opportunities to all applicants and employees as protected by applicable federal and/or state law.