Billing Manager

Sacramento Native American Health Center, Inc; Redding (CA); On-site; USD 72,000 - 100,000; Full time

Benefits offered by this job

Competitive Wages

Medical Insurance

Vision Insurance

403(b) Retirement Plan with matching

Long‑term Disability

Paid Vacation

Paid Holidays

CME with stipend

Employee Assistance Program

Jury Duty Pay

Bereavement Pay

Prescription Discount Program

529 College Savings Plan

Educational Reimbursement

Teledoc service

Job summary

Shasta Community Health Center is hiring a Billing Manager to oversee daily billing operations, ensure accuracy, and drive timely collections. You will lead a billing team, coordinate with departments, and optimize revenue cycle performance.

Qualifications include an Associate degree (Bachelor’s preferred), CPC/CCS credentials, and experience with NextGen PM. Knowledge of Medicare/Medi-Cal billing in FQHC settings is required.

Qualifications

• Knowledge of Medicare and Medi-Cal billing in FQHC environments.
• Understanding third-party payer rules and federal/state billing requirements.
• Experience with NextGen PM and 5010 EDI is preferred.
• Management or supervisory experience in a billing department.

Responsibilities

• Lead daily operations of the billing team, including coding, charge entry, and claims submission.
• Ensure accurate posting of payments and timely AR follow-up.
• Collaborate with departments to reduce billing discrepancies and improve revenue cycle efficiency.
• Provide strategic direction and prioritization for revenue cycle activities.
• Assist in budget development and maintain confidentiality of patient accounts.

Skills

Medicare & Medi-Cal billing (FQHC)

Payer rules & regulations

Electronic billing & 5010 EDI

Excel proficiency

Billing team leadership

Revenue cycle analysis

collaboration across departments

Education

Associate degree in Business or related

Bachelor’s degree preferred

CPC or CCS certification

Management/leadership experience

Tools

NextGen Practice Management

Practice management software

EDI processing tools

Job description

• Location 1000 Placer St.,Redding, CA, 96001,United States
• Base Pay $71,760.00 - $100,464.00 / Year
• Job Category Mngr
• Employee Type Regular Full-Time SE

Base salary: $71,760.00 - $100,464.00 / year

JOB SUMMARY

The Billing Manager oversees the day-to-day operational billing process, ensuring accurate billing and timely collections while managing the billing team to optimize revenue cycle operations. This role involves coordinating with various departments to resolve billing discrepancies and improve overall efficiency in revenue cycle management.

JOB DUTIES AND RESPONSIBILITIES

• Manage and oversee billing staff and operational activities to ensure optimal performance. This duty encompasses medical coding, charge entry, claims submissions, payment posting, accounts receivable follow‑up, and reimbursement management.
• Maintain an effective organizational structure, including schedules and staffing, to achieve departmental goals and objectives.
• Collaborate with supervisor to identify issues, evaluate workflow processes, and enhance efficiencies across billing, other departments, third‑party payers, and vendors.
• Provide strategic direction, set priorities, and analyze revenue cycle activities to drive improvements.
• Recommend, develop, and implement new and revised policies and procedures in collaboration with the Senior Director of Revenue Cycle Integrity and/or CFO.
• Monitor and resolve billing discrepancies and address patient inquiries promptly and professionally.
• Analyze revenue cycle performance metrics and industry key performance indicators (KPIs) to identify opportunities for enhancement.
• Ensure timely processing and posting of charges, payments, refunds, and adjustments.
• Assist in month‑end closing processes to ensure accuracy and completeness.
• Assist in maintaining payer/provider structure with NextGen to support billing requirements as needed.
• Assist with validating NextGen configuration and testing patches or upgrades.
• Attend meetings at the request of the Senior Director of Revenue Cycle Integrity, contributing insights and updates.
• Support the development and management of the departmental budget.
• Uphold confidentiality regarding patient account status and sensitive information.
• Assist with hiring, training, and mentoring billing staff to foster a high‑performing team.
• Perform other duties as assigned to support departmental and organizational objectives.

KNOWLEDGE, SKILLS, AND ABILITIES

• In-depth knowledge of Medicare and Managed Care Medi‑Cal billing within the Federally Qualified Health Center (FQHC) environment.
• Familiarity with third‑party payer rules and regulations.
• Comprehensive understanding of state and federal regulatory billing requirements.
• Proficient in electronic billing processes, including knowledge of clearinghouses and 5010 EDI requirements.
• Competency in relevant technology, including practice management systems and applications.
• Advanced proficiency in Microsoft Office Suite, particularly Excel.
• Strong collaboration skills to engage effectively with management and staff across departments.
• Excellent written and verbal communication abilities, capable of motivating others and conveying complex information clearly and concisely; skilled in preparing and presenting diverse reports and analyses.
• Strong organizational and time‑management skills, with a focus on prioritizing tasks effectively.
• Exceptional attention to detail, ensuring accuracy in all aspects of work.
• Proven ability to work as part of a team while also functioning independently to meet tight deadlines.

EDUCATION & EXPERIENCE

• Associate degree, preferably in Business Administration or related field; Bachelor's degree preferred. 5+ years of related work experience will be considered in lieu of degree requirement.
• CPC (Certified Professional Coder) or CCS (Certified Coding Specialist)
• Prior Experience as a Manager, Supervisor, or Lead.

PREFERRED QUALIFICATIONS

• Experience working in NextGen Practice Management software
• Experience in Federally Qualified Health Center patient billing operations
• RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator)

BENEFITS

• Competitive Wages
• Medical Insurance
• Vision Insurance
• 403 (b) Retirement Plan with matching employer contribution
• Long‑term Disability coverage
• Accidental Death and Dismemberment
• Life Insurance
• Flexible Spending Account
• Paid Vacation
• Paid Holidays
• CME with stipend, for those eligible
• Employee Assistance Program
• Jury Duty Pay
• Bereavement Pay
• Prescription Discount Program
• 529 College Savings Plan
• Educational Reimbursement
• Free Teledoc service for benefit eligible employees

Shasta Community Health Center is an Equal Opportunity Employer