Billing Manager - Patient Accounts

Community Mental Health Affiliates, Inc. (CMHA); New Britain (CT); Vor Ort; USD 67.000 - 81.000; Vollzeit

Zusammenfassung

Community Mental Health Affiliates, Inc. (CMHA) is seeking a Billing Manager – Patient Accounts in New Britain, CT. This role leads the Central Support billing team, overseeing third‑party claims, cash posting, client statements and denials resolution.

Responsibilities include liaison with insurers, payer contracting, and oversight of daily billing workflows to ensure accurate revenue recognition. CMHA emphasizes internal mobility, training, and compliance with Medicare/Medicaid rules.

Qualifikationen

• Associates Degree in Medical Coding or at least five years of relevant work experience in lieu of a degree required.
• Bachelor’s Degree in Finance preferred.
• Valid Driver’s License required.
• Minimum five years’ related health or behavioral health billing experience.
• Two years’ supervisory experience in billing or related discipline.

Aufgaben

• Oversees all Patient Accounts Representative functions, including submission of paper and electronic claims billing, cash posting, client statements and reconciliation of denials in the processing of agency third party billing.
• Represents agency to all insurance companies and third-party payers to address billing/payment problems and contracting and credentialing requirements.
• Establishes and maintains daily, weekly and monthly protocols for ongoing monitoring of Billing Department’s workload to gain departmental efficiency.
• Ensures accuracy of billing revenues and other financial data used for internal and external reporting by ensuring that payers are billed at the correct rates and resolving payment denials and other payment-related problems.
• Recruits, orients, trains and supervises staff. Identifies ongoing staff training needs and conduct staff performance appraisals.

Kenntnisse

Billing management

Staff supervision

Accounts receivable

Medical billing

HIPAA compliance

Ausbildung

Associates Degree in Medical Coding

Bachelor’s Degree in Finance preferred

Tools

EMR systems

Microsoft Office

Jobbeschreibung

Why CMHA?

Community Mental Health Affiliates, Inc. (CMHA) is a private non-profit treatment provider headquartered in New Britain, with seven locations throughout the city and in Waterbury. We partner with clients and the community to promote recovery from mental illness and substance use, treating more than 7,500 adults and children each year. CMHA is Connecticut’s first fully Joint Commission accredited Behavioral Health Home and is a SAMHSA Certified Community Behavioral Health Clinic (CCBHC). Visit cmhacc.org to learn more.

Internal mobility and career pathing is a focus at CMHA with many employees growing from individual contributors to leaders.

CMHA is looking to hire a Billing Manager - Patient Accounts in our Central Support department. This position will be located at 233 Main St, New Britain, CT. Monday - Friday, 8:30 am - 4:30 pm.

Compensation Range: The salary range for this position starts at $74,000 per year.

Compensation for each position is determined not only by years of relevant experience, education, and skills, but also by maintaining internal pay equity. CMHA also takes into consideration our benefits and paid time-off package to provide a well-rounded and competitive approach to the applicant’s overall compensation.

Summary:

Responsible for supervising, organizing and implementing the agency’s third party billing system in order to ensure successful revenue billing, reporting and collections.

Qualifications

Essential Responsibilities and Target Outcomes:

• Oversees all Patient Accounts Representative functions, including submission of paper and electronic claims billing, cash posting, client statements and reconciliation of denials in the processing of agency third party billing.
• Represents agency to all insurance companies and third-party payers to address billing/payment problems and contracting and credentialing requirements.
• Establishes and maintain daily, weekly and monthly protocols for on-going monitoring of Billing Department’s workload to gain departmental efficiency.
• Ensures accuracy of billing revenues and other financial data used for internal and external reporting by ensuring that payers are billed at the correct rates and resolving payment denials and other payment-related problems.
• Analyzes Accounts Receivable data by payer, program, clinician and other variables to minimize 90-day aged receivables.
• Ensures that cash receipt postings are reconciled to a daily or batch total and that deposits are forwarded to the Finance Department for timely banking and general ledger posting.
• Serves as liaison with the Information Services Department and outside consultants to address computer and software upgrades, training needs and problem resolution.
• Recruits, orients, trains and supervises staff. Identifies ongoing staff training needs and conduct staff performance appraisals. Coordinates staff training in the billing system for staff located in program sites.
• Establishes and updates Billing Department policies and procedures according to Medicare and Medicaid regulations and other payer requirements.
• Performs other related duties as assigned.

Education

Associates Degree in Medical Coding or at least five (5) years of relevant work experience in lieu of a degree required. Bachelor’s Degree in Finance preferred.

Credentials and Licenses:

Valid Driver’s License required.

Experience

• Successful related experience in a health or behavioral health billing/fiscal/accounting environment, preferably a minimum of five (5) years.
• Successful supervisory experience in a fiscal/accounting/billing related discipline, preferably a minimum of two (2) years.
• Intermediate to advanced experience with Microsoft Office products including Word, Outlook, Excel, PowerPoint.
• Experience in utilizing financial management/billing software systems and linked clinical business applications, including Electronic Medical Record (EMR) systems.

Competencies:

Behavioral Skill Sets:

• Apply basic knowledge of the Health Insurance Portability and Accountability Act Privacy and Security regulations and provisions (HIPAA).
• Apply and integrate into work processes general principles of managed care and Generally Accepted Accounting Principles.
• Comprehensive understanding of all third party contract terms and requirements, including contract periods, authorization process, appropriate billing codes, reimbursement rates, billing timeframes, dispute resolution mechanisms
• Knowledge and ability to apply HCFA and UB-04 clean claim formats.
• Organizational ability to balance priorities according to workload and conflicting timelines.
• Provide administrative staff supervision to maximize staff performance and productivity.
• Knowledge of and establish appropriate courses of action for self and subordinates to accomplish goals within realistic target dates.
• Communicate clearly with staff, clients and peers in the transaction of billing department business.
• Interact with and build business relationships with all stakeholders in the third party billing process.
• Ensure the security and confidentiality of client clinical and financial information and records in a manner consistent with professional and CMHA codes of ethics.
• Awareness/sensitivity to all types of issues related to client diversity.

Leadership Competencies:

Behavioral Skill Sets

Resource Management

Ensures adherence to CMHA budget; through intentional utilization of external resources, grants, implementation of revenue generating projects, and collaborates interdepartmentally for best practice.

Staff Management

Sets high, attainable standards and expectations for staff. Directs assigned departments by defining expectation. Responsible for talent acquisition. Provides team feedback through individual and group supervision. Models a collaborative culture and encourages discretionary effort. Addresses and resolves employee relations issues. Provides training consistent with current and future job requirements.

Quality & Compliance

Ensures adherence to all policies and procedures and the organization’s Mission & Values. Maintains knowledge of and adherence to legal and regulatory requirements and includes information in ongoing employee education. Participates in the development and implementation of new programs, protocols, and processes.

Customer Service/Relationship Management

Maintains a professional, courteous, and positive demeanor in all interactions. Works collaboratively, participates in achieving common goals, shares knowledge and expertise. Conveys information clearly, listens with empathy, and accepts constructive feedback.

Professional Development

Engages in and sustains professional affiliations. Stays current with knowledge, skills, and credentials by participating in seminars, conferences, and other educational opportunities. Reinforces new learning and development in routine supervision and oversight. Actively seeks out new information and monitors industry trends to deepen expertise in their field. Cultivates a mindset rooted in continuous learning and growth.

Strategic Planning

Drives organizational growth by setting innovative goals and evaluating operations, leveraging strong analytical and communication skills to implement adaptive, high-impact strategies and monitor performance outcomes.

Community/Public Image

Acts as a visible and effective ambassador for CMHA, actively participating in community and industry affairs to promote and enhance the agency's public image. Coaches and empowers staff to engage meaningfully in local, state, and national initiatives relevant to the organization’s mission. Maintains a deep understanding of emerging trends, policies, and developments that impact the organization and the communities it serves. Approaches every interaction, internal and external, with knowledge, passion, and purpose.

Personal Leadership

Guided by the ten (10) principles of personal leadership, fosters self-awareness, builds and maintains professional relationships. Focuses on continuous learning and development and strives for improvement and inspires others to do the same. Takes responsibility for one’s actions and outcomes.

• Be in the Moment
• Be Authentic & Humanistic
• Volunteer Discretionary Effort Constantly
• Model High Performance-Desired Behaviors that Drive Desired Results
• Respect and Leverage Separate Realities
• Be Curious vs. Judgmental
• Look in the Mirror First - Be Accountable
• Have Courageous Conversations
• Provide Timely, Clear, and Specific Performance Expectations and Feedback, and
• Teach, Coach, and Mentor - Spend at least half your time developing others.

Benefits

We care about our employees by offering benefits that strike a harmonious work-life balance. We also care about your future. CMHA offers:

• Medical, Dental, and Vision Insurance packages
• 403(b)-retirement savings plan with CMHA matching starting after 1 year of service
• 11 observed holidays
• 3 Wellbeing days off on a Friday throughout the year to extend a long weekend
• 2 CHMA/Personal days to use throughout the calendar year
• Up to 24 days of PTO that increases with years of service
• Paid agency closure between Christmas and New Year’s (except 24/7 programs) *must be approved annually
• Company paid Life Insurance and Long-Term Disability
• A comprehensive Employee Assistance Program (EAP) that offers counseling, coaching, and wellness resources for staff as well as members of their household
• Higher education tuition discounts at participating schools through the Alliance’s academic partnerships
• Free ongoing professional development opportunities and continuous access to Continuing Education Units (CEUs), featuring comprehensive training in Evidence-Based Practices, such as EMDR, DBT, and CBT.
• Employee discounts for shopping, the New Britain YMCA, travel, and entertainment
• Free employee subscriptions to the Wellable app
• Annual Company Picnic
• CMHA-sponsored Loan Reimbursement Program and Scholarship Program

Free Student Loan Wellness

for eligible employees and their family members access to:

• Student loan consolidation and refinancing
• Loan payoff projection dashboard
• Coaching and support via chat, email, and phone
• College cost calculator
• College financial planning
• 3 NHSC-approved sites for federal student loan repayment

Public Service Loan Forgiveness (PSLF) Enhancement

for eligible employees' access to:

• Automated Public Service Loan Forgiveness (PSLF) form management for past and present employers
• Automated reminders for annual (PSLF) recertifications to help you stay on track
• Resources and ongoing communications that make PSLF understandable
• The opportunity to receive the national average of $72,000.00 in forgiveness

Community Mental Health Affiliates is an Equal Opportunity Employer except in the case of a bon fide occupation qualification or as otherwise permitted or required by law, does not discriminate of the basis of race, color, age, disability, sex, childbirth (including pregnancy) or related medical condition including by not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familiar status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Any individual needing assistance in completing an online application should contact CMHA's Human Resources Department at [e-mail].