Billing & Records Manager

Citizens Behavioral Health; Raleigh (NC); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health, Dental, Vision benefits

Paid time off

Paid holidays

Professional development support

Certification reimbursement

Ongoing training

Career development

Job summary

Citizens Behavioral Health is seeking an experienced Billing & Records Manager to oversee revenue cycle operations, insurance billing, and compliance across our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP).

You will lead the billing team, manage claims and authorizations, ensure accurate records, and support audits while collaborating with leadership, clinical staff, and administrators.

Qualifications

• Minimum 3 years of experience in medical billing, healthcare administration, or revenue cycle operations.
• Experience with insurance claims, prior authorizations, and EHR systems.
• Strong understanding of healthcare documentation and records management practices.
• Excellent organizational, analytical, and problem-solving skills.

Responsibilities

• Verify insurance eligibility and benefits for new and existing clients.
• Coordinate prior authorizations and treatment approvals with insurance providers.
• Submit, track, and monitor insurance claims and billing activities.
• Review claim denials, resolve billing issues, and support reimbursement recovery efforts.
• Maintain accurate billing records and payment documentation.
• Prepare billing reports and support financial tracking activities.
• Maintain complete, accurate, and secure client records.
• Monitor record completeness and documentation quality.
• Process authorized requests for records and information releases.
• Maintain records retention and document management procedures.
• Support electronic health record (EHR) administration and user access management.
• Conduct routine chart reviews and documentation audits.
• Prepare records for audits, reviews, and inspections.
• Coordinate authorization requests and continued service approvals.
• Track authorization timelines, approvals, and renewal requirements.
• Collaborate with clinical staff to obtain supporting documentation.
• Monitor service authorizations to help prevent interruptions in care.

Skills

Billing & Records

Insurance Claims

Authorizations

EHR Systems

Compliance

Documentation

Attention to Detail

Communication

Education

Health Information Management / Healthcare Administration degree

Tools

EHR software

Billing software

Job description

Citizens Behavioral Health provides comprehensive behavioral health services through our Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) for adults and youth. We are committed to delivering high-quality care while maintaining excellence in documentation, compliance, and operational efficiency.

We are seeking an experienced Billing & Records Manager to oversee revenue cycle operations, insurance billing, client records management, authorizations, and compliance activities. This position plays a critical role in supporting both financial performance and regulatory readiness across the organization.

Position Summary

The Billing & Records Manager is responsible for managing billing processes, insurance claims, client records, utilization review support, and documentation compliance. Working closely with leadership, clinical staff, and administrative personnel, this role helps ensure accurate reimbursement, secure record management, and operational excellence.

Key Responsibilities

• Verify insurance eligibility and benefits for new and existing clients.
• Coordinate prior authorizations and treatment approvals with insurance providers.
• Submit, track, and monitor insurance claims and billing activities.
• Review claim denials, resolve billing issues, and support reimbursement recovery efforts.
• Maintain accurate billing records and payment documentation.
• Prepare billing reports and support financial tracking activities.

Medical Records & Documentation Management

• Maintain complete, accurate, and secure client records.
• Manage intake documentation, treatment records, assessments, and discharge files.
• Monitor record completeness and documentation quality.
• Process authorized requests for records and information releases.
• Maintain records retention and document management procedures.
• Support electronic health record (EHR) administration and user access management.

Compliance & Quality Assurance

• Conduct routine chart reviews and documentation audits.
• Support organizational compliance initiatives and quality improvement activities.
• Prepare records and documentation for audits, reviews, and inspections.
• Maintain staff credential, licensure, and training documentation.
• Support privacy, confidentiality, and records security practices.
• Assist with policy implementation and staff training related to documentation standards.
• Coordinate authorization requests and continued service approvals.
• Track authorization timelines, approvals, and renewal requirements.
• Collaborate with clinical staff to obtain supporting documentation.
• Support utilization review processes and documentation preparation.
• Monitor service authorizations to help prevent interruptions in care.

Leadership & Administrative Support

• Provide guidance and support for administrative and records management processes.
• Assist with staff training related to billing, records, and compliance procedures.
• Coordinate communication with insurance providers, auditors, and external partners.
• Support operational reporting and process improvement initiatives.
• Collaborate with leadership on revenue cycle and compliance strategies.

Required Qualifications

• High School Diploma or GED required.
• Associate’s or Bachelor’s Degree in Health Information Management, Business Administration, Healthcare Administration, or a related field preferred.
• Minimum 3 years of experience in medical billing, healthcare administration, records management, or revenue cycle operations.
• Experience working with insurance claims, authorizations, and electronic health record systems.
• Strong understanding of healthcare documentation and records management practices.
• Excellent organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities while maintaining exceptional attention to detail.
• Strong communication and customer service abilities.

Preferred Qualifications

• Experience in behavioral health, mental health, or substance use treatment settings.
• Experience with utilization review, authorizations, and insurance reimbursement processes.
• Knowledge of healthcare compliance and medical records audits.
• Professional certifications such as CPC, CMRS, RHIT, RHIA, or related credentials.
• Experience using healthcare billing and electronic health record software.
• Health, Dental, and Vision Benefits
• Paid Time Off and Paid Holidays
• Professional Development and Continuing Education Support
• Certification Reimbursement Opportunities
• Ongoing Training and Career Development

Work Schedule

• Monday – Friday
• Standard Business Hours

As the Billing & Records Manager, you will play a key role in supporting both operational success and quality client care. Your expertise will help ensure financial stability, regulatory readiness, accurate documentation, and smooth day-to-day operations across our behavioral health programs.

Citizens Behavioral Health is an Equal Opportunity Employer. We welcome qualified professionals who value accuracy, integrity, compliance, and operational excellence in healthcare administration.