Medical Billing Director

ColumbiaCare Services; Medford (OR); On-site; USD 100,000 - 125,000; Full time

Job summary

ColumbiaCare, a nonprofit behavioral health organization, seeks a Medical Billing Director to lead the billing department and revenue cycle across multiple geographies and services. This senior role guides strategic planning, process improvement, and staff development to ensure accurate coding, timely reimbursements, and regulatory compliance.

You will oversee claims management, payer relations, and compliance, and direct the ongoing Cantata Arize EHR implementation to optimize workflows, data

Qualifications

• Minimum of five (5) years of progressively responsible billing management experience in a Medicaid behavioral healthcare setting.
• Prior supervisory or management experience.
• Strong expertise in behavioral health billing operations, revenue cycle management, claims processing, denial management, and insurance reimbursement.
• Working knowledge of Medicare, Medicaid, commercial insurance billing, payer requirements, and Oregon behavioral health billing regulations.
• Experience with electronic health record (EHR) systems, medical billing applications, workflow management systems, and Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint).
• Demonstrated ability to analyze complex billing and reimbursement data, identify operational challenges, and implement effective solutions.
• Experience collaborating across departments and building productive relationships with payers, regulatory agencies, and external stakeholders.
• Must demonstrate the knowledge, attitudes, and skills described in the organization's Core Values and Competencies.
• Regular and reliable attendance.

Responsibilities

• Provide strategic and operational leadership for the organization's billing operations and revenue cycle activities.
• Oversee claims management, payer relations, reimbursement optimization, and accounts receivable oversight.
• Develop policies, procedures, workflows, and system improvements to promote efficiency, billing accuracy, regulatory compliance, and financial performance.
• Lead billing staff, provide supervision and professional development, and liaise with insurance carriers and external stakeholders.

Skills

Medicaid behavioral health billing

Revenue cycle management

Payer relations

Leadership

Data analysis

Regulatory compliance

Communication

Education

Bachelor's degree in Healthcare Administration or related field

CPC certification

Tools

Cantata Arize

Microsoft Office

Electronic health record (EHR) systems

Job description

About the Position

ColumbiaCare is seeking an experienced Medical Billing Director to lead the billing department and billing functions of a large, multi-geographical and multi-service non-profit behavioral health organization. This leadership position oversees the organization's medical billing, reimbursement, payer relations, and compliance.

The ideal candidate is a hands-on billing leader with deep Medicaid behavioral health experience who can quickly assess operations, identify opportunities for improvement, and provide immediate supervision to the billing team and consultation to program and department leaders. Candidates should have direct experience leading Medicaid behavioral health billing operations and be prepared to assume operational oversight.

This position will also play a critical role in the organization's active transition to the Cantata Arize electronic health record (EHR) platform, providing leadership and subject matter expertise to ensure billing requirements, workflows, system functionality, and reimbursement processes are effectively designed, implemented, and optimized

Key Responsibilities

The Medical Billing Director provides strategic and operational leadership for the organization's behavioral health billing operations and revenue cycle activities managed within the Billing Department. This position is responsible for claims management, payer relations, reimbursement optimization, accounts receivable oversight, billing compliance, and revenue cycle processes from authorization and charge capture through claim adjudication and payment resolution.

The Medical Billing Director develops and implements policies, procedures, workflows, and system improvements that promote operational efficiency, billing accuracy, regulatory compliance, and financial performance. Working collaboratively with Finance, Quality, Clinical Services, Operations, Contracts, and Executive Leadership Leadership, this position analyzes billing and reimbursement performance, identifies trends and opportunities for improvement, develops actionable solutions, and provides reporting and recommendations that support organizational decision-making and financial sustainability.

The Medical Billing Director provides leadership, supervision, and professional development to billing staff while fostering a culture of accountability, collaboration, continuous improvement, customer service, and compliance. This position serves as the primary liaison with insurance carriers, managed care organizations, state and county agencies, and other external stakeholders regarding billing, reimbursement, and regulatory matters. The Billing Director actively monitors proposed changes to Medicaid billing regulations and Oregon Administrative Rules (OARs), participates in industry and stakeholder forums as appropriate.

Work Schedule

Monday through Friday, 8:00am - 5:00pm (Full Time, Day)

$100,000-$125,000 DOE

Required Qualifications

• Minimum of five (5) years of progressively responsible billing management experience in a Medicaid behavioral healthcare setting.
• Prior supervisory or management experience.
• Strong expertise in behavioral health billing operations, revenue cycle management, claims processing, denial management, and insurance reimbursement.
• Working knowledge of Medicare, Medicaid, commercial insurance billing, payer requirements, and Oregon behavioral health billing regulations.
• Experience with electronic health record (EHR) systems, medical billing applications, workflow management systems, and Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint).
• Demonstrated ability to analyze complex billing and reimbursement data, identify operational challenges, and implement effective solutions.
• Experience collaborating across departments and building productive relationships with payers, regulatory agencies, and external stakeholders.
• Must demonstrate the knowledge, attitudes, and skills described in the organization's Core Values and Competencies.
• Regular and reliable attendance.

Preferred Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field.
• Certified Professional Coder (CPC) certification.
• Experience with Cantata Arize or similar behavioral health EHR platforms.
• Experience supporting EHR implementations, billing system conversions, or revenue cycle optimization initiatives.

Must also have the ability to pass a DHS criminal background check.