Qureos Mentor

DeKalb Community Service Board

About Claratel Behavioral Health
 Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals. As a public, not-for-profit organization, Claratel Behavioral Health operates in more than 20 locations in DeKalb County, Georgia, with a diverse workforce of more than 400 direct-care and support staff.
 If you are passionate about driving change in behavioral health and developmental services and are eager to work in an environment that values innovation and inclusivity, Claratel Behavioral Health is the place for you. Here, your work is impactful, your growth is prioritized, and your well-being is supported. Together, we can forge pathways to a healthier future for all.
 
Billing Manager
 Location: Claratel Winn Way- 445 Winn Way, Decatur, GA 30030
 Hours: Monday – Friday 8:00am- 5:00pm (Hybrid)
 Claratel Behavioral Health is seeking a dedicated and experienced Billing Manager to oversees the day-to-day operations of the billing department ensuring accurate and timely claims submission, payment posting, and accounts receivable management. This position leads a team of billing specialists, denial management specialists, eligibility verification specialists, and credentialing specialists and works cross-functionally with the clinical and utilization management teams to optimize revenue, minimize denials, and ensure compliance with payer guidelines and regulatory standards.
 
Key Responsibilities: 
<ul>
<li>Manage the billing team, including hiring, training, supervising, and evaluating staff performance</li>
<li>Ensure accurate and timely submission of behavioral health claims to Medicaid, Medicare, and commercial payers</li>
<li>Oversee payment posting, charge entry, refunds, and accounts receivable follow-up processes</li>
<li>Monitor billing performance metrics and aging reports to ensure timely collections and minimize outstanding balances</li>
<li>Analyze claim denials, identify trends, and implement corrective actions in collaboration with denial management and clinical teams</li>
<li>Coordinate with clinical and utilization management teams to prevent billing disruptions</li>
<li>Ensure compliance with all applicable billing regulations, coding guidelines, and HIPAA requirements</li>
<li>Maintain and update billing policies and procedures to reflect payer updates and regulatory changes</li>
<li>Prepare regular reports for leadership on collections, AR trends, denials, and billing KPIs</li>
<li>Lead billing-related audits and support financial reporting requirements</li>
<li>Serve as the billing subject matter expert for new program implementations and payer contracts</li>
</ul>
Skills and Competencies: 
<ul>
<li>In-depth knowledge of behavioral health billing, including Medicaid, Medicare, and managed care payers</li>
<li>Proficiency in EHR and billing systems (Preferably Avatar)</li>
<li>Strong understanding of CPT, HCPCS, ICD-10 coding, and behavioral health modifiers</li>
<li>Excellent leadership, team management, and communication skills</li>
<li>Ability to analyze data, generate reports, and drive performance improvements</li>
<li>Strong organizational and time management skills with attention to detail</li>
<li>Ability to manage competing priorities and deadlines in a fast-paced environment</li>
<li>Knowledge of compliance standards and HIPAA requirements</li>
</ul>
Preferred Experience: 
<ul>
<li>3–5 years of billing experience in a healthcare setting, with at least 2 years in behavioral health</li>
<li>2+ years of experience in a supervisory or management role</li>
<li>Certification such as Certified Professional Biller (CPB), Certified Revenue Cycle Professional (CRCP), or related credential preferred</li>
</ul>
Pre-employment drug screening and successful completion of a criminal history background check is required.
 Claratel Behavioral Health participates in E-Verify (Company ID: 226305)
 
Claratel Behavioral Health is an Equal Opportunity Employer. Candidates who may require an accommodation under the Americans with Disabilities Act or similar law to perform the essential functions of this job are encouraged to contact Human Resources at hrhelp@claratel.org.

Revenue Cycle Manager - 130801

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Revenue Cycle Manager - 130801