Behavioral Health Billing Manager

Building A - Grand Junction, CO 81501

• Salary Range: $70,630.00 - $74,161.50 Salary/year
• Position Type: Full Time

Health Solutions West is the Western slope’s largest behavioral health care organization, covering more than 23,000 square miles across 10 counties. With over 250 employees in Western Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.

Position: Behavioral Health Billing Manager

Location: Grand Junction, CO

• Hybrid in-person/remote considered. Travel between divisions may be required.

Benefits offered to Full-Time Employees:

• Medical
• Dental
• Vision
• Paid time off accrual and generous leave policy
• 403(b) benefits with 6% company match
• Employee Assistance Program (EAP)
• Pet Insurance

QUALIFICATIONS: Demonstrated experience in behavioral health billing and revenue cycle operations, including staff supervision, is required. Must have strong knowledge of behavioral health coding, documentation requirements, and payer-specific billing rules for Colorado Medicaid and RAEs, Medicare, commercial insurance, BHASO/BHA funding, and self-pay. Experience with EHR billing configuration, claim troubleshooting, and performance analysis is required. Must be able to lead teams across locations, coach staff, and manage competing priorities. Relevant education or an equivalent combination of education and experience will be considered. Must successfully pass background checks.

DESIRED ATTRIBUTES:
• Leads with clear expectations, consistent follow-through, and ownership of team results.
• Builds relationships across divisions through visible, approachable leadership and regular communication.
• Coaches and develops staff, addresses performance concerns directly, and balances accountability with support.
• Uses sound judgment and data to solve problems, distribute work fairly, and improve billing practices.
• Encourages staff to bring forward solutions and make decisions within their authority while escalating issues appropriately.

RESPONSIBILITIES:

Under the direct supervision of the VP of Revenue Strategy, the Behavioral Health Billing Manager leads daily behavioral health billing operations and staff across multiple divisions and will:
• Manage behavioral health billing teams across multiple divisions, establishing consistent standards, clear responsibilities, and dependable coverage.
• Supervise staff through regular check-ins, coaching, training, and performance evaluations. Address concerns promptly and participate in hiring and onboarding.
• Assign and balance workloads, monitor billing and follow-up queues, and ensure timely claim submission, appeals, and resolution of outstanding balances.
• Serve as the operational resource for behavioral health coding and payer-specific billing requirements, including CPT/HCPCS codes, modifiers, units, and provider eligibility.
• Ensure billing practices reflect applicable requirements for Colorado Medicaid and RAEs, Medicare, commercial payers, BHASO/BHA funding, and self-pay accounts.
• Oversee claim quality reviews and investigate coding, documentation, and billing errors. Engage qualified coding or compliance resources when specialized review is needed.
• Investigate recurring denials, rejections, and payment delays. Assign corrective actions and follow them through to resolution.
• Maintain strong working knowledge of EHR billing workflows and configuration. Identify build issues, submit change requests, and validate approved corrections with EHR/IT teams.
• Partner with clinical leaders to resolve documentation gaps and provide practical feedback that supports accurate behavioral health billing.
• Coordinate with insurance verification, authorization, credentialing, and payment posting teams to resolve issues affecting claim readiness and account accuracy.
• Monitor billing lag, clean-claim rates, denials, aging balances, and backlog trends. Report performance, causes of missed targets, and corrective plans to the VP of Revenue Strategy.
• Develop consistent billing procedures and staff education across divisions, incorporating approved payer updates and documenting necessary division-specific differences.
• Coordinate with the payer contracting specialist on contract interpretation and recurring payment discrepancies while retaining ownership of operational billing follow-through.
• Build team capability through cross-training and backup coverage, and recommend staffing or workflow changes based on workload and performance.
• Maintain accurate records, protect confidential information, and perform other assigned duties consistent with behavioral health billing management.

This position directly supervises assigned behavioral health billing staff across multiple divisions and is accountable for team performance, billing quality, and timely follow-through.

PHYSICAL REQUIREMENTS: Primarily office-based work involving computer use, review of electronic records, and communication with staff, clinical leaders, and payers. Requires the ability to perform these duties with or without reasonable accommodation. Travel between division locations may be required.

Must already be authorized to work in the US; sponsorships not available.