Billing Operations Manager

Job Code: BILOPSMGR

Reports To: Director, Business Development Operations

Base Location: AZ or CO

Work Status: Hybrid/Physical Office

Minimum Starting Monthly Range: $7,583

Hiring Range (Monthly Pay): $7,583 - $8,750

Full-time / Part-time: Full-time

Exempt / Non-Exempt: Exempt

Risk Designation: High

Summary:

The Billing Operations Manager is responsible for leading and directing all Health Information Exchange (HIE) billing activities. This role will be responsible for billing preparation, creation of procedures, contract validation auditing, and training. The Billing Operations Manager will drive and manage activities in the areas of contract reporting, quality assurance, and billing. This role reports to the Director, Business Development Operations and will work closely with the Finance, Contract, Legal, Customer Service, Business Development, and Information Technology teams at Contexture.

This position is based in Phoenix Arizona; Denver Colorado; or Grand Junction, Colorado and requires local residency in one of these base locations. Our strategic flexibility allows for local work from home opportunities.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Duties and Responsibilities include the following:

• Gather, review, and analyze financial and business data, including financial reports and other key metrics using data analytics tools.
• Review contracts, Statements of Work, invoices, and other documents for consistency and accuracy.
• Conduct meetings and collaborate with accounts receivable, business development and cross-functional teams.
• Identify opportunities for process improvement, including financial and business process modeling.
• Ensure all company activities adhere to legal guidelines and policies.
• Strategize, implement, and oversee processes for increased productivity and growth.
• Identify, prioritize, communicate, and drive resolution of critical issues and risks to mitigate negative impact.
• Effectively manage difficult situations with clear timely decision making as well as incisive and creative problem solving.
• Provide related staff training.
• Produce and analyze monthly reports, which include customer metrics, financial results, and other reporting metrics.
• Manage documentation regarding various projects, processes, and operations.
• Provide analytical, forecasting, reporting, and project support to Finance, Contracts, Customer Service, Business Development, and Information Technology teams as needed.
• Perform internal audits on financial activities as necessary.
• Perform other related duties as assigned.

Skills

• Excellent skills in the areas of organization, attention to detail, time management, ability to manage multiple tasks simultaneously, define and set priorities, and problem solving are required.
• Must exercise discretion with highly sensitive and confidential information and demonstrate good judgment.
• Strong process orientation, problem solving and troubleshooting skills, and a firm commitment to quality.
• Ability to establish and meet deadlines in a fast-paced environment and work on many projects at the same time.
• Ability to establish and maintain effective working relationships with employees and stakeholders at all levels.
• Outstanding communications skills, able to communicate with all levels.
• Anticipate problems and take decisive action, giving regard to impact on all stakeholders.
• Ability to lead meetings attended by senior executives, manage expectations and drive consensus.
• Ability to think creatively and introduce and implement new ideas into realistic solutions.
• Ability to embrace changes and adjust quickly to work demands and shifting priorities.
• Team Player, able to excel in unstructured and structured environments.
• Ability to embrace changes and adjust quickly to work demands and shifting priorities.
• Solid understanding of health information technology, health information exchange, and electronic health records preferred.
• Analyzes problems systematically and logically and is resourceful when developing and implementing solutions.
• Proficiency with the Microsoft Office Suite including Excel, Word, Project, and Visio preferred.
• Working knowledge of CRM tools preferred (Microsoft Dynamics-365, com, Infusionsoft, NetSuite, etc.).
• Hands-on experience with different databases and complex IT systems.
• Ability to understand the big picture while working at a detailed, task-based level.
• Strong interpersonal and negotiation skills, with a high degree of self-motivation and ability to work independently.

Education/Experience

• Minimum of 6+ years of business management experience.
• Bachelor’s Degree in Administration, Accounting, Finance or Marketing required; equivalent directly related work experience may be considered in lieu of a degree.
• Experience in healthcare and/or information technology preferred.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.

The position may require occasional availability for after-hours work, outside of regularly scheduled hours.

The position may require ability to periodically drive to and from clients, conferences and / or events; and / or limited travel.

This position is expected to be exposed to, process, or handle sensitive information including but not limited to Protected Health Information (PHI), Personally Identifiable Information (PII), financial information, etc. As such, the holder of this position is expected to comply with all applicable laws, regulations, organizational policies, and compliance expectations.

Physical Demands

Physical demands described here are representative of those that must be met by an employee The physical demands described here are representative of those necessary to perform the essential functions of the role:

• Frequent communication and information exchange.
• Regular movement within the office to access equipment and materials.
• Ability to remain stationary for extended periods (approximately 50% of the time).
• Continuous use of computers and office equipment (e.g., keyboard, monitor, printer).
• Frequent handling of materials up to 10 lbs; occasional handling up to 30 lbs.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Note: This job description is not intended to be an exhaustive list of all duties, responsibilities and / or qualifications associated with the job.

Benefits: Contexture provides a comprehensive benefits package. For details, please request a Benefit Summary from our Benefits Department.

The organization is an inclusive Equal Opportunity Employer. We do not discriminate on the basis of age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other status protected by law or regulation.