The Billing Manager be liaison with the outsourced billing vendor(s), oversee training opportunities for staff who contribute to the revenue cycle, lead the creation of standard operating procedures, ensure that necessary reporting is obtained in a timely manner from in house or outsource resources, and ensure all revenue cycle key performance indicators are being met successfully. This individual acts as the liaison between staff for coding, charting errors and related updates. We are accepting applicants who are interested in this position on a remote basis.

As a condition of employment, Summit Community Care Clinic requires COVID-19 vaccination of all clinical and non-clinical staff.

Essential Functions:

• Support billing questions from patients and outreach to patients regarding insurance eligibility and patient balances and payment plans.
• Collaborate with the PSR Manager to provide and/or provide training (PSR’s, Patient Navigators, Financial Applicators) in the areas of patient co-pays, eligibility verifications, ABNs).
• Monitor KPIs to determine adherence to policies and identifies further areas of training needed.
• Support the development and implementation of accurate and efficiency workflows between internal staff and external vendors related to the revenue cycle.
• Achieve super user status of Dental and Medical EHR regarding billing & collections; coordinate activities with other clinical super users.
• Reconcile cash collections and payments between bank deposits, payment posting to accounts receivable.
• Support capacity to enroll patients Medicaid or other insurance through coordination with Medicaid Outreach Specialist
• Work as a liaison between the Care Clinic, the providers, human resources, and the credentialing vendor to avoid any billing issues related to credentialing.
• Ensure continued access to all relevant payer portals.
• Maintain commercial payer’s electronic system with up-to-date employee information.
• Manage clean claim submissions in a timely manner (14 business days), including preparation of a preliminary claims report Submit external reports, as necessary.
• Other duties as assigned.
• If on site:

• Daily mail pickup and drop off. Sorting mail to the proper departments.
• Scan all billing mail to the appropriate billing teams.
• Deposit processing- pick up deposits at appropriate sites, organize and take to the bank.
• Assist with other administrative billing functions as needed, such as statement processing etc.
• Rotate administrative assistance to Patient Services Representative Leaders (Medical, BH, Dental, School Based Health Centers)- this includes paperwork processing, patient outreach as needed, any other administrative task that can support PSR operations for all services and sites.
• Fill in as a Patient Service Representative in times of short staffing or PTO, learn how to check patients in and out; collect payment in both electronic health records systems.

Additional Requirements:

• Grants are a vital part of Care Clinic revenues and directly or indirectly support all positions. This role may have responsibilities that are closely associated with grant deliverables. Grants and grant responsibilities may change over time.
• Complete all required trainings as designated by HR and the position manager.
• Adhere to all policies within organization and those outlined withing the SCCC Employee Handbook.
• Comply with all SCCC Vaccine Mandates.
• Willingness to travel and work at other SCCC locations as determined by the manager.
• Comply with all applicable Credentialing and Privileging requirements timely.
• Embrace the SCCC Mission and Vision and agree to work within the SCCC Guiding Principles and the principles set by the position manager.
• Must participate in quality assurance/ improvement activities when applicable.

Qualifications:

To perform this job successfully, an individual must be able to engage in 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.

Education/Experience:

Must Haves to be successful:

• Bachelor’s degree or equivalent between education and experience.
• A minimum of 3 - 5 years’ experience in billing, collections, and other patient finance activities in a healthcare setting– preferably a clinic or physician practice setting.
• Proven skills with management, people skills, etc. with exemplary performance recommendations regarding patient, peer & management interactions.
• Self-motivated with career-oriented attitude to continuous improvement & development of personal skills and organizational goals.
• Ability to read, write and clearly speak the English language.
• Ability to interpret a variety of instructions and deal with multiple linguistic and cultural variables.
• Confidently use a computer to create, edit and navigate Word and Excel documents.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to reason objectively.
• Ability to interpret state/ federal/agency regulations.
• Ability to document concisely, accurately, and in a timely manner.
• Ability to handle a variety of duties that may be interrupted or changed by immediate circumstances.
• Ability to tolerate high-stress situations.

Nice to Haves:

• Prior FQHC experience
• Supervisory experience
• Ability to read, write and clearly speak the Spanish language (bilingual
• Experience with electronic medical records and practice management systems
• Highly organized

Work Environment:

The work environment is in a healthcare setting and can be fast-paced and involves communication with patients and medical personnel. This role is highly clerical in nature. Requires the ability to work autonomously and stay on task. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.

Live, work, and play in ‘Colorado’s Playground’! Summit County boasts four world class ski resorts with Vail Resort just 45 minutes away. With rivers, lakes, hiking, and mountain biking trails, Summit County is paradise for the outdoor enthusiast. From summer to winter, Summit County is a year-round destination with activities include skiing, snowboarding, cross-country skiing, snowshoeing, snowmobiling, hiking, biking, rafting, fishing, and boating. Music, art, cultural and social events are plentiful year-round. The different communities in Summit County include Frisco, Breckenridge, Dillon, and Silverthorne; ski resorts include Breckenridge, Copper Mountain, Keystone and Arapahoe Basin.

Summit Community Care Clinic:

• Provides rewarding, mission-driven careers in the heart of the beautiful Colorado mountains. As a member of the Care Clinic team, you will make an important difference in the lives of the patients you serve - changing lives every day. We have been nationally recognized for our integrated care model.
• Is a Federally Qualified Health Center (FQHC) that provides a full range of integrated care services including medical, dental, and behavioral health services through a team-based model of care. is highly valued as an important thread in the community fabric. There is an underlying appreciation of what the clinic provides to the community, and this creates a fulfilling workplace environment.
• SCCC currently offers the following:
• • Insured group health, dental, & vision plans
  • Medical and dependent care flexible spending account options
  • 401k retirement plan with an employer contribution match
  • Life, AD&D, and Long-term disability plans paid for by employer
  • Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
  • Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and short-term disability, and group pet insurance
  • A generous mix of Paid Time Off and paid holidays
  • Lifestyle Spending Account (for Full Time employees)
  • Offer fringe benefits like ski medallion, rec center discounts, etc.
  • Training program for growth potential

If we sound like the kind of dynamic, caring organization that meets your requirements, apply now.