Summary

Under the direction of the Director of Patient Revenue, the Billing Manager oversees and coordinates all functions of the medical, dental, and behavioral health billing and revenue cycle for all GFHC sites. Manages data entry, collection, insurance contract adherence, patient billing, correspondence, compliance, refunding/credit balances and AR follow-up and analysis. Promotes and maintains exceptional customer service while supporting timely reimbursement, active claim follow-up, effective accounts receivable management, clear interdepartmental communication, revenue-cycle performance, and collaboration with the Coding and Credentialing Manager. The position also provides coverage and operational support for the Coding and Credentialing Manager as needed.

Job description

Job Summary

Under the direction of the Director of Patient Revenue, the Billing Manager oversees and coordinates all functions of the medical, dental, and behavioral health billing and revenue cycle for all GFHC sites. Manages data entry, collection, insurance contract adherence, patient billing, correspondence, compliance, refunding/credit balances and AR follow-up and analysis. Promotes and maintains exceptional customer service while supporting timely reimbursement, active claim follow-up, effective accounts receivable management, clear interdepartmental communication, revenue-cycle performance, and collaboration with the Coding and Credentialing Manager. The position also provides coverage and operational support for the Coding and Credentialing Manager as needed.

The Billing Manager acts as a liaison between Patient Revenue, clinicians, Informatics, clinical leadership, and other departments regarding claim denial trends, billed-visit write-offs, payer and insurance plan changes, and front-end revenue-cycle issues. This includes communicating trends, identifying workflow concerns, and supporting process improvements that promote billing accuracy, timely reimbursement, and overall revenue-cycle performance.

Responsibilities

Billing Operations and Revenue Cycle Management
Claims, Payments, and Denial Management
Compliance, Reporting, and Process Improvement
Leadership, Collaboration, and Administrative Responsibilities

Requirements

Bachelor's Degree with minimum of two (2) years' experience in management/supervisory capacity; or equivalent combination of education and management experience.
Minimum four (4) years' experience in medical billing and collections.
Strong working knowledge of Medicaid and Medicare programs.
Knowledge of insurance and medical terminology, ICD 10, CPT, coding, collections, and federal and state laws governing billing compliance.
Ability to manage and utilize computerized medical records and billing data systems.
Experience with Federally Qualified Health Center (FQHC) coding and reimbursement preferred.
Ability to manage and utilize electronic health records, practice management systems, payer portals, and billing data systems.
Excellent organizational, analytical, communication, and problem solving skills with strong attention to detail.

Benefits

5 weeks PTO
9 paid holidays
Medical, Dental & Vision
Life Insurance
403(b) Retirement Plan
Voluntary Life Insurance
Employee Assistance Program
FSA & DCA Options

Company overview

Generations Family Health Center, Inc. is a private, not-for-profit, regional Federally Qualified Health Center (FQHC) that has been serving eastern Connecticut since 1984. As a comprehensive community health provider, Generations offers a full continuum of care including primary health services, oral health care, behavioral health services, and comprehensive support services. The organization operates multiple clinical sites across Willimantic, Norwich, Putnam, and Danielson, along with school-based health centers and a mobile health unit that brings essential services directly to underserved communities. Generations is committed to providing accessible, affordable healthcare regardless of patients' insurance status or ability to pay, operating on a sliding fee scale to ensure equitable access. The organization serves diverse populations through specialized programs including agricultural workers, children in foster care, individuals experiencing homelessness, and those with special healthcare needs. With a mission focused on quality, compassionate care for all generations, Generations has established itself as a vital healthcare resource in eastern Connecticut, recognized for its commitment to diversity, equity, and inclusion in both patient care and workplace culture.