Billing and Eligibility Manager

Billing and Eligibility Manager

Do you enjoy using your knowledge & skill set to help make a meaningful difference in your community? Would you like to be a valuable member of a diverse, dedicated team working toward a shared mission? If so, we invite you to explore an exciting opportunity for you to work as a full-time (40hrs/wk.) Billing & Eligibility Manager where your work directly supports positive outcomes for local populations.

What You Will Be Doing As a Billing & Eligibility Manager, you will be responsible for supervising all phases of primary, secondary, and tertiary claims submission to Medicare, Medicaid, Commercial and all other payers. Your responsibilities will include supervising the complete credentialing process for healthcare professionals, and the billing of clients based on CCBHC sliding fee scale, MDHHS Ability to pay guidelines, and the No Surprise Billing Act. You will implement policies & procedures related to billing & reimbursement of services provided and assist staff in resolving denied claims. Additionally, you will provide supervision for assigned staff, such as Client Access Specialist Supervisor and Medicaid Eligibility Specialist, including hiring, training, monitoring, evaluating, and disciplining.

What We Require You will have a High school Diploma and one of the following: 5-years experience in Behavioral/HealthCare billing 1500 HCFA/UB04 to Third party Liability. Associate's Degree in Healthcare Administration, Business Administration, or related field; with 2 year's experience in Behavioral/Healthcare billing 1500 HCFA/UB04 to Third Party Liability. A Certified Professional Biller (CPB) from American Academy of Professional coders (AAPC) with 2 year's experience in Behavioral/HealthCare billing 1500 HCFA/UB04 to Third Party Liability. Strong written and verbal communication skills are essential, along with the ability to work independently and effectively research to resolve billing issues. A valid Michigan driver's license and/or lived experience with behavioral health issues are also preferred.

Who We Are Integrated Services of Kalamazoo (ISK) (formerly Kalamazoo Community Mental Health and Substance Abuse Services, KCMHSAS) has been delivering quality services and programs to improve the lives of those we have served for over 30 years. ISK works with youth, families, and adults with mental illnesses, intellectual and developmental disabilities, and substance use disorders to help them succeed. We provide welcoming and diverse community partnerships which collaborate and share resources to support individuals and families to be successful and achieve their goals in a trauma-informed environment.

Why Work For ISK Because we make a difference in the lives of the individuals we serve in the Kalamazoo community every day. You will have the opportunity to work with dedicated co-workers in a supportive environment that values diversity, inclusion, and work-life balance and while encouraging continuous learning and professional growth. We also offer a competitive compensation and benefits package, with some of the best retirement plans in southwest Michigan. You will also enjoy 12 paid holidays, prorated Personal Time, 23 days of PTO and the opportunity to earn additional PTO hours for participating in our wellness program! Kalamazoo is also the home of the Kalamazoo Promise!

Come Join Us!

Individuals of diverse racial, ethnic, and cultural backgrounds along with bilingual candidates are invited to apply. ISK is an equal opportunity employer that encourages diversity and inclusion among its workforces. We look forward to meeting you! Physical Requirements/Working Conditions: Physical Efforts Job demands include prolonged sitting and standing as appropriate. May occasionally require light lifting up to 25 pounds, stooping, kneeling, crouching, or bending as appropriate. Requires coordination of hands and/or eye/hand/foot.

Working Conditions Office environment with noise from computers, copy machine, and telephones. Use of computer screen for periods in excess of 30 minutes at a time. Possible eyestrain from extended periods of viewing computer screen. May be exposed to bloodborne pathogens, infectious diseases, and parasites. Travel throughout the Kalamazoo area is required.