Accounts Receivable and Medical Billing Manager

Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies – resulting in improvements to the delivery of direct service operations.

Position Description :   The Accounts Receivable and Medical Billing Manager oversees the entire medical billing and collections process for the Agency, managing a team of billing and AR professionals to ensure accurate claim submissions, timely payments, and efficient revenue cycle operations. This role is responsible for supervising staff, optimizing accounts receivable processes, reducing denials, and ensuring compliance with federal, state, and payer regulations, particularly for Ohio Medicaid, and MCOs. The Manager collaborates with clinical, administrative, and financial teams to maximize reimbursements, minimize write-offs, and support the Agency’s financial goals across five behavioral health agencies.

Responsibilities Include :

• Billing and Claim Management :

Oversee the end-to-end medical billing process, including claim submission, follow-up, and payment posting for ~130,000 claims / year (95%+ Medicaid / MCO / Aetna OhioRISE).

Monitor and reduce outstanding balances targeting AR days

Oversee denial management processes, ensuring timely appeals, targeting

Supervise a team, including AR Specialists, Denial Management Specialists, and Cash Application Specialists, including hiring, training, performance appraisals, and disciplinary actions.

Identify and implement strategies to improve revenue cycle efficiency, reduce unbilled claims, and enhance cash flow.

Communicate with payers (Medicaid, MCOs, Aetna OhioRISE, commercial) via phone, email, or portals to resolve payment delays, verify benefits, and monitor payments against contracts.

Prepare and analyze financial reports (e.g., aging, denial, and collection reports), providing insights to the Director of Revenue Cycle, CFO, Executive Directors, and Practice Managers / Supervisors.

Ensure compliance with HIPAA, Ohio Medicaid regulations, and other federal / state laws, maintaining confidentiality of client data.

Work with Agency directors to answer AR related questions from Operating Statements using GL and monthly billings as a guide.

Leverage billing software (Netsmart), clearinghouses, and payer portals, to automate processes (e.g., 835 posting).

Qualifications :

Bachelor’s degree in business administration, finance, accounting, healthcare, or related field preferred; or Associate’s degree with certification in Medical Billing / Health Claims Examining (e.g., CPC, CPB) plus 5+ years of supervisory or above experience.

Experience :

Salary :   The salary range is $75,000 - $100,000 per year depending on relevant education, experience, and licensure.

At Wingspan, we prioritize our employees and their wellbeing. We provide competitive benefit options to our employees and their families, including domestic partners and pets.

Our offerings include :

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Why Work for Us : We value our employees and their commitment to our mission and offer competitive total rewards (benefits and compensation) options to our valued employees and their families, including domestic partners. Our rich options include :

Wingspan Care Group (“Wingspan”) is the not-for-profit parent company of Applewood Centers, Inc., Bellefaire Jewish Children’s Bureau, Bluestone Child & Adolescent Psychiatric Hospital, and Lifeworks. The mission of Wingspan is to provide organizational efficiencies at the operational, administrative, and fiscal levels for its subsidiary agencies so that they may focus on their respective missions. Wingspan is an Equal Opportunity Employer. Wingspan’s policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. Wingspan also prohibits harassment of applicants or employees based on any of these protected categories.