Billing Manager

About Community Care Network / Rutland Mental Health Services:

Community Care Network (CCN), comprising Rutland Mental Health Services and Rutland Community Programs, is dedicated to fostering the health and well-being of individuals, families, and communities throughout Rutland County. Guided by our mission to provide responsive, innovative, and collaborative care, we proudly serve over 3,000 people each year.

Our compassionate and skilled team is committed to making a meaningful difference through our behavioral health, developmental disabilities, substance use recovery, senior and volunteer, and early childhood education services. Joining CCN means becoming part of a supportive and professional organization that values collaboration, innovation, and community-centered care.

General Summary:

The Billing Manager is responsible for overseeing the organization's billing processes and ensuring compliance with Federal, State, and Third-Party Payer regulations. This role manages daily billing operations, supervises billing staff, and collaborates with Program Directors and the accounting team to ensure accurate billing imports to the Agency's accounting system. The Billing Manager is also responsible for implementing policies and procedures to improve efficiency, minimize errors, and ensure the organization's revenue cycle functions smoothly.

Principal Responsibilities:

• Ensure the accurate and timely processing of Medicaid, Medicare, and private insurance billing.
• Adherence to month-end closing schedule.
• Maintain up-to-date knowledge of industry regulations, documentation, coding rules, and compliance requirements.
• Identify and address billing discrepancies, denials, and inefficiencies, implementing corrective measures as needed.
• Develop and enforce billing policies and procedures to maintain compliance and efficiency.
• Monitor and analyze billing trends, reimbursement rates, and claim denials, implementing corrective actions as needed.
• Work closely with Program Directors and accounting teams to ensure billing accuracy and proper financial tracking.
• Provide regular updates to senior leadership regarding the financial status of billing operations
• Assist in audits and financial reviews related to billing activities.
• Supervise, train, and mentor billing clerks, providing guidance and support in daily operations.
• Other duties as assigned.

Qualifications and Competencies:

• Bachelor's degree in a relevant field preferred or equivalent combination of education and experience.
• Minimum of five years of experience in billing management, including Medicaid, Medicare, and private insurance billing.
• At least three years of supervisory experience, with proven leadership abilities.
• Strong knowledge of billing compliance, coding regulations, and revenue cycle management.
• Excellent organizational, problem-solving, and analytical skills.
• Effective verbal and written communication skills in English.
• Experience with billing software and financial reporting systems preferred.
• Must have a valid driver's license, reliable transportation with personal automobile liability insurance coverage at or above the levels mandated by the State of Vermont.
• Successful completion of a criminal history background check after hire.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to access all work sites of the Agency.
• Ability to give regular communications in person, writing, by email and by phone.
• Ability to travel independently.
• Light physical requirements including prolonged sitting, standing, walking, bending, lifting of items, and weight bearing in addition to sitting/standing in front of a computer.
• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

Work/Environment:

• The duties of this position are performed in a professional office setting.
• Travel is required when necessary to perform work responsibilities and to attend meetings, seminars or other work-related obligations.

Benefits and Perks:

• Health Insurance (HRA & HSA plan options with employer contributions and low co-pays)
• Dental
• Life/ AD&D
• LTD & STD
• Flexible Spending Account
• Employee Assistance Program
• Wellness Program

#RutlandMentalHealthServices

AAP/EEO Statement

The Community Care Network provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Further, the company takes affirmative action to ensure that applicants are employed and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

In keeping with the above conviction, The Community Care Network is committed to assuring that:

All recruiting, hiring, training, promotion, compensation, and other employment related programs are provided fairly to all persons on an equal opportunity basis without regard to race, creed, color, religion, sex, age, national origin, disability, veteran status, or any other characteristic protected by law; employment decisions are based on the principles of equal opportunity and affirmative action; and all personnel actions such as compensation, benefits, transfers, training, and participation in social and recreational programs are administered without regard to race, creed, color, sex, age, national origin, disability, veteran status, or any other characteristic protected by law.

Gallagher, Flynn, & Company, LLP has been retained to conduct this search. While we appreciate all interest in this exciting opportunity, only candidates most closely aligned with our search will be contacted.

Disclaimer: What is listed above is representative of the position's responsibilities but is not meant to be an exhaustive list. Responsibilities may change during employment at the company's discretion.