Overview
Position Summary: Serve as the primary point of contact for billing operations within a healthcare organization supporting Medicaid-funded services. Oversee end-to-end revenue cycle activities to ensure accurate, timely billing and reimbursement. Act as a liaison between Finance, Operations, Program Leadership, and Billing teams to resolve issues and improve billing processes. Support a complex and evolving billing environment by driving operational efficiency, process stabilization, and revenue cycle performance.
Key Responsibilities
Manage and oversee daily billing operations, including claim submission, payment posting, and claim follow-up.
Review and resolve denied, rejected, and failed claims to maximize reimbursement and minimize revenue leakage.
Monitor billing queues and claims worklists to ensure timely processing and submission.
Analyze failed claims reports and partner with internal stakeholders to address billing discrepancies and system issues.
Run, review, and distribute billing, revenue cycle, and financial reports.
Ensure compliance with Medicaid billing requirements, payer regulations, and organizational policies.
Collaborate with program managers, operations teams, and finance leaders to maintain billing accuracy and data integrity.
Support cash flow management through timely claim submission and proactive follow-up on outstanding accounts receivable.
Identify process improvement opportunities and implement best practices to enhance billing efficiency.
Serve as the billing subject matter expert (SME) for internal teams and provide guidance on billing-related issues.
Assist with training, mentoring, and supporting billing staff without direct supervisory responsibility.
Coordinate with clearinghouses, payers, and system vendors to investigate and resolve billing issues.
MUST HAVE
Strong experience in medical billing, revenue cycle management, and claims processing.
Hands‑on knowledge of Colorado Medicaid billing guidelines and reimbursement processes.
Experience working with healthcare clearinghouses and electronic claim submission systems.
Proficiency with EMR/EHR platforms, preferably CareLogic.
Ability to analyze billing data and troubleshoot claim denials, rejections, and payment issues.
Strong communication and collaboration skills with both operational and financial stakeholders.
Excellent organizational skills and attention to detail in a fast‑paced healthcare environment.
Advanced reporting and problem‑solving capabilities.
Must be 21+ or older.
Preferred Qualifications
Experience supporting behavioral health, community health, or Medicaid-funded healthcare organizations.
Knowledge of healthcare revenue cycle best practices and process improvement methodologies.
Previous experience serving as a lead, mentor, or senior-level billing resource.
Experience Level: Intermediate Level
Job Type: Contract to Hire. Location: Lakewood, CO.
Pay Range: $28.00 - $35.00/hr.
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long‑term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
The company is an equal opportunity employer and will consider all applications regardless of race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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