Billing Manager #59583 $66,414.40 Annually+ DOE

This is a full-time, salaried, exempt position with a compensation range of $66,414.40 to $88,545.60; qualified candidates will typically be placed between the starting wage and the 75th percentile of the range, depending on qualifications and experience.

Make a difference with VOA Oregon! For over 125 years, Volunteers of America Oregon has been dedicated to serving the most vulnerable members of our community. Through our programs in behavioral health, addiction treatment, reentry services, and support for children and families, we provide life-changing services that promote safety, healing, and empowerment.

Join a mission-driven organization that truly values its employees! This is a full-time position with excellent benefits, including:

Comprehensive health coverage - medical, dental, and vision insurance, with an employee medical premium starting at just $12.50 per paycheck

Financial protection - life insurance, short- and long-term disability insurance

Retirement security - 403(b) with an automatic 5.5% employer contribution after 18 months, regardless of employee participation

Work-life balance - a generous paid time off (PTO) plan, starting with accruals that earn 15 days in the first year, 23 days in the second, and 26 days in the third

Upfront sick leave - 80 hours of front-loaded sick time (prorated in the first year), which resets annually on January 1

Paid holidays - 10 paid holidays each year, plus three personal holidays (prorated in the first year) for employees to take time off to celebrate holidays, events, or milestones that matter most to them

Student loan forgiveness - As a 501(c)(3) nonprofit, VOA Oregon is a qualifying employer for the Public Service Loan Forgiveness (PSLF) program, which can help employees reduce or eliminate their federal student loan debt after 10 years of qualifying payments.

Additional perks - flexible spending accounts, an employee assistance program, and other voluntary benefits and discounts

At VOA Oregon, you'll be part of a compassionate and dedicated team, making a real difference in our community. Apply today!

Job Summary

The Billing Manager is responsible for the oversight and performance of all billing operations to ensure accurate, timely, and compliant revenue cycle processes across programs. This role supervises billing staff, ensures adherence to payer, regulatory, and organizational requirements, and leads the development and continuous improvement of billing systems, workflows, and controls. The Billing Manager partners with finance and program leadership to support financial integrity, optimize collections, and maintain alignment with organizational priorities.

Education & Experience.

• Bachelor's degree in business, healthcare administration, accounting, or a related field, or equivalent combination of education, certification, and experience.
• Five (5) years of experience in medical or behavioral health billing and coding, including at least two (2) years in a supervisory or lead capacity.
• Experience developing and implementing billing policies, procedures, and workflows.
• Experience working with electronic health record systems and claims processing platforms.
• Experience applying accounting principles relevant to billing, reconciliation, and revenue tracking.
• Experience working with Medicaid, Medicare, and managed care billing requirements, including Oregon Health Plan.

Certificates, Licenses, Registrations and/or Specialized Training

No additional certifications, licenses or registrations are required.

Essential Job Duties

• Supervises billing staff by assigning work, monitoring performance, balancing workloads, and providing coaching and corrective feedback to ensure accurate and timely completion of billing functions.
• Oversees the end-to-end billing process, including data intake, charge entry, claims submission, denial management, payment posting, and reconciliation to ensure completeness, accuracy, and timeliness of revenue cycle activities.
• Reviews and validates billing data from program sources, identifies discrepancies, and ensures corrective actions are implemented and documented to reduce recurring errors and improve data integrity.
• Ensures compliance with all applicable payer requirements, contracts, and regulatory standards, including Oregon Administrative Rules and third-party billing requirements, by monitoring updates and integrating changes into billing practices.
• Oversees authorization and eligibility verification processes to ensure services are billed in alignment with payer requirements and approved service levels.
• Monitors claims processing performance, including submission timeliness, denial trends, and reimbursement outcomes, and implements corrective strategies to improve collections and reduce revenue loss.
• Reviews and approves monthly invoicing to external partners and ensures invoices are accurate and submitted within established timelines.
• Oversees reconciliation of billing, payments, adjustments, and write-offs, ensuring discrepancies are identified, investigated, and resolved in a timely manner.
• Completes or oversees month-end close processes related to billing systems, including validation of documentation, reconciliation of accounts, and confirmation that all financial activity is accurately recorded.
• Develops, implements, and maintains billing policies, procedures, and internal controls to support compliance, consistency, and operational efficiency.
• Monitors billing operations to identify process gaps or inefficiencies and leads continuous improvement efforts to enhance accuracy, timeliness, and staff productivity.
• Collaborates with finance, program leadership, and external partners to resolve complex billing issues and support organizational financial performance.
• Performs other duties as assigned.

Knowledge, Skills, & Abilities

• Knowledge of medical and behavioral health billing processes, including claims submission, denial management, payment posting, and reconciliation.
• Knowledge of Medicaid, Medicare, and managed care payer requirements, including authorization and eligibility standards.
• Knowledge of CPT and HCPCS coding and their application within billing practices.
• Knowledge of applicable regulatory requirements, including privacy, documentation, billing compliance standards, and record retention requirements.
• Knowledge of Oregon Administrative Rules and third-party payer requirements related to billing and reimbursement processes.
• Knowledge of principles and practices of supervision, including performance management, coaching, staff development, and workload management.
• Knowledge of organizational operations and the financial and operational impacts of billing decisions on program and organizational performance.
• Skilled in analyzing billing data, identifying trends, and implementing solutions to improve performance, accuracy, and revenue outcomes.
• Skilled in using electronic health record systems, billing platforms, and Microsoft Office applications, including Excel, to support reporting and analysis.
• Skilled in organizing and managing multiple workflows and priorities to meet deadlines and operational expectations.
• Skilled in verbal and written communication to convey information clearly, adapt messaging to the audience, and support understanding across staff, leadership, and external partners.
• Skilled in setting performance expectations, monitoring progress, and using data and metrics to evaluate outcomes and support goal attainment.
• Skilled in identifying billing errors, discrepancies, and process gaps and implementing corrective actions to improve accuracy and efficiency.
• Ability to develop, implement, and monitor policies and procedures that support compliance, operational effectiveness, and alignment with organizational priorities.
• Ability to identify process gaps, evaluate operational performance, and lead continuous improvement efforts within billing operations.
• Ability to align team activities with departmental and organizational goals and ensure work is performed in a manner that supports those objectives.
• Ability to make informed decisions by evaluating business implications, operational impact, and available data.
• Ability to supervise, support, and hold staff accountable through clear expectations, consistent feedback, and performance management practices.
• Ability to foster a professional, respectful, and collaborative work environment where team members are supported in contributing to shared goals.
• Ability to work independently while coordinating effectively with cross-functional teams.
• Ability to manage time effectively, prioritize competing demands, and meet established deadlines.
• Ability to maintain confidentiality and handle sensitive information in accordance with applicable laws and organizational standards.

Other Eligibility Requirements

• Must complete a criminal history background check and receive authorization from the State of Oregon's Background Check Unit.
• Must not be excluded from participation in federal healthcare programs, including but not limited to listings on the Office of Inspector General (OIG) List of Excluded Individuals/Entities and the System for Award Management (SAM) exclusion list.
• Must be legally authorized to work in the United States without sponsorship.

Travel Requirement

• This position does not require regular business travel. Occasional overnight travel may be necessary for training, meetings, or other business needs.

Supervisory Responsibilities

This position is responsible for supervising 6 or more employees

Physical Demands & Work Environment

The physical demands described here must be met by an employee while performing the essential duties of this job. The employee is regularly required to sit for extended periods, use hands and fingers to operate a computer and other office equipment, and communicate effectively in person and by phone. The employee may occasionally be required to stand, walk, bend, and lift up to 25 pounds.

The work environment characteristics described here may be encountered by an employee while performing the essential duties of this job. The work is primarily performed in a professional office setting with frequent use of standard office equipment such as computers, phones, and printers. Occasional travel between program sites, partner sites, and to community meetings is required. The noise level is generally low to moderate.

Individuals in this role must be able to perform essential job duties with or without reasonable accommodation and without posing a direct threat to the safety or health of employees or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential duties.

The above statements are intended to describe the general nature and level of work being performed by the incumbent(s) of this job. They are not intended to be an exhaustive list of all responsibilities and activities required for this position.