About the job

Manager, Billing & Accounts Receivable - Pacific Time Zone Strongly Preferred

The Stepping Stones Group is transforming the lives of children, families, and communities together through our exceptional therapeutic and behavioral health services. We believe our Core Values embody the culture of our organization: Trust, Integrity, Results, Quality, Community, and Inclusivity.

The Stepping Stones Group is committed to diversity and inclusion. As a socially conscious employer driven by purpose, we welcome all people who have the heart to join us in our mission to transform lives together. We celebrate the diversity of our colleagues and believe by listening, learning, and empathizing with each other’s life experiences we become a stronger organization. If you believe every day is an opportunity to make a difference, we would like to meet you!

In This Position You Will (Position Summary):

The Manager assists and supports the Senior Manager of Billing & AR by managing all aspects of the revenue cycle, including billing, coding, collections, and reimbursement processes. This role requires a deep understanding of insurance regulations, payer and coding guidelines, and reimbursement procedures specific to the ABA industry. The successful candidate will demonstrate strong leadership abilities, exceptional analytical skills, and a commitment to maximizing revenue while maintaining compliance with applicable laws and regulations.

Outcomes:

1. Identify and deploy Waystar improvements that support a reduction in Total Billed AR Days by 15% and increase in monthly cash collections by 10%
2. Reduce and maintain Waystar AR below the dollar and volume thresholds set by the Revenue Cycle Director
3. Reduce and maintain a 20% reduction in Average Charge Lag Days

Responsibilities:

Revenue Cycle Management:

• Support the implementation of strategies to optimize the revenue cycle process, ensuring accurate and timely billing, coding, and reimbursement.
• Monitor key performance indicators (KPIs) selected by the Senior Manager to identify areas for improvement and implement corrective actions.
• Manage and mentor the Billing and AR Specialists while partnering with key stakeholders throughout the revenue cycle workflow, from intake and verification of client insurance information to final claim resolution and payment posting.
• Collaborate with internal teams, including clinical staff and administrative personnel, to ensure effective coordination of billing and collection efforts.

Revenue Integrity:

• Support audits conducted by the Senior Manager of Billing and AR to ensure compliance with insurance regulations, coding guidelines, and industry best practices.
• Review and validate billing and coding accuracy, identifying and addressing any discrepancies or errors.
• Stay updated on changes to insurance regulations and coding standards and communicate relevant updates to the billing and coding teams.

Invoicing and Claims Processing:

• Manage the submission and tracking of insurance claims and invoices, ensuring timely and accurate submission.
• Communicate when changes are need to Central Reach invoicing templates and claim settings and Waystar claims processing settings, inclusive of when claims are held for payer enrollment
• Collaborate with insurance providers, payers, and clients to resolve claim rejections, denials, and appeals.