Medical Billing Director
Listed on 2026-07-02
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Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Management, Healthcare Compliance
APPLY TODAY AND MAKE A DIFFERENCE IN THE MENTAL HEALTH FIELD!
What We Offer
Enjoy our many benefits and incentives including:
- Affordable Medical/Dental/Vision plans
Flexible Spending Account Generous Paid Time Off Whole Health & Wellness Reimbursement Program Professional development and training opportunities
100% Vested Retirement Plan w/ up to 6% Match Holiday Pay (9)
Paid Time Off for Mental Health Company Paid Life Insurance Spontaneous & Longevity Bonuses Loan Forgiveness Program Eligibility Employee Assistance Program (EAP) & Tobacco Cessation Program
For more details about our benefits, visit our website!
About the Position
Columbia Care is seeking an experienced Medical Billing Director to lead the billing department and billing functions of a large, multi-geographical and multi-service non-profit behavioral health organization. This leadership position oversees the organization's medical billing, reimbursement, payer relations, and compliance.
The ideal candidate is a hands-on billing leader with deep Medicaid behavioral health experience who can quickly assess operations, identify opportunities for improvement, and provide immediate supervision to the billing team and consultation to program and department leaders. Candidates should have direct experience leading Medicaid behavioral health billing operations and be prepared to assume operational oversight.
This position will also play a critical role in the organization's active transition to the Cantata Arize electronic health record (EHR) platform, providing leadership and subject matter expertise to ensure billing requirements, workflows, system functionality, and reimbursement processes are effectively designed, implemented, and optimized
Key Responsibilities
The Medical Billing Director provides strategic and operational leadership for the organization's behavioral health billing operations and revenue cycle activities managed within the Billing Department. This position is responsible for claims management, payer relations, reimbursement optimization, accounts receivable oversight, billing compliance, and revenue cycle processes from authorization and charge capture through claim adjudication and payment resolution.
The Medical Billing Director develops and implements policies, procedures, workflows, and system improvements that promote operational efficiency, billing accuracy, regulatory compliance, and financial performance. Working collaboratively with Finance, Quality, Clinical Services, Operations, Contracts, and Executive Leadership, this position analyzes billing and reimbursement performance, identifies trends and opportunities for improvement, develops actionable solutions, and provides reporting and recommendations that support organizational decision-making and financial sustainability.
The Medical Billing Director provides leadership, supervision, and professional development to billing staff while fostering a culture of accountability, collaboration, continuous improvement, customer service, and compliance. This position serves as the primary liaison with insurance carriers, managed care organizations, state and county agencies, and other external stakeholders regarding billing, reimbursement, and regulatory matters. The Billing Director actively monitors proposed changes to Medicaid billing regulations and Oregon Administrative Rules (OARs), participates in industry and stakeholder forums as appropriate.
Work Schedule: Monday through Friday, 8:00am – 5:00pm (Full Time, Day)
What You’ll Make
$8,333.33 -$10,416.67 per month DOE/Credentials
Additional 5% Language Differential offered for Bilingual or Multilingual candidates.
Columbia Care Services is a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program.
What You’ll Need
Required Qualifications
- Minimum of five (5) years of progressively responsible billing management experience in a Medicaid behavioral healthcare setting.
Prior supervisory or management experience.
Strong expertise in behavioral health billing operations, revenue cycle management, claims processing, denial management, and insurance reimbursement.
Working knowledge of Medicare, Medicaid, commercial…
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