Accounts Receivable and Medical Billing Manager - Wingspan Care Group : Job Details

Agency Summary:Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies - resulting in improvements to the delivery of direct service operations.Position Description: The Accounts Receivable and Medical Billing Manager oversees the entire medical billing and collections process for the Agency, managing a team of billing and AR professionals to ensure accurate claim submissions, timely payments, and efficient revenue cycle operations. This role is responsible for supervising staff, optimizing accounts receivable processes, reducing denials, and ensuring compliance with federal, state, and payer regulations, particularly for Ohio Medicaid, and MCOs. The Manager collaborates with clinical, administrative, and financial teams to maximize reimbursements, minimize write-offs, and support the Agency's financial goals across five behavioral health agencies.Responsibilities Include:

• Billing and Claim Management:
• Oversee the end-to-end medical billing process, including claim submission, follow-up, and payment posting for ~130,000 claims/year (95%+ Medicaid/MCO/Aetna OhioRISE).
• Ensure accurate and timely submission of claims through clearinghouses, adhering to payer-specific guidelines (e.g., Ohio Medicaid, Aetna OhioRISE, Commercial).
• Utilize billing software (Netsmart) to streamline claim processing and monitor submission status.
• Accounts Receivable Management:
• Monitor and reduce outstanding balances targeting AR days