Billing and Claiming Manager

What We Offer

Working at the County of Sonoma offers expansive opportunities for growth and development, the ability to be a part of a challenging and rewarding work environment, and the satisfaction of knowing you're working to better our communities. You can also look forward to flexible work arrangements and excellent benefits* including:

• A hybrid telework schedule that meets the needs of our staff, department operations, and the communities we serve may be available depending on the assignment
• Eligibility for a salary increase after 1,040 hours (6 months when working full-time) for good work performance; eligibility for a salary increase for good performance every year thereafter, until reaching the top of the salary range
• Competitive vacation and sick leave accruals, 12 paid holidays, and an additional 8 floating holiday hours per year
• County paid 100% premium contribution for the majority of employee-only and employee + family health plan options
• An annual Staff Development/Wellness Benefit allowance of up to $1,700 and ongoing education/training opportunities
• County contribution to a Health Reimbursement Arrangement to help fund post-retirement employee health insurance/benefits
• Retirement fully integrated with Social Security
• May be eligible for up to 8 weeks (320 hours) of Paid Parental Leave after 12 months of County employment

About the Position

The Billing and Claiming Manager is responsible for the department’s revenue management cycle operations, including providing leadership for and management of the administrative and fiscal functions associated with claims processing, payment, and revenue generation and/or management within the Behavioral Health and Public Health Divisions. This position will manage professional and technical staff supporting the accounting and administrative work of the unit. Additional responsibilities include:

• Leading and managing staff within the revenue cycle unit in the development, implementation, and administration of all policies and procedures relating to the revenue cycle management function
• Providing leadership to identify, develop, and analyze revenue enhancement opportunities along the client care continuum from entry into the system through completion of the claims adjudication process
• Forecasting and monitoring revenue
• Developing periodic and ad-hoc fiscal/revenue reports to support business decisions-making and strategic plan implementation
• Developing and submitting cost reports
• Managing the billing and claiming operations including, but are not limited to, oversight of the invoicing and billing of Behavioral Health contracted providers
• Providing oversight of mental health and substance use disorder programs’ billing and claiming of services with various funding sources (e.g., Medi-Cal, Medicare, and private insurance companies)
• Overseeing Medicare program and provider enrollment
• Developing and improving processes and procedures for Behavioral Health claiming
• Establishing and maintaining processes and procedures for Behavioral Health billing and revenue management

The ideal candidate for this position will possess:

• Strong knowledge of accounting, and cost accounting principles 
• Excellent verbal and written communication skills to be present and explain data and detailed information to stakeholders
• The ability to lead and manage people, projects, and tasks in a stressful, fast-paced environment
• Excellent management and interpersonal skills with demonstrated ability to work collaboratively with a variety of audiences and stakeholders
• Strong analytical and critical thinking skills to review, analyze, and interpret data, monitor progress, overcome challenges, and implement solutions
• Strong Microsoft Excel and Word knowledge and skills
• Knowledge of Electronic Health Record (EHR) and billing systems 
• The ability to support, motivate, and inspire employees in the unit, and make a collaborative environment for employees to thrive

*Salary is negotiable within the established range. Benefits described herein do not represent a contract and may be changed without notice. Additional information can be found in the Salary Resolution (SalRes) and our Employee Benefits Directory. 

This recruitment is being conducted to fill a Billing and Claiming Manager position in the Department of Health Services. The Civil Service title for this classification is Administrative Services Officer I. This employment list may also be used to fill future full-time, part-time, or extra-help (temporary) positions as they occur during the active status of the list. Qualified County employees who wish to be considered for future positions should consider applying to this recruitment.

Minimum Qualifications

Education: Academic coursework which would provide the opportunity to acquire the knowledge and abilities listed. Normally, coursework in public administration, business administration, management, accounting, statistics, human resources or closely related courses would provide such an opportunity. 
 
Experience: Experience which would provide the opportunity to acquire the knowledge and abilities listed. Normally, two years of progressively responsible experience in a professional, human resources, administrative or fiscal staff position would provide such an opportunity. Experience supervising professional, administrative or technical staff is desirable. 
 
License: Possession of a valid driver's license at the appropriate level including necessary special endorsements, as required by the State of California to perform the essential job functions of the position.

Knowledge, Skills, and Abilities

Considerable knowledge of: principles and practices relating to modern budget, programs and systems management. 
 
Working knowledge of: operations and functions of county government; group dynamics as it relates to public organizations; research methodology, report writing and basic statistics, and their application; rate analysis; public debt analysis and legal requirements; grant proposal preparation; alternative funding sources; effective human resources and supervisory techniques; written and oral communications, including language mechanics, syntax and English composition; and modern office methods and procedures; the use of electronic information equipment and specific systems as used within the department.

Ability to: plan and organize research and statistical work relating to the various aspects of administration, budget and general management matters; understand, interpret and apply rules, regulations, ordinances, and federal, state and local legislation; effectively communicate orally and in writing, and present conclusions before advisory and policy bodies; effectively supervise the work of professional, technical and office support staff; establish and maintain effective working relationships with county management personnel, employees, and the public in carrying out sound management policies; perform data collection, interpretation and evaluation pertaining to administrative, fiscal and management matters; use principles of inductive and deductive reasoning to validate conclusions and recommendations; analyze administrative problems, budgets, and a variety of programs, systems and procedures; use electronic information equipment and specific systems as used within the department.

Selection Procedure & Some Helpful Tips When Applying

• Your application information and your responses to the supplemental questions are evaluated and taken into consideration throughout the entire selection process.
• You should list all employers and positions held within the last ten years in the work history section of your application and should be as thorough as possible when responding to the supplemental questions.
• You may include history beyond ten years if related to the position for which you are applying. If you held multiple positions with one employer, list out each position separately.
• Failure to follow these instructions may impact your competitiveness in this process or may result in disqualification.