About the Position

ColumbiaCare is seeking an experienced Medical Billing Director to join our team in Medford, OR! The Medical Billing Director will 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.

ColumbiaCare 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 insurance billing, payer requirements, and Oregon behavioral health billing regulations.
• Experience with electronic health record (EHR) systems, medical billing applications, workflow management systems, and Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint).
• Demonstrated ability to analyze complex billing and reimbursement data, identify operational challenges, and implement effective solutions.
• Experience collaborating across departments and building productive relationships with payers, regulatory agencies, and external stakeholders.
• Must demonstrate the knowledge, attitudes, and skills described in the organization's Core Values and Competencies.
• Regular and reliable attendance.

Preferred Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field.
• Certified Professional Coder (CPC) certification.
• Experience with Cantata Arize or similar behavioral health EHR platforms.
• Experience supporting EHR implementations, billing system conversions, or revenue cycle optimization initiatives.

Must also have the ability to pass a DHS criminal background check.

This position requires the ability to frequently sit, talk, listen, and use hands and fingers. It may require the ability to occasionally walk, climb stairs and ladders, bend, stoop, squat/kneel, and perform other physical tasks as applicable; as well as lift, carry, push, and pull up to 20 pounds.

We recognize that expertise can arise from diverse experiences. If you're passionate about our mission but unsure about meeting all qualifications, we encourage you to apply. For any questions about eligibility or the application process, please contact our HR department.

Monday through Friday, 8:00am - 5:00pm (Full Time, Day)