Manager of Information Systems, Revenue Cycle & Credentialing in Renton, Washington at Consejo Counseling and Referral Service

Why Join Consejo?

Join a pioneer in bilingual and bicultural care. We offer a supportive environment dedicated to professional development and a competitive benefits package that prioritizes your work-life balance:
● Unique Perks: Paid Birthday Off, personal days, and training funds.
● Financial Security: Sign-on bonus, relocation assistance, and 401(k) plan.
● Health & Wellness: Comprehensive medical, dental, vision, life insurance, and AD&D.
● Time Off: Generous vacation, sick leave, and paid holidays.

Summary of Job Description:

The Manager of Information Systems, Revenue Cycle & Credentialing oversees behavioral health information systems, data management, revenue cycle operations, provider credentialing, and payer enrollment activities. This position is responsible for ensuring data integrity, regulatory compliance, efficient reimbursement processes, accurate provider enrollment, and effective reporting. The Manager supervises assigned staff and collaborates with clinical, operational, financial, and external stakeholders to support organizational performance and strategic objectives.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
● Leadership & Operations: Supervise and develop data, billing, and credentialing staff; establish departmental procedures and performance standards; and lead process improvement and strategic initiatives.
● Information Systems & Data Management: Oversee EHR and behavioral health information systems, ensure data accuracy and regulatory reporting, develop operational dashboards and reports, and coordinate system enhancements and workflow improvements.
● Revenue Cycle Management: Oversee billing, claims submission, payment posting, denial management, and accounts receivable to ensure accurate reimbursement, optimize revenue cycle performance, and resolve billing issues.
● Credentialing & Provider Enrollment: Manage provider and organizational credentialing, recredentialing, payer enrollment, provider rosters, and onboarding updates. Ensure accurate payer records, resolve credentialing-related reimbursement issues, and maintain compliance with payer requirements.
● Compliance & Reporting: Develop and maintain policies and procedures, conduct quality assurance reviews and internal audits, monitor regulatory and accreditation compliance, and prepare financial, operational, and performance reports with recommendations for improvement.

QUALIFICATIONS:
Required:
• Bachelor's degree in Information Systems, Healthcare Administration, Business Administration, Finance, Accounting, Data Analytics, or a related field.
• Five (5) years of progressively responsible experience in healthcare operations, information systems, revenue cycle management, billing, credentialing, or a related field.
• Two (2) years of supervisory or management experience.
• Experience with healthcare payer enrollment, credentialing, and revenue cycle operations.
• Experience with Electronic Health Record (EHR) systems.
• Advanced proficiency in Microsoft Office, particularly Excel.
• Strong analytical, organizational, communication, and problem-solving skills.
Preferred:
• Experience in community behavioral health.
• Experience with Credible Behavioral Health Software.
• Experience with SQL, business intelligence, or reporting tools.
• Professional certification in healthcare management, credentialing, revenue cycle, or information systems.
• Bilingual English/Spanish.

WORK SCHEDULE

This full-time in-person position operates on a standard 8:00 AM to 5:00 PM schedule, Monday through Friday.

SALARY
$85,000 - $100,00 Per year based on Experience and Education.

Ready to Make an Impact?
Our mobile-friendly application takes just a few minutes. Apply today to help us transform lives in the community!

Consejo Counseling and Referral Service is an E-Verify and Equal Employment Opportunity Employer.