Claims Billing & Payroll Manager

Description

 Claims Billing & Payroll Manager  

ORGANIZATION:  

Friends of Switchpoint is a non-profit organization that has been serving those individuals, families and veterans in Utah who are experiencing poverty and homelessness (since 2014).  

OUR MISSION  

To empower those in need by addressing the underlying cause of poverty, providing a comprehensive plan, and supporting their journey to self-sufficiency.  

OUR VISION  

Every individual embodies their worth and value with self-esteem, hope and abilities restored, thriving in affordable housing.  

CULTURE VALUES:  

• Kindness – Remember Kindness is Contagious!  
• Connection – It’s why we’re here and what gives purpose & meaning to life!  
• Kinship – We want you and those we serve to feel a sense of Belonging.  
• Self-Worth – Treat people the way they can become w/True Value & Worth!  
• Self-Reliance – Learn your role and take initiative!! We want “Fishermen”!  

GUIDING PRINCIPLES:  

• Golden Rule:? To treat all people as we ourselves would wish to be treated.  
• Positive Influence:? To judge our effectiveness by the extent to which individual lives are saved & improved by the positive experience of the people we influence.  
• Leadership:? To lead by example, developing, promoting and sharing new ideas and programs to help those experiencing homelessness.  
• Authenticity:? To do what we say we do.  
• Transparency:? To be open and honest in our relationships.  

OUR MOTTO: It Takes All of Us to end homelessness.  

PURPOSE:  We are seeking a highly skilled and detail-oriented Insurance Billing and Payroll Manager to join our finance team in St George, Utah. In this role, you will manage the end-to-end billing process for our mental health and behavioral health providers, ensuring claims are processed accurately and efficiently and submitted to Medicaid and to private medical plans. This is a key position for a professional who thrives in a fast-paced environment and is passionate about optimizing revenue cycle operations. This person is detail-oriented, can multi-task throughout the work week, and can provide additional bandwidth for the finance team by helping to ensure the timely processing of payroll every two weeks for all employees. 

Requirements

ROLES & RESPONSIBILITIES

Claim Management: 

• Oversee the full lifecycle of claims, from submission to final payment, for professional and facility services. 
• Communicate with insurance companies to resolve denials, underpayments, and other discrepancies. 
• Use payer systems / portals to verify eligibility and claims status. 
• Submit medical records, file appeals, and process reconsiderations to maximize reimbursements. 

Billing and Compliance: 

• Ensure claims comply with current coding standards (CPT, ICD-10) and regulatory requirements. 
• Post payments, reconcile accounts, write off balances, and prepare patient statements as necessary. 
• Leverage available resources and tools to review and verify billing accuracy. 
• Handle negotiations with third-party vendors for Out-Of-Network claims and Single Case Agreements. 

Payroll Management & Processing 

• Ensure payroll checks are processed electronically on schedule for all employees. 
• Reconcile payroll registers with required federal and state employer tax obligations for the company. 
• Provide HR support in processing final paychecks for employment terminations. 
• Coordinate with Finance Director and provide payroll records to update accounting records. 

Communication and Collaboration: 

• Provide exceptional customer service to clients, supervisor(s), external stakeholders, and internal team members across the organization. 
• Collaborate with payers to resolve issues and track escalated account trends. 
• Communicate billing and system updates effectively to management and team members. 

Data Management and Reporting: 

• Maintain detailed records of claim statuses, payments, and adjustments. 
• Prepare performance reports to identify trends and areas for improvement. 
• Support audit requests by ensuring all documentation is accurate and up to date.
   

QUALIFICATIONS

Education and Experience: 

• High school diploma or equivalent (required); Associate’s or Bachelor’s degree in a related field (preferred). 
• Minimum of 3 years of experience in medical billing, collections, or revenue cycle management. 
• Accounting, book-keeping, or other detailed records management experience. 

Technical Skills: 

• Proficiency in payroll, accounting, and medical billing software and EHR systems. 
• Knowledge of HICFA, UB04, Tax ID, NPI, and insurance guidelines for OON claims. 
• Familiarity with payer processes, including Gap exceptions, prior authorizations, and federal IDR arbitration. 

Soft Skills: 

• Strong analytical skills and attention to detail. 
• Excellent communication and interpersonal skills. 
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment. 

PREFERRED QUALIFICATIONS: 

• Experience with Microsoft Office applications (Word, Excel, Teams, etc.). 

COMPENSATION:  

Wage range starts at $55,000 and caps at $65,000/annually  

Full-Time Position

Switchpoint offers a benefits package that includes Medical/Vision/Dental, Transportation Allowance, Personal Time Off (PTO), and 401(k) retirement savings account with company match.  

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. We value a diverse workforce.