Scheduled Weekly Hours:
40Location:Hybrid (23 days onsite). Options: Onalaska WI; Green Bay WI; or one of our Critical Access Hospitals
Department:Revenue Cycle Government Billing
Employment Type:Full-Time
Position Summary:
TheManager of Government Billing & Collectionsis responsible for overseeing the daily operations of the insurance billing and collections functions across the enterprise. This role leads a multi-team structure focused on Medicare Medicaid and Rural Health/Critical Access Hospital government billing.
The Manager ensures billing accuracy compliance and efficiency while driving continuous improvement across the government reimbursement cycle. This includes leveraging technology optimizing workflows reducing denials and implementing best practices that support organizational performance goals.
The ideal candidate is an experienced healthcare billing leader with a passion for problem-solving team development and operational excellence.
Key Responsibilities:
Lead day-to-day operations for Medicare Medicaid and Rural Health government billing teams including three direct supervisor reports.
Oversee staff working across government payorsincluding Medicare Medicaid HMOs and managed care plans.
Manage complex billing cycles while ensuring adherence to organizational policies regulatory requirements and payer guidelines.
Drive denial prevention and resolution efforts including root-cause analysis of payer denials (e.g. credentialing issues payer configuration issues).
Partner with cross-functional teams to identify process gaps implement system improvements and enhance revenue cycle performance.
Champion automation and best practices to improve productivity reduce errors and optimize billing workflows.
Monitor metrics trends and performance targetssupporting enterprise goals to achieve the 25th percentile in Epic benchmarks for government billing.
Provide strong leadership coaching and accountability for supervisors and AR Representatives.
Support the continued development of the new Rural Health Government Billing team including CAH and RHC-specific billing requirements.
Required Qualifications:
Education:Bachelors degree requiredin Healthcare Management Business Administration Accounting or a related field.
Experience:
Minimum of 5 yearsof experience in billing or accounts receivable.
Minimum of 2 yearsin a supervisory or managerial role.
Healthcare billing experiencerequired; experience with Medicare Medicaid Rural Health Clinics (RHC) and Critical Access Hospitals (CAH) strongly preferred.
Work Environment:
Hybrid schedule:23 days onsiteand23 days remoteper week.
Candidates may work from Onalaska WI; Green Bay WI; or any affiliated Critical Access Hospital.
If you need assistance with any portion of the application or have questions about the position please contact or call .
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Equal Opportunity Employer
Required Experience:
Manager
Gundersen Health System Hospitals & Clinics delivers world-class primary and specialized healthcare in Wisconsin, Minnesota and Iowa.