Billing Manager

We are seeking an experienced, hands-on Billing Manager to oversee daily billing and revenue cycle operations for a growing healthcare organization. This individual will lead a team of approximately six employees responsible for billing, collections, payment posting, and accounts receivable. This is a fully remote, contract-to-hire opportunity.

The Billing Manager will be responsible for departmental performance, ensuring timely and accurate reimbursement, resolving complex payer issues, and identifying opportunities to improve revenue cycle processes. This position will also play an important role in supporting the opening of a new behavioral health facility, including reviewing and developing billing policies and procedures and assisting with payer contract and reimbursement rate reviews. This is an excellent opportunity for a healthcare billing professional who enjoys leading teams, improving processes, and taking ownership of revenue cycle operations.

Key Responsibilities

• Oversee daily billing department operations and manage a team of approximately six employees, including billers, collectors, and payment posters.
• Manage the full revenue cycle, including billing, collections, claims submission, payment posting, denials, appeals, and accounts receivable follow-up.
• Monitor departmental performance, cash collections, AR aging, denial rates, and other key performance indicators.
• Identify opportunities to improve reimbursement timelines, collections, billing accuracy, and overall departmental efficiency.
• Serve as the primary escalation point for complex billing discrepancies, payer issues, and reimbursement challenges.
• Coach, mentor, and develop team members while establishing performance expectations and accountability.
• Review, update, and develop billing policies, procedures, and workflows to support operational efficiency and compliance.
• Support the development and opening of a new behavioral health facility, helping establish billing processes and operational procedures.
• Participate in payer contract reviews and reimbursement rate analysis to support appropriate reimbursement.
• Partner with leadership and other departments to address revenue cycle challenges and support organizational growth.

Required Qualifications

• 3–4+ years of medical billing, healthcare revenue cycle, or billing supervisory/management experience.
• Previous experience directly supervising and managing a billing team.
• Strong understanding of medical billing, collections, denials, appeals, and accounts receivable management.
• Experience working with multiple healthcare payers, including:
• Medicare
• Medicaid
• Medicare Advantage
• Managed Medicaid (MMA)
• Commercial insurance carriers
• Strong analytical and problem-solving skills with the ability to monitor departmental performance and improve collections.
• Excellent leadership, communication, and organizational skills.
• Ability to be hands-on while managing day-to-day departmental responsibilities.

Preferred Qualifications

• Previous behavioral health revenue cycle or medical billing experience.
• Experience with both inpatient and outpatient billing.
• Familiarity with professional and facility billing.
• Experience working with healthcare EHR and billing systems.
• Previous involvement in opening new healthcare locations, hospitals, or expanding billing operations.
• Experience reviewing payer contracts and reimbursement structures.