Healthcare Billing Manager 💼

Location: Remote 🌎
Department: Finance
Reports to: VP Finance

Compensation: $70,000/year

Build the Revenue Engine Behind Mission-Driven Care 🚀

Backpack Medical Group is seeking an experienced Healthcare Billing Manager to lead and operationalize our end-to-end revenue cycle across a multi-state behavioral health organization.

This is a high-impact leadership role responsible for stabilizing, strengthening, and scaling billing operations that support care delivery to underserved Medicaid populations.

You will directly manage a team of 3–4 billing specialists and take full ownership of billing operations — from patient intake through claim resolution, posting, and collections.

Mandatory Requirement: Advanced experience with eClinicalWorks (ECW)
Strongly Preferred: Behavioral health and Medicaid experience

What You’ll Accomplish in the First 60 Days 🎯

You’ll immediately focus on stabilizing and strengthening our revenue cycle infrastructure by:

• Stabilizing urgent revenue cycle gaps

• Building foundational reporting infrastructure 📊

• Correcting system mappings and configuration issues

• Implementing controls to eliminate:

  • Aged claims

  • Posting errors

  • Patient and payer balance backlogs

This role is both strategic and hands-on — ideal for someone who thrives on fixing broken processes and building scalable systems.

Ideal Candidate Profile 👤

We’re looking for a leader who is:

• A systems thinker who can stabilize complex workflows

• Hands-on (not purely strategic)

• Comfortable repairing inefficient or broken processes 🔧

• Data-driven and audit-oriented

• Highly organized and detail-obsessed

• A strong communicator across finance, clinical, and technical teams

Purpose of the Role 🌟

This performance agreement outlines expectations and success metrics for the Healthcare Billing Manager / Director at Backpack Medical Group.

This role is critical to:

• Strengthening billing infrastructure

• Improving collections performance

• Accelerating cash flow 💰

• Standardizing revenue cycle operations

• Supporting scalable behavioral health services for underserved Medicaid populations

You will be accountable for end-to-end revenue cycle performance, team leadership, process standardization, and cash acceleration — directly aligning billing performance with organizational growth and mission delivery.

Scope of Responsibilities

Revenue Cycle Oversight 🔎

Provide operational ownership across the full billing lifecycle, including:

• Eligibility and prior authorization verification

• Claim creation, transfer, and submission through eClinicalWorks (ECW)

• Payment posting, reconciliation, and deposit tracking

• Patient balance follow-up and payer balance resolution

• Denial management and aged accounts recovery

Ensure billing compliance across:

• Credentialing status

• Supervision requirements

• CPT / ICD / POS combinations

• Fee schedule mapping

• Payer contract terms

Team Leadership & Operational Management 👥

• Directly supervise and lead 3–4 billing specialists

• Maintain productivity standards, quality audits, and KPI accountability

• Develop and document SOPs and internal controls

• Manage billing ticket prioritization to ensure timely responses to internal and external inquiries

Immediate Infrastructure & Stabilization (First 60 Days) 🏗️

Lead development and operationalization of key infrastructure:

• Validate payer data across systems

• Identify and correct posting errors

• Lead team through existing Claim Denial Projects

• Establish payer portal access across all payers

• Conduct internal systems review and adjust settings:

  • Validate and correct supervision mappings

  • Confirm POS, payer ID, and fee schedule crosswalk accuracy

  • Resolve over-applied postings

Claims Management & Compliance ✅

• Ensure timely claim submission

• Validate coding combinations and billing readiness criteria

• Track denials with documented root-cause analysis

• Coordinate corrective actions across departments to prevent recurrence

Payment Posting & Reconciliation Oversight 💳

• Cross-check bank deposits and patient payments for posting accuracy

Patient & Payer Balance Resolution 📬

• Monitor patient statement generation and notification workflows

• Coordinate balance resolution and write-off processes consistent with policy

Credentialing & Provider Lifecycle Alignment 🤝

• Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing

• Track supervision changes and effective dates

Reporting, Analytics & Strategic Initiatives 📈

• Monitor A/R aging, denial trends, posting lag, and clean claim performance

• Lead targeted initiatives to reduce aged payer and patient balances

• Participate in strategic billing initiatives including reimbursement testing and workflow optimization

Qualifications

Soft Skills 🧠

• Investigative mindset with strong root-cause problem-solving ability

• Proven leadership capability with direct team management

• Excellent cross-functional communication and stakeholder alignment

• Results-oriented and data-driven decision maker

• Mission-aligned with improving access to care for underserved populations ❤️

• Long-term partnership orientation and commitment to organizational growth

Hard Skills 💻

• Advanced eClinicalWorks (ECW) billing experience (mandatory)

• MS Excel reporting proficiency (mandatory)

• Payment posting expertise

• Denial management and A/R recovery experience

• Familiarity with Waystar, Availity, payer portals, and payment platforms

• Strong CPT / ICD / POS validation knowledge

• 5+ years of healthcare revenue cycle leadership experience with direct reports

• Behavioral health billing and Medicaid experience (preferred)

Why This Role Matters 🌍

This is more than a billing leadership role — it’s an opportunity to build operational excellence that directly expands access to behavioral health services.

If you’re a hands-on revenue cycle leader who thrives in complexity and wants to create scalable systems that support mission-driven care, we’d love to hear from you.