Healthcare Billing Manager Corporate - Remote

Location: Remote 🌎

Department: Finance

Reports to: VP Finance

Compensation: $70,000/year

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 eClinical

Works (ECW)

Strongly Preferred: Behavioral health and Medicaid experience

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

• Correcting system mappings and configuration issues
• Implementing controls to eliminate:
• Aged claims
• 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.

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

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.

Provide operational ownership across the full billing lifecycle, including:

• Eligibility and prior authorization verification
• Claim creation, transfer, and submission through eClinical
  
  Works (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
• Payer contract terms
• 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
• Lead development and operationalization of key infrastructure:
• 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 , and fee schedule cross‑walk accuracy

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

• Coordinate balance resolution and write‑off processes consistent with policy
• Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing
• Track supervision changes and effective dates

• 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

• Investigative mindset with strong root‑cause problem‑solving…