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:
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Stabilizing urgent revenue cycle gaps
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Building foundational reporting infrastructure 📊
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Correcting system mappings and configuration issues
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Implementing controls to eliminate:
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Aged claims
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Posting errors
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Patient and payer balance backlogs
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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:
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A systems thinker who can stabilize complex workflows
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Hands-on (not purely strategic)
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Comfortable repairing inefficient or broken processes 🔧
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Data-driven and audit-oriented
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Highly organized and detail-obsessed
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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:
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Strengthening billing infrastructure
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Improving collections performance
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Accelerating cash flow 💰
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Standardizing revenue cycle operations
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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:
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Eligibility and prior authorization verification
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Claim creation, transfer, and submission through eClinicalWorks (ECW)
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Payment posting, reconciliation, and deposit tracking
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Patient balance follow-up and payer balance resolution
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Denial management and aged accounts recovery
Ensure billing compliance across:
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Credentialing status
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Supervision requirements
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CPT / ICD / POS combinations
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Fee schedule mapping
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Payer contract terms
Team Leadership & Operational Management 👥
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Directly supervise and lead 3–4 billing specialists
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Maintain productivity standards, quality audits, and KPI accountability
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Develop and document SOPs and internal controls
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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:
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Validate payer data across systems
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Identify and correct posting errors
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Lead team through existing Claim Denial Projects
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Establish payer portal access across all payers
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Conduct internal systems review and adjust settings:
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Validate and correct supervision mappings
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Confirm POS, payer ID, and fee schedule crosswalk accuracy
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Resolve over-applied postings
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Claims Management & Compliance ✅
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Ensure timely claim submission
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Validate coding combinations and billing readiness criteria
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Track denials with documented root-cause analysis
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Coordinate corrective actions across departments to prevent recurrence
Payment Posting & Reconciliation Oversight 💳
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Cross-check bank deposits and patient payments for posting accuracy
Patient & Payer Balance Resolution 📬
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Monitor patient statement generation and notification workflows
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Coordinate balance resolution and write-off processes consistent with policy
Credentialing & Provider Lifecycle Alignment 🤝
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Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing
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Track supervision changes and effective dates
Reporting, Analytics & Strategic Initiatives 📈
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Monitor A/R aging, denial trends, posting lag, and clean claim performance
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Lead targeted initiatives to reduce aged payer and patient balances
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Participate in strategic billing initiatives including reimbursement testing and workflow optimization
Qualifications
Soft Skills 🧠
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Investigative mindset with strong root-cause problem-solving ability
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Proven leadership capability with direct team management
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Excellent cross-functional communication and stakeholder alignment
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Results-oriented and data-driven decision maker
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Mission-aligned with improving access to care for underserved populations ❤️
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Long-term partnership orientation and commitment to organizational growth
Hard Skills 💻
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Advanced eClinicalWorks (ECW) billing experience (mandatory)
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MS Excel reporting proficiency (mandatory)
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Payment posting expertise
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Denial management and A/R recovery experience
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Familiarity with Waystar, Availity, payer portals, and payment platforms
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Strong CPT / ICD / POS validation knowledge
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5+ years of healthcare revenue cycle leadership experience with direct reports
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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.