About the roleYou'll lead a team of 4-5 Billing Specialists and own billing performance across their customer book. You're the escalation point for billing issues, the day-to-day partner to billing and finance leads at our client organizations, and the person who keeps daily RCM operations running on time.
This is a working-lead role: you'll coach and manage the team, step into complex accounts yourself, and work with product and engineering to fix the root causes behind recurring billing problems.
What you'll doLead the billing team- Manage, coach, and develop 4-5 Billing Specialists through regular 1:1s, feedback, and performance reviews
- Assign and balance customer portfolios based on volume, complexity, and specialist strengths
- Onboard and train new specialists on behavioral health billing, Ease workflows, and team standards
- Set clear daily and weekly priorities so claims, posting, and follow-up never fall behind
Own biller and customer performance- Track team and customer KPIs: days in A/R, clean claim rate, denial rate, A/R over 90 days, and cash collected against expected
- Run regular portfolio reviews to catch slipping accounts early and build recovery plans
- Audit specialist work for accuracy, timeliness, and payer compliance
- Report on team and customer performance to RCM leadership
Handle billing escalations- Serve as the escalation point for complex denials, payer disputes, credentialing or enrollment issues, and aged claims
- Work directly with payers to resolve stuck claims and recurring denial patterns
- Make the call on write-offs, adjustments, and appeal strategy within set guidelines
Partner with client teams- Act as the main day-to-day contact for billing managers, practice administrators, and finance leads at client organizations
- Lead recurring check-ins to review performance, open issues, and upcoming changes (new payers, programs, or levels of care)
- Explain billing results clearly and set expectations when problems arise
- Join client-facing calls and implementations when billing expertise is needed
Keep RCM operations running- Make sure daily functions run on schedule: claim submission, authorization tracking, payment posting, ERA/EFT enrollment, and follow-up
- Write and maintain SOPs, checklists, and billing rules for the team
- Spot recurring workflow gaps and bring clear, documented feedback to product and engineering
- Test new features and help roll them out to the team
What you bring- 5+ years of behavioral health billing experience, including 2+ years leading or supervising a billing team
- Deep knowledge of the behavioral health revenue cycle: claims, authorizations across levels of care, denials, appeals, and payer follow-up
- A track record of improving billing KPIs such as days in A/R, denial rate, and aged A/R
- Confidence working directly with client stakeholders and payers, including in tough conversations
- Strong judgment on escalations, prioritization, and when to step in versus coach
- Ability to learn new software quickly and turn workflow problems into clear feedback
- Comfort in a fast-paced, early-stage environment where processes are still being built
Nice to have- RCM management experience at a billing company or multi-site behavioral health provider
- Experience with multiple clearinghouses, payer portals, and EDI transactions (837, 835, 270/271)
- Background in eligibility and benefits verification
- Experience supporting client onboarding or billing system migrations
What success looks like- First 30 days: You know every customer in your team's book, their payer mix, and where A/R stands
- First 90 days: Escalations are handled consistently, client check-ins run on a set cadence, and team KPIs are reported weekly
- First 6 months: Your team's customers show measurable gains in days in A/R and denial rate, and core workflows are documented in SOPs
Logistics- This role is open only to applicants based in the US. Hires must verify identity and US work authorization.
- We don't work with recruiting agencies; please don't contact us about this role.
- Apply directly through our application page. It takes a few minutes and no account is needed.
