Billing Manager

Key Responsibilities

• Manage end-to-end revenue cycle operations, including charge entry, claims submission, payment posting, denials management, and accounts receivable follow-up.
• Oversee billing for behavioral health services (e.g., ABA, psychotherapy, assessments, group services), including CPT/HCPCS coding and modifiers.
• Ensure compliance with Medi-Cal, commercial payer contracts, DMHC, CMS, HIPAA, and California billing regulations.
• Supervise, train, and evaluate billing staff; establish productivity and quality benchmarks.
• Monitor payer trends, denials, underpayments, and audits; implement corrective action plans.
• Collaborate with clinical, intake, and authorization teams to resolve documentation and authorization issues.
• Prepare and analyze billing and A/R reports; present key metrics to leadership.
• Support payer audits, recoupments, and appeals.
• Maintain and improve billing workflows, internal controls, and written procedures.

Skills, Knowledge & Expertise

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).
• Minimum 5 years of medical billing experience, including 2+ years in a supervisory or management role.
• Demonstrated experience in behavioral health billing (ABA and/or mental health strongly preferred).
• Strong knowledge of CPT, HCPCS, ICD-10, and payer authorization requirements.
• Experience with EHR and billing systems; advanced Excel skills preferred.
• Ability to interpret payer contracts and reimbursement methodologies.

• Experience with California Medi-Cal managed care plans.
• Familiarity with multi-site or multi-program behavioral health organizations.
• CPC, CPB, or similar certification.

• Ability to work onsite in an office environment.
• Prolonged periods of sitting and computer use.
• Occasional lifting of files or materials up to 15 pounds.