About

• 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.
• Backpack Health is an Equal Opportunity Employer. We believe that the strength of our care depends on the diversity and wellbeing of our team. We celebrate differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other traits that make each person unique. We welcome and encourage diverse candidates to apply for any position for which they are qualified and to bring their unique perspectives, experiences, and talents to our team.
• Backpack Health is an Equal Opportunity Employer. We believe that the strength of our care depends on the diversity and wellbeing of our team. We celebrate differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other traits that make each person unique. We welcome and encourage diverse candidates to apply for any position for which they are qualified and to bring their unique perspectives, experiences, and talents to our team.