Billing Director

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversee all Medicaid billing operations (both network and out-of-network) throughout our multi-state business.

• Enhance and manage the efficiency of our third-party billing partner responsible for out-of-network claims.

• Monitor and optimize essential revenue cycle indicators including days in accounts receivable, denial rates, collection ratios, and first-pass claim acceptance rates.

• Work closely with clinical, medical, and administrative teams to ensure precise documentation, prompt charge entry, and appropriate coding practices.

• Utilize our EMR and RCM platforms (experience with Kipu and/or Collaborate MD is highly desirable).

• Oversee claim submissions, follow-ups, appeals, payer relationships, and reimbursement optimization, focusing primarily on Medicaid.

• Create billing workflows, policies, and internal controls to facilitate scalability as the organization expands.

• Offer leadership, training, and mentorship to internal billing personnel while ensuring robust collaboration with external partners.

• Keep abreast of regulatory changes, payer policies, and industry developments impacting behavioral health billing.

• Provide regular performance reports and revenue projections to senior leadership.

⛳️ Requirements

• 3–7+ years of progressive experience in medical billing with a strong focus on Medicaid billing (both network and out-of-network) in the healthcare sector, preferably in behavioral health or substance abuse treatment.

• Previous experience in managing billing teams or third-party billing vendors is strongly preferred.

• Practical experience with AI-driven billing tools, automation, or financial reporting integrations (especially for revenue cycle analytics and operational reporting) is a significant differentiator.

• Proficiency with Kipu EMR and/or Collaborate MD RCM systems is a considerable advantage.

• Extensive knowledge of revenue cycle management, claim editing, denial management, appeals, and compliance requirements.

• Strong analytical abilities with the capacity to identify trends, resolve issues, and drive process enhancements.

• Exceptional communication and collaboration skills.

• Must reside in or be willing to work from one of our primary locations: Houston, TX, Atlanta, GA, or Wilmington, NC.

• We welcome candidates with varying levels of experience — from seasoned directors ready to take full ownership of and scale the function to capable Medicaid billing professionals who can efficiently manage the third-party partner while evolving into a broader director role.

🏝️ Benefits

• We also provide a basic benefits package.