We are seeking an experienced Billing & Credentialing Manager to help build and lead a growing Revenue Cycle department for a multi-state behavioral health organization.
This is not a coordinator role. We are looking for a hands-on leader who can independently create processes, improve workflows, manage credentialing operations, and eventually build and supervise a team.
Responsibilities
- Lead end-to-end revenue cycle operations including claims, payment posting, AR follow-up, denials, appeals, and reimbursement analysis.
- Manage provider credentialing, payer enrollment, CAQH, PECOS, and NPPES maintenance.
- Build and improve billing and credentialing workflows, SOPs, KPIs, and reporting structures.
- Analyze denial trends and implement process improvements.
- Assist with hiring, onboarding, and supervising future team members.
- Partner directly with executive leadership to establish an internal billing department.
Qualifications
- 5+ years of U.S. medical billing or behavioral health billing experience.
- Strong denial management, appeals, and AR experience.
- Credentialing experience including CAQH, PECOS, NPPES, and payer enrollment.
- Experience creating workflows, SOPs, and operational processes.
- Previous leadership, management, or department-building experience.
- Ability to work independently with minimal supervision.
- Experience with behavioral health, mental health, psychiatry, or telehealth organizations strongly preferred.
Preferred Experience
- Massachusetts payers (MassHealth, BCBS Massachusetts, Point32Health)
- Florida payers (Florida Blue, Simply Healthcare, Sunshine Health, Humana Healthy Horizons)
- TherapyNotes or similar EHR systems
Schedule
- Full-time
- Must overlap significantly with U.S. Eastern Time business hours
This role offers the opportunity to build and lead a Revenue Cycle function from the ground up while supporting a rapidly growing behavioral health organization.
