Billing Operations Manager

Chief Alignment Agency

Poland

On-site

Confidential

Part time

14 days+

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Benefits offered by this job

High-impact leadership role

Direct partnership with CEO

Opportunity to build and optimize systems

Job summary

A mental health billing agency is seeking a Billing Operations Manager to lead and optimize daily operations across client accounts. This role involves ensuring accurate revenue cycle execution, managing client communication, and implementing quality assurance processes. Candidates should have 3 to 5+ years of medical billing experience and be proficient with Google Workspace. This is a remote, 1099 contractor position with the potential for meaningful impact on client care.

Qualifications

3-5+ years of medical billing experience with full revenue cycle exposure.
Experience leading billing work with accountability for outcomes.
Proficient in Google Workspace.
Familiar with payer portals and insurance follow-up processes.

Responsibilities

Lead daily billing operations across client accounts.
Serve as primary client contact; lead recurring client meetings.
Monitor denials, AR aging, collections, and outstanding balances.
Monitor denials, AR aging, collections, and outstanding balances; drive structured follow-up.
Run and review daily and weekly reports to identify risks and revenue gaps early.
Implement and manage QA processes to protect billing accuracy and reduce errors.
Troubleshoot claim issues by identifying root causes and directing resolution.
Maintain and improve workflows, SOPs to ensure consistency and scalability.
Support onboarding of new clients by organizing billing expectations and processes.
Ensure continuity of operations when team members are unavailable.
Identify operational inefficiencies and implement solutions to improve billing function performance.
Gradually transition day-to-day client oversight from CEO into structured systems.

Skills

Medical billing experience

Client communication

Google Workspace

Mental health billing experience

Problem-solving

Tools

EHR systems (SimplePractice, TherapyNotes)

SimplePractice

TherapyNotes

Payer portals

Job description

Capital Revenue Consultants (CRC) helps mental health practices increase collections and reduce billing stress through comprehensive revenue cycle management and education.

CRC is seeking a Billing Operations Manager to lead and optimize daily billing operations across client accounts. This role ensures service delivery is structured, accountable, and performance-focused—supporting strong denial management, accurate reporting, and high client retention.

The Billing Operations Manager serves as the operational bridge between clients and the internal billing team, translating expectations into clear workflows, measurable KPIs, and consistent execution. This leader is accountable for how work moves through the billing cycle and how systems sustain growth without compromising quality.

This is a remote, 1099 contractor position for candidates located in the United States.

Tasks

Lead daily billing operations across client accounts to ensure accurate, timely revenue cycle execution
Serve as primary client contact; prepare for and lead recurring client meetings
Oversee biller performance by setting priorities, clarifying ownership, and reinforcing accountability
Monitor denials, AR aging, collections, and outstanding balances; drive structured follow-up
Run and review daily and weekly reports to identify risks and revenue gaps early
Implement and manage quality assurance processes to protect billing accuracy and reduce repeat errors
Troubleshoot claim issues by identifying root causes and directing resolution
Maintain and improve workflows, documentation, and SOPs to ensure consistency and scalability
Support onboarding of new clients by organizing billing expectations and processes
Ensure continuity of operations when team members are unavailable
Identify operational inefficiencies and implement solutions to improve billing function performance
Gradually transition day-to-day client oversight from the CEO into structured systems

Requirements

Experience

3–5+ years of medical billing experience with full revenue cycle exposure
Preferred: At least 1 year of mental health billing experience
Experience leading or overseeing billing work with accountability for outcomes
Experience managing client communication and leading recurring client meetings

Technical Skills

Proficient in Google Workspace (Sheets, Docs, Drive)
Comfortable working across multiple EHR systems (SimplePractice and TherapyNotes preferred)
Familiar with common payer portals and insurance follow-up processes
Able to interpret EOBs/ERAs and resolve denials independently
Experienced in documenting and maintaining SOPs and workflows

Professional Attributes

Detail-oriented and highly organized
Confident, professional communicator with clients
Balanced people manager—empathetic yet direct
Strong problem-solver and self-starter
Calm under pressure with high ownership and discretion

Benefits

High‑impact leadership role in a growing mental health billing company
15–20 hours per week expected commitment
Direct partnership with the CEO and real influence over operations
Opportunity to build and optimize systems — not just maintain them
Clear, measurable outcomes (denials, AR aging, retention) tied to your performance
Autonomy to lead, improve processes, and strengthen team accountability
Meaningful work that helps mental health providers focus on client care instead of billing stress

If you are a billing leader who thrives in structured, performance-driven environments and wants to make a measurable impact, we encourage you to apply.

We are seeking someone who values ownership, accountability, and continuous improvement — and who is ready to step into a role with real influence over client experience and operational outcomes.

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