Billing Manager

STEPS Behavioral Health; Pikesville (MD); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health Insurance

FSA/HSA

401(k) Match

PTO & Holidays

Job summary

STEPS Behavioral Health is seeking a Billing Manager to lead the billing and accounts receivable process from submission to final payment. This hands-on management role will prioritize workloads, ensure accuracy and timeliness, and develop team members’ skills.

You will be the first line of support for denials and work with the team to resolve issues until claims are paid. You will coordinate with clinical staff and payers to gather required documentation and stay compliant with evolving billing

Qualifications

• 3–5 years of experience in medical billing and coding.
• Experience supervising a billing team with coaching.
• Credential CPB or CPC preferred.
• Proficient with medical billing software, EHR/EMR, and Microsoft Office; Tebra preferred.
• Strong understanding of medical billing terminology and reimbursement methods.
• Excellent written and verbal communication with staff, insurers, and clients.
• Meticulous attention to detail in coding, billing, and documentation.
• Adaptable to changing regulations and priorities.
• Commitment to ethics and client confidentiality.

Responsibilities

• Lead, supervise, and support the billing coordinator team.
• Assign workloads, set deadlines, and monitor output for accuracy.
• Hold regular team check-ins and provide feedback.
• Coach team on coding protocols and billing procedures.
• Set performance standards and recognize strong work.
• Maintain clear workflows and procedures for consistency.
• Escalate denied/underpaid/aging claims as needed.
• Troubleshoot root causes and determine fixes (corrected claims, appeals, payer calls).
• Track issues to resolution and prevent drops.
• Identify denial trends and implement process improvements.
• Coordinate with clinical staff and payers to gather needed docs.
• Ensure claims are scrubbed and submitted accurately and on time.
• Partner with clinical staff for proper documentation and coding.
• Stay updated on billing regulations and policies.
• Participate in cross-functional revenue cycle initiatives.

Skills

Medical billing

Billing team supervision

Communication skills

Analytical skills

Coding knowledge

Microsoft Office

Tebra experience

Regulatory knowledge

Education

CPB/CPC

Tools

EHR/EMR systems

Medical billing software

Job description

STEPS BEHAVIORAL HEALTH

Billing Manager

Full-time | Monday–Friday | Reports to: Director of Revenue Cycle Management

About STEPS Behavioral Health

STEPS Behavioral Health is an Applied Behavior Analysis (ABA) therapy provider made up of Board Certified Behavior Analysts (BCBAs), Behavior Technicians, and a strong administrative team who work together to provide ABA therapy for individuals with autism spectrum disorder (ASD). We also offer social work services to support families as they raise their children and navigate the challenges of caring for a child with a disability.

The Role

The Billing Manager leads and oversees our billing, owning the full billing and accounts receivable process from claim submission through final payment. This is a hands-on management role: you will set priorities, manage workloads, hold the team accountable for accuracy and timeliness, and develop each team member's skills.

When claims are denied, rejected, or stuck, you are the team's first line of support. You will work alongside your team to dig into the root cause, map out a path to resolution, and see every issue through until the claim is paid. Your leadership and billing expertise will be key to optimizing our revenue cycle and supporting the organization's financial stability.

What You Will Do

Team Leadership & Oversight

• Lead, supervise, and support the billing coordinator team.
• Assign and balance workloads, set clear priorities and deadlines, and monitor daily output for accuracy and timeliness.
• Hold regular team check-ins and one-on-ones to review open items, remove roadblocks, and keep everyone aligned.
• Train, coach, and mentor team members on coding protocols, billing procedures, and best practices so they can confidently handle complex issues.
• Set performance expectations, give ongoing feedback, and recognize strong work.
• Create and maintain clear workflows and procedures so the team works consistently.

Denials & Claim Resolution

• Serve as the team's escalation point for denied, rejected, underpaid, and aging claims.
• Work side by side with team members to troubleshoot problem claims, identify the root cause, and determine the right fix, whether a corrected claim, an appeal, a payer call, or updated documentation.
• Track every open issue through to resolution so no claim falls through the cracks.
• Spot denial trends and recurring errors, then put process changes and training in place to prevent them.
• Coordinate with clinical staff, care coordinators, and payers to gather what is needed to resolve claims.

Billing Operations & Compliance

• Ensure claims are scrubbed before submission and sent accurately and on time to insurance companies, government agencies, and other payers.
• Partner with clinical staff to ensure proper documentation and coding for maximum reimbursement.
• Stay current on billing regulations, coding guidelines, and insurance policies to ensure compliance and reduce risk.
• Serve as the go-to resource for internal teams on billing questions and take part in cross-functional revenue cycle initiatives.

What We Are Looking For

• 3–5 years of experience in medical billing and coding, with a focus on complex billing scenarios and insurance claim resolution.
• Proven experience supervising a billing team, with a coaching style that helps others work through difficult denials and claim issues.
• Certified Professional Biller (CPB) or Certified Professional Coder (CPC) credential preferred.
• Proficiency in medical billing software, EHR/EMR systems, and Microsoft Office; experience with Tebra preferred.
• In-depth understanding of medical billing terminology and healthcare reimbursement methods.
• Strong analytical and problem-solving skills to get to the root of denials and drive complex claims to resolution.
• Excellent written and verbal communication with administrative and clinical staff, insurance companies, and clients.
• Meticulous attention to detail in coding, billing, and documentation.
• Flexibility to adapt to changing regulations, technology, and organizational priorities.
• Commitment to high ethical standards and client confidentiality in all billing operations.

Compensation and Benefits

• Health, Dental & Vision – comprehensive medical, dental, and vision insurance
• FSA/HSA – flexible spending and health savings account options
• 401(k) with Company Match – invest in your future with matching contributions
• Generous PTO & Floating Holidays – plenty of time to rest and recharge

STEPS Behavioral Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and the families we serve.