Billing Manager (Pediatric Therapy)

The Little Gym International Inc; Cedar Park (TX); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

PTO and paid holidays

Health benefits

Job summary

The Little Gym International Inc is looking for a Billing Manager to oversee the revenue cycle operations at our Cedar Park and Arcadia locations. You will manage a billing team, ensuring accurate claims submission and effective collections mechanisms while reporting directly to the CEO.

This position involves direct management of billing staff, both onshore and offshore, with a focus on process improvement and KPI tracking to enhance operational efficiency. Candidates should have 3-5 years of relevant experience, particularly in pediatric therapy settings.

Qualifications

• 3-5+ years in medical billing or revenue cycle management in pediatric therapy or similar fields.
• Experience managing a billing team with accountability for accuracy.
• Familiarity with Medicaid managed care and related billing processes.

Responsibilities

• Own the end-to-end billing process for OT, PT, ST, and ABA services.
• Manage collections function and denial management processes.
• Directly manage billing staff and ensure workflow efficiency.

Skills

Medical billing experience

Revenue cycle management

Practice management

Metrics-driven approach

Knowledge of Medicaid managed care

Remote team management

Tools

Axis Ops

Job description

Billing Manager (Pediatric Therapy) at Little Land Pediatric Therapy & Play Gym

About Little Land

Little Land Pediatric Therapy & Play Gym is a multi-state pediatric therapy company with corporate clinics in Cedar Park, TX and Arcadia, CA. We provide OT, PT, speech-language pathology, and ABA services to children and families.

Revenue cycle is the financial backbone of our clinical operation. We need someone who takes that seriously and knows how to run it.

The Role

We're hiring a Billing Manager to own the full revenue cycle function across both corporate locations. This is not a back-office role — you will be a core part of the leadership team, managing our billing staff, driving clean claims, reducing denials, and owning collections across Cedar Park and Arcadia.

You will manage a billing team that spans both US and offshore staff and report directly to the CEO.

What You'll Own

Clinical Billing

• Own the end-to-end billing process across OT, PT, ST, and ABA - Cedar Park and Arcadia
• Ensure claims are submitted accurately and on time across all payers - Medicaid managed care, TMHP, Medi-Cal, commercial insurance, and private pay
• Manage authorization tracking and ensure no claims fall through on expired or missing auths
• Maintain clean billing records and audit regularly for accuracy and compliance

Collections & Denials

• Own the collections function - track outstanding AR, manage aging, and drive resolution
• Build and manage a denial management process - identify patterns, root-cause issues, and close gaps upstream
• Set and track KPIs for clean claim rate, denial rate, days in AR, and collection rate
• Escalate payer issues and credentialing problems proactively

Team Management

• Directly manage billing staff across Cedar Park and Arcadia - including offshore team members
• Set clear expectations, hold regular check-ins, and develop your team's skills and accuracy
• Build a billing function that runs consistently regardless of payer mix or location

Systems & Reporting

• Own billing workflows within our practice management system (Axis Ops)
• Report regularly to CEO on revenue cycle health - AR aging, denial trends, cash collections
• Identify and implement process improvements that reduce friction and increase collections velocity

Who You Are

• 3-5+ years in medical billing, revenue cycle management, or practice management - pediatric therapy, outpatient rehab, or specialty practice strongly preferred
• You know Medicaid managed care, TMHP, and/or Medi-Cal - not just commercial billing
• You've managed a billing team before and know how to hold people accountable to accuracy
• You are metrics-driven - you track the numbers that matter and act on them
• Comfortable managing remote and offshore staff
• ABA and therapy-specific billing experience is a significant plus
• Base salary based on experience
• PTO and paid holidays
• Health benefits (details during offer process)

Equal Opportunity

Little Land is an equal opportunity employer.