Billing Director
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Job Description
Billing Director managing Medicaid and out-of-network billing operations for outpatient addiction treatment organization. Taking ownership of billing strategy and revenue cycle compliance across multi-state operations.
Responsibilities:
- Lead all Medicaid billing processes (network and out-of-network) across our multi-state operations.
- Manage and optimize performance of our third-party billing vendor handling out-of-network claims.
- Track and improve key revenue cycle metrics including days in A/R, denial rates, collection ratios, and first-pass claim acceptance.
- Collaborate with clinical, medical, and administrative teams to ensure accurate documentation, timely charge entry, and proper coding.
- Leverage our EMR and RCM platforms (experience with Kipu and/or Collaborate MD strongly preferred).
- Manage claim submissions, follow-up, appeals, payer relations, and reimbursement optimization with a primary focus on Medicaid.
- Develop billing workflows, policies, and internal controls to support scalability as the organization grows.
- Provide leadership, training, and mentorship to internal billing staff while maintaining strong coordination with external partners.
- Monitor regulatory changes, payer policies, and industry updates affecting behavioral health billing.
- Deliver regular performance reports and revenue forecasts to senior leadership.
Requirements:
- 3–7+ years of progressive medical billing experience with a strong emphasis on Medicaid billing (network and out-of-network) in healthcare, ideally in behavioral health or substance abuse treatment.
- Prior experience managing billing teams or third-party billing vendors is highly preferred.
- Hands-on experience with AI-driven billing tools, automation, or financial reporting integrations (especially for revenue cycle analytics and operational reporting) will be a strong differentiator.
- Hands-on proficiency with Kipu EMR and/or Collaborate MD RCM systems is a significant advantage.
- Deep knowledge of revenue cycle management, claim editing, denial management, appeals, and compliance requirements.
- Strong analytical skills with the ability to identify trends, solve problems, and drive process improvements.
- Excellent communication and collaboration skills.
- Must be based in or willing to work from one of our primary locations: Houston, TX, Atlanta, GA, or Wilmington, NC.
- We are open to candidates across different experience levels — from seasoned directors ready to fully own and scale the function to strong Medicaid billing professionals who can effectively manage the third-party partner while growing into the broader director role.
Benefits:
- We also provide a basic benefits package.
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