Billing Manager (Pediatric Therapy)

Little Land Pediatric Therapy & Play Gym•Cedar Park, TX

2d•Hybrid

About The Position

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. The Revenue Cycle is the financial backbone of our clinical operation. We are looking for someone who takes that seriously and knows how to run it. 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.

Requirements

3–5+ years in medical billing, revenue cycle management, or practice management
Experience with Medicaid managed care, TMHP, and/or Medi-Cal
Managed a billing team before
Metrics-driven approach to tracking and acting on numbers
Comfortable managing remote and offshore staff

Nice To Haves

Pediatric therapy, outpatient rehab, or specialty practice experience strongly preferred
ABA and therapy-specific billing experience is a significant plus

Responsibilities

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
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
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
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