Billing Manager (Mental Health)

Trusted Results Therapy Group•North Charleston, SC

About The Position

Trusted Results Therapy Group is seeking a knowledgeable, detail-oriented, and results-driven full-time Billing Manager to lead billing and revenue cycle operations. The role oversees the full revenue cycle and ensures that billing processes are accurate, timely, compliant, and effective, including insurance verification, authorizations, claims, payment posting, denial management, accounts receivable, patient balances, payer follow-up, and reporting. The Billing Manager monitors financial and operational performance, identifies reimbursement trends and barriers, and implements improvements to maximize collections, reduce outstanding accounts receivable, minimize preventable denials, and support the organization’s financial health. The role works closely with clinical, intake, administrative, credentialing, compliance, and executive leadership to promote accurate documentation, timely billing, appropriate reimbursement, and consistent processes across locations. The successful candidate is a hands-on revenue cycle leader who uses data to identify problems and develop sustainable solutions while balancing financial performance, compliance, and client-centered service.

Requirements

Associate degree or higher.
At least 5 years of experience in medical billing, revenue cycle management, healthcare finance, or a related field.
At least 2 years of leadership or management experience in healthcare billing or revenue cycle.
Experience with claims, denials, appeals, accounts receivable, collections, and reimbursement processes.
Experience working with Medicaid, Medicare, and commercial insurance payers.
Experience with EMR/EHR or practice management systems and revenue cycle reporting.
Relevant billing, coding, or revenue cycle certification.
Strong leadership, analytical, organizational, and problem-solving skills.
Excellent communication skills and strong attention to detail and accuracy.
Ability to manage multiple priorities, collaborate across departments, and maintain confidentiality.

Nice To Haves

Bachelor's degree in healthcare administration, business administration, finance, accounting, or a related field.
Experience in behavioral health, mental health, therapy, or outpatient healthcare.
Experience managing billing or revenue cycle operations across multiple locations.
Knowledge of behavioral health and mental health billing requirements.
Knowledge of medical coding and healthcare reimbursement practices.
Knowledge of HIPAA and healthcare compliance requirements.
Experience with Medicaid and Medicare billing in a behavioral health setting.
Demonstrated success improving accounts receivable and collection performance.
Demonstrated success reducing denials and improving clean claim rates.
Experience implementing or improving billing and revenue cycle processes in a growing healthcare organization.

Responsibilities

Oversee the full revenue cycle, from client registration and insurance verification through claims, payment posting, denial management, accounts receivable follow-up, and account resolution.
Establish and maintain standardized billing workflows and procedures across all locations.
Monitor billing workflows to ensure claims are complete, accurate, and submitted within payer timelines.
Ensure payments, adjustments, and contractual allowances are posted accurately and promptly.
Monitor accounts receivable and patient balances, prioritize follow-up, and develop strategies to improve collections and cash flow.
Identify reimbursement delays, billing errors, workflow inefficiencies, and other barriers to revenue, and implement process improvements.
Monitor revenue cycle metrics and prepare and analyze billing, A/R aging, collection, and denial reports for leadership.
Oversee claim submission, payer follow-up, corrections, resubmissions, appeals, and resolution of denied, rejected, delayed, or underpaid claims.
Analyze denial trends and payer issues, identify root causes, and implement preventive measures.
Maintain communication with insurance companies and monitor payer requirements.
Oversee insurance eligibility, benefit verification, and authorization processes.
Partner with clinical and administrative teams to address missing or incomplete information that affects billing.
Ensure patient billing practices are accurate, professional, timely, and aligned with organizational policies; assist with escalated billing concerns.
Ensure billing practices and documentation comply with HIPAA, payer requirements, organizational policies, and applicable healthcare regulations.
Maintain accurate billing records, support audits, and escalate compliance concerns in partnership with Quality & Compliance.
Develop and maintain billing quality-control procedures; review billing activity and implement corrective measures to improve accuracy.
Evaluate systems and processes and recommend improvements that support efficiency, compliance, accuracy, and organizational growth.
Lead, coach, train, and support billing team members; set expectations, assign work, manage workloads, and monitor productivity and performance.
Identify team training needs, provide feedback and workflow guidance, and foster a collaborative, accountable team environment.
Collaborate with clinical, intake, administrative, credentialing, and leadership teams on billing requirements, documentation, and payer expectations.
Develop, review, and maintain billing policies, procedures, and standard operating procedures, updating them as requirements and organizational needs change.
Track and support key performance indicators, including claim timeliness and accuracy, A/R aging, collection rates, denial rates, payment posting, authorization-related denials, team performance, and audit outcomes.