Billing Manager

Belle

1d•Remote

About The Position

Belle delivers high-touch in-home care to Medicare members using a novel Community Health Worker (CHW)-led model, supported by telehealth clinicians and a comprehensive CCM program. We are scaling rapidly across states and transitioning into a full MSO + multi-medical group architecture. We’re entering the next phase of growth — multi-state expansion, payer contracting, and significant operational scale. Belle needs a hands-on financial builder to architect and own our financial foundation. About this Role Belle is seeking a Billing Manager to own end-to-end billing execution and revenue cycle performance. Belle operates a simple, standardized medical claims model with a limited code set and repeatable workflows, enabling high-volume, low-complexity billing at scale. This role is hands-on today and managerial by design—responsible for direct claim execution initially, with the opportunity to build and lead additional billing capacity as volume grows. The Billing Manager will report directly to the Director of Finance and partners closely with Practice Operations to ensure clean upstream handoffs and continuous improvement.

Requirements

3+ years of healthcare physician billing or revenue cycle experience
Demonstrated experience billing professional physician services (non-facility)
Medicare and/or Medicare Advantage billing experience
Experience working claims end-to-end (submission through payment)
Familiarity with eClinicalWorks
Strong attention to detail and follow-through
Comfort owning a full claims queue independently

Nice To Haves

Experience in high-volume, standardized billing environments
Remote work experience
Prior exposure to finance-led RCM teams

Responsibilities

Own daily and weekly medical claim submission
Monitor clearinghouse activity and payer responses
Correct and resubmit rejected claims
Ensure timely, accurate claim throughput
Manage payer denials and appeals
Own A/R aging and follow-up cadence
Escalate unresolved payer issues as needed
Identify underpayments and discrepancies
Maintain and improve billing workflows
Document repeatable processes
Prepare billing operations to scale from current volumes to 20k+ claims/month
Support future hiring or vendor support as volume increases
Partner with the Practice Manager to surface upstream issues related to eligibility, configuration, or documentation
Provide structured feedback to prevent repeat billing errors
Coordinate closely with Finance on cash visibility and performance