Director of Billing & Accouns Receivable

BURNETT THERAPEUTIC SERVICES INC

6h • $22 - $26 • Remote

About The Position

We are seeking a Director of Billing and Accounts Receivable to lead and oversee all billing, revenue cycle, and reimbursement operations across our clinical and administrative teams. This position owns the end to end Accounts Receivable workflow and serves as a key strategic and operational partner to Clinical, Contract Fulfillment, Accounting, Operations, and Executive Leadership.

In addition, this role will lead the implementation of a new EHR system, including supporting system selection, configuring workflows, setting up billing and payer rules, managing testing and go-live readiness, and training all impacted staff to ensure successful adoption and long term operational stability. This role is both strategic and hands-on, requiring strong systems thinking, leadership, attention to detail, cross functional coordination, and proactive problem solving.

Requirements

• High school diploma or GED required. Associate’s or Bachelor’s degree preferred
• Reliable internet, personal work computer, and professional remote work environment
• Ability to work 9:00 am to 5:30 pm Pacific Time with flexibility during peak periods
• Ability to work consistently within the Pacific Time Zone
• 5 plus years of experience in medical billing, AR, or healthcare administration with progressive responsibility
• Experience leading billing operations, systems, or process improvements
• Advanced proficiency in Excel, including formulas, pivot tables, and analysis
• Strong organizational, analytical, and problem-solving skills
• Excellent written and verbal communication skills
• Ability to handle confidential information with discretion
• Ability to manage multiple priorities and stakeholders

Nice To Haves

• Experience in an ABA or behavioral health setting strongly preferred
• Experience with NPA, SimplePractice, or similar platforms

Responsibilities

• Own, lead, and manage all daily, weekly, and monthly billing and AR operations
• Oversee full cycle billing for all payers, including PHC, SUSD, NVUSD, EL, NBRC, Carelon, Acumen, private pay, co-pay, and co-insurance
• Ensure timely and accurate claim submission, payment posting, and reconciliation
• Review AR weekly, follow up on outstanding balances, and update deposit and tracking sheets
• Monitor, analyze, and resolve claim denials, rejections, and underpayments
• Perform charge validation, charge corrections, and ongoing data integrity checks
• Establish performance standards, workflows, and quality controls for billing operations
• Own and maintain billing workflows across NPA, SimplePractice, and related platforms
• Lead the implementation of a new EHR or billing system, including setup, workflow design, data configuration, testing, and go live readiness
• Develop and lead staff training for new systems and process changes
• Support appointment verification, billing readiness, and system troubleshooting
• Identify inefficiencies, risks, or breakdowns and implement improvements
• Develop, document, and refine SOPs for billing and AR processes
• Update and maintain monthly trended hours for Contract Fulfillment and Accounting
• Prepare monthly payments and revenue summaries for Accounting
• Prepare AR, revenue, and payer performance reports for leadership and CF review
• Track payer performance, denial trends, and reimbursement timelines
• Provide insights and recommendations based on revenue cycle data
• Manage payer relationships and communications
• Lead payer enrollment, ERA setup, rate updates, and code configuration in NPA and related systems
• Maintain accurate funder, rate, and authorization information across systems
• Support new funder onboarding and contract implementation
• Support contracts with rate validation and operational alignment
• Prepare and support insurance audits, internal audits, FSO audits, and charge validations
• Own audit preparation processes, documentation, and follow ups
• Ensure compliance with payer, contractual, and regulatory requirements
• Lead discharge process review and billing closure
• Serve as the primary billing and revenue cycle partner to Clinical, Contract Fulfillment, Accounting, Admin, Operations, and Leadership
• Provide guidance on billing requirements, documentation standards, and timelines
• Support teams with co pay and co insurance billing, follow ups, and education
• Support leadership with planning related to reimbursement, growth, and payer mix
• Handle escalated client and payer billing inquiries professionally and ethically
• Communicate with payers and clients regarding pending claims and resolutions
• Maintain a high standard of service, confidentiality, and professionalism

Benefits

• 6 paid holidays after one year of employment
• Accrued Sick time
• Shadowing opportunities and hands-on mentorship to build confidence
• Medical, dental, and vision insurance (for employees working 30+ hrs/week)
• 401(k) retirement plan, for those who have accrued 1000 hours of service within 12 months.
• Aflac supplemental insurance options (for employees working 30+ hrs/week)
• LifeCare Employee Assistance Program: includes free confidential counseling, referrals, and wellness resources
• LifeMart Employee Discount Program: exclusive savings on everyday purchases and services

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: High school or GED