CentralReach is the #1 provider of SaaS software solutions for autism and IDD care. Trusted by more than 150,000 users, we enable therapy providers, educators, and employers scale the way they deliver Applied Behavior Analysis and related therapies with innovative technology, market-leading industry expertise, and world-class customer satisfaction.
We are seeking a strategic and results-driven Billing Manager to lead and oversee our insurance-based medical billing team. This role is focused on team leadership, process optimization, and ensuring compliance with industry regulations, rather than hands-on billing tasks. The ideal candidate will have a strong background in revenue cycle management, a passion for mentoring and developing high-performing teams, and the ability to drive continuous operational improvements. As the Billing Manager, you will be responsible for setting the direction, implementing best practices, and ensuring that the team efficiently manages billing operations to maximize reimbursement and minimize denials.
Key Responsibilities:
Leadership & Team Management
- Lead, mentor, and develop a high-performing billing team, fostering a culture of accountability and continuous improvement.
- Oversee the hiring, training, and professional development of billing team members.
- Manage team workflows, productivity, and performance to align with organizational goals.
- Conduct regular performance evaluations, coaching sessions, and team meetings to ensure alignment and engagement.
Process Improvement
- Improve and enforce billing policies, procedures, and compliance standards.
- Lead process optimization initiatives, leveraging automation and best practices to improve efficiency.
- Monitor key performance indicators (KPIs) such as claim approval rates, denial management, and revenue cycle efficiency.
- Collaborate with the Sr Manager, Billing Operations and other stakeholders to drive strategic initiatives and operational improvements.
Operational & Compliance Oversight
- Ensure compliance with billing regulations, payer requirements, and industry best practices.
- Oversee the quality assurance process, ensuring billing accuracy and timely submissions.
- Work closely with account managers and leadership to address escalated billing challenges and develop solutions.
- Serve as the point of escalation for complex billing issues, ensuring resolution through effective team management and collaboration.
- Stay informed about changes in industry regulations and reimbursement policies, ensuring the team adapts proactively.
Required Skills & Qualifications:
- 7+ years of experience in medical billing, revenue cycle management, or healthcare finance.
- Minimum 2 years of leadership and team management experience in a billing or RCM role.
- Strong knowledge of insurance-based billing processes, reimbursement methodologies, and compliance regulations.
- Proven experience in leading teams, driving operational efficiency, and managing change.
- Ability to develop and execute billing department strategies that align with company goals.
- Excellent communication, coaching, and team-building skills to foster a high-performance culture.
- Strong analytical and problem-solving skills, with experience in data-driven decision-making.
- Proficiency in billing software, EHR systems, and insurance portals.
- Ability to collaborate cross-functionally with finance, clinical, and leadership teams.
- Self-motivated, strategic thinker with a proactive approach to problem-solving.
Preferred Qualifications:
- Experience with ABA therapy, mental health, or substance abuse billing.
- Knowledge of automation tools and process improvement methodologies for billing operations.
- Familiarity with HIPAA compliance and payer contracting.
CentralReach was developed for Clinicians by Clinicians. The story of CentralReach begins in 2012 when the company’s founder, a practicing Board Certified Behavioral Analyst, decided there had to be a better way to manage her operations so she could spend more time on what mattered most — working with her clients and patients. To help ABA practices focus on what they do best, CentralReach launched the first iteration of its EMR and practice management platform. Today, under the leadership of Chris Sullens, an award-winning CEO in the technology space, CentralReach is committed to their mission of providing cutting-edge technology and services to help clinicians and educators produce superior client and patient outcomes.
Already a market leader, CentralReach is expected to grow exponentially through its four core tenets: hire and develop great people; build industry-leading products; provide exceptional service to customers and continuously invest in systems, processes and infrastructure. We value our employees and offer a robust benefits package including health and dental, paid time off, life insurance, disability coverage and a 401(k) matching. We also provide comprehensive onboarding, ongoing training, mentoring and career pathing to help you develop your career.
We pride ourselves on our fun and energetic environment that also provides our employees with a meaningful way to make a difference by helping clinicians and educators produce superior outcomes for children and adults with disabilities. #LI-Hybrid
