Billing Manager (Mental Health) Trusted Results Therapy Group - 5.0 North Charleston, SC Job Details Full-time $95,000 a year 9 hours ago Qualifications Appeals Medicare Case appeal in utilization management Medicare regulations Managing finance teams Healthcare team management Data-driven problem-solving Centers for Medicare & Medicaid Services (CMS) billing regulations Medicaid regulations Medicaid Cross-functional collaboration Insurance claims appeal handling Medical debt collection accounts Collections account management Cross-functional communication Patient collections management Full Job Description About Us Trusted Results Therapy Group (TRTG) is a growing mental health practice dedicated to delivering compassionate, evidence-based care to individuals and families. We provide therapeutic services to children, adolescents, adults, couples, and families across South Carolina, with a focus on quality care, collaboration, clinical growth, and an exceptional client experience. Position Overview Trusted Results Therapy Group is seeking a knowledgeable, detail-oriented, and results-driven Full-Time Billing Manager to lead our billing and revenue cycle operations. The Billing Manager is responsible for overseeing the full revenue cycle and ensuring billing processes are accurate, timely, compliant, and effective. This position provides leadership and accountability for billing workflows, insurance verification, authorizations, claims submission, payment posting, denial management, accounts receivable, patient balances, payer follow-up, and revenue cycle reporting. The Billing Manager will monitor financial and operational performance, identify trends and barriers to reimbursement, and implement improvements that maximize collections, reduce outstanding accounts receivable, minimize preventable denials, and support the financial health of the organization. This position works closely with clinical, intake, administrative, and executive leadership to ensure accurate documentation, timely billing, appropriate reimbursement, and consistent processes across all locations. The ideal candidate is highly organized, analytical, proactive, and comfortable managing both people and processes in a growing healthcare environment. This individual should be able to identify problems, take ownership of solutions, use data to drive decisions, and maintain a strong balance between financial performance, compliance, and client-centered service. Essential Responsibilities Revenue Cycle Management Oversee the full revenue cycle, including client registration, insurance verification, authorization tracking, claim submission, payment posting, denial management, accounts receivable follow-up, and account resolution. Establish and maintain standardized billing and revenue cycle processes across all locations. Monitor billing workflows to ensure claims are accurate, complete, and submitted within required payer timelines. Ensure payments, adjustments, and contractual allowances are posted accurately and timely. Monitor outstanding accounts receivable and establish processes for timely follow-up and resolution. Identify reimbursement delays, billing errors, workflow inefficiencies, and other barriers affecting revenue. Develop and implement process improvements designed to maximize reimbursement, reduce errors, accelerate collections, and improve overall revenue cycle performance. Monitor key revenue cycle metrics and identify trends requiring action. Prepare and analyze billing reports, A/R aging reports, collection trends, denial data, and other revenue cycle information for leadership. Provide leadership with meaningful analysis and recommendations based on billing and financial performance. Claims & Denial Management Oversee accurate and timely claim submission, follow-up, and resolution. Manage denied, rejected, delayed, and underpaid claims, including corrections, resubmissions, and appeals. Analyze denial trends and recurring payer issues to identify root causes and implement preventive solutions. Maintain communication with insurance companies to resolve reimbursement and billing concerns. Monitor payer requirements and ensure billing processes remain current and compliant. Ensure appeals and reconsideration requests are completed accurately and within required deadlines. Accounts Receivable & Collections Monitor accounts receivable aging and establish priorities for follow-up and collection activity. Develop strategies to reduce aging A/R and improve collection performance. Identify accounts requiring escalation or additional intervention. Monitor outstanding insurance and patient balances to ensure consistent and timely follow-up. Evaluate collection trends and identify opportunities to improve cash flow and reimbursement. Maintain appropriate documentation of collection and follow-up activities. Provide regular reporting to leadership regarding A/R performance, outstanding balances, and collection trends. Insurance, Authorizations & Patient Accounts Oversee insurance eligibility and benefit verification processes. Ensure insurance information is accurate and updated appropriately. Monitor authorization requirements and establish processes to reduce authorization-related denials. Partner with clinical and administrative teams to address missing or incomplete information affecting billing. Monitor patient balances and maintain consistent processes for patient account follow-up. Ensure patient billing practices are accurate, professional, timely, and aligned with organizational policies. Assist with the resolution of escalated billing questions or account concerns. Promote a client-centered approach to billing communication while maintaining appropriate financial accountability. Compliance & Regulatory Responsibilities Ensure billing practices and documentation comply with HIPAA, payer requirements, organizational policies, and applicable healthcare regulations. Maintain current knowledge of Medicaid, Medicare, commercial payer, and therapy-specific billing requirements. Maintain accurate billing records and support internal, external, and payer audits. Identify and escalate billing or reimbursement compliance concerns and partner with Quality & Compliance on corrective actions. Maintain confidentiality and appropriate handling of protected health and financial information. Quality Control & Process Improvement Develop and maintain quality-control procedures for billing and revenue cycle processes. Conduct or oversee routine reviews of billing activity to identify errors, inconsistencies, and opportunities for improvement. Establish processes to monitor billing accuracy and timely claim submission. Analyze recurring errors and implement corrective measures to prevent future occurrences. Develop standardized workflows, procedures, and controls to support consistency across all locations. Evaluate existing systems and processes and recommend improvements that support efficiency, accuracy, compliance, and growth. Partner with leadership to implement revenue cycle initiatives and monitor results. Leadership & Team Management Lead, coach, and support billing team members while establishing clear expectations and accountability. Provide training, performance feedback, workflow guidance, and ongoing professional development. Monitor team productivity, accuracy, and performance against established goals. Assign responsibilities and manage workloads to support timely completion of billing activities. Identify training needs and develop resources to strengthen team knowledge and performance. Foster a collaborative, solutions-focused, and accountable team environment. Address performance or workflow concerns promptly and professionally. Support the development of a high-performing revenue cycle team as the organization continues to grow. Cross-Functional Collaboration Work closely with clinical, intake, administrative, credentialing, and leadership teams to support accurate and efficient billing processes. Communicate documentation or billing requirements clearly to appropriate team members. Identify recurring documentation or workflow issues affecting reimbursement and partner with leadership to resolve them. Support staff education regarding billing-related processes, documentation requirements, and payer expectations. Serve as a resource for billing, insurance, reimbursement, and revenue cycle questions. Promote strong communication between departments to reduce billing delays and improve the overall client experience. Policies & Procedures Develop, review, and maintain billing policies, procedures, and standard operating procedures (SOPs). Establish consistent billing workflows and quality-control measures. Ensure billing team members are appropriately trained on policies, procedures, and payer requirements. Update procedures as payer requirements, regulations, systems, or organizational needs change. Maintain appropriate documentation of billing processes and procedures. Support standardization of revenue cycle practices across all locations. Key Performance Indicators Success in this position will be evaluated through measurable revenue cycle, operational, and team outcomes, which may include: Timely and accurate claim submission. Accounts receivable aging and reduction of aged balances. Collection rate and overall reimbursement performance. Denial and rejection rates. Timely resolution of denied and rejected claims. Reduction in preventable or recurring denials. Accuracy and timeliness of payment posting. Timely follow-up on outstanding insurance and patient balances. Authorization-related denial rates. Billing accuracy and quality-control results. Timely completion of billing reports and revenue cycle analysis. Team productivity, accuracy, and performance. Consistency of billing processes across organizational locations. Successful completion of payer audits and billing-related compliance reviews. Required Qualifications Associate degree or higher. Minimum of 5 years of experience in medical billing, revenue cycle management, healthcare finance, or a related field. Minimum of 2 years of leadership or management experience in healthcare billing or revenue cycle. Experience with claims, denials, appeals, A/R, 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 with strong attention to detail and accuracy. Ability to manage multiple priorities, collaborate across departments, and maintain confidentiality. Preferred Qualifications 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. What We're Looking For The ideal candidate is a hands-on revenue cycle leader who understands that successful billing requires more than submitting claims. We are looking for someone who can evaluate the entire revenue cycle, identify where revenue is being delayed or lost, and develop sustainable solutions. The successful Billing Manager will be comfortable reviewing data, investigating discrepancies, holding team members accountable, communicating with payers, collaborating with clinicians and administrative staff, and presenting meaningful revenue cycle information to leadership. Most importantly, this individual will bring a proactive and solutions-focused approach to the role while helping Trusted Results Therapy Group build scalable, accurate, and efficient billing processes that support continued growth and exceptional client care.