[Hiring] Billing Operations Manager @Chief Alignment Agency

Role Description

Capital Revenue Consultants (CRC) is seeking a Billing Operations Manager to lead and optimize daily billing operations across client accounts. This role ensures service delivery is structured, accountable, and performance-focused—supporting strong denial management, accurate reporting, and high client retention.

The Billing Operations Manager serves as the operational bridge between clients and the internal billing team, translating expectations into clear workflows, measurable KPIs, and consistent execution. This leader is accountable for how work moves through the billing cycle and how systems sustain growth without compromising quality.

This is a remote, 1099 contractor position for candidates located in the United States.

• Lead daily billing operations across client accounts to ensure accurate, timely revenue cycle execution
• Serve as primary client contact; prepare for and lead recurring client meetings
• Oversee biller performance by setting priorities, clarifying ownership, and reinforcing accountability
• Monitor denials, AR aging, collections, and outstanding balances; drive structured follow-up
• Run and review daily and weekly reports to identify risks and revenue gaps early
• Implement and manage quality assurance processes to protect billing accuracy and reduce repeat errors
• Troubleshoot claim issues by identifying root causes and directing resolution
• Maintain and improve workflows, documentation, and SOPs to ensure consistency and scalability
• Support onboarding of new clients by organizing billing expectations and processes
• Ensure continuity of operations when team members are unavailable
• Identify operational inefficiencies and implement solutions to improve billing function performance
• Gradually transition day-to-day client oversight from the CEO into structured systems

Qualifications

• 3–5+ years of medical billing experience with full revenue cycle exposure
• Preferred: At least 1 year of mental health billing experience
• Experience leading or overseeing billing work with accountability for outcomes
• Experience managing client communication and leading recurring client meetings

Requirements

• Proficient in Google Workspace (Sheets, Docs, Drive)
• Comfortable working across multiple EHR systems (SimplePractice and TherapyNotes preferred)
• Familiar with common payer portals and insurance follow-up processes
• Able to interpret EOBs/ERAs and resolve denials independently
• Experienced in documenting and maintaining SOPs and workflows

Professional Attributes

• Detail-oriented and highly organized
• Confident, professional communicator with clients
• Balanced people manager—empathetic yet direct
• Strong problem-solver and self-starter
• Calm under pressure with high ownership and discretion

Benefits

• High-impact leadership role in a growing mental health billing company
• 15–20 hours per week expected commitment
• Direct partnership with the CEO and real influence over operations
• Opportunity to build and optimize systems — not just maintain them
• Clear, measurable outcomes (denials, AR aging, retention) tied to your performance
• Autonomy to lead, improve processes, and strengthen team accountability
• Meaningful work that helps mental health providers focus on client care instead of billing stress

Hiring Process

• Applications are reviewed within 3 business days
• 15-minute virtual preliminary interview
• 30–45 minute in-depth interview
• 45–60 minute final interview with the CEO of Capital Revenue Consultants