Billing Operations Manager

This is a remote position.

Company Overview

At Insight Therapy Solutions were on a mission to make quality mental healthcare accessible to everyone. As a rapidly growing telehealth provider we deliver care across multiple states and payer networks which makes a strong modern Revenue Cycle function critical to our success.

Were now looking for a strategic and hands-on Billing Operations Manager to lead our revenue cycle operations optimize collections and build scalable systems that support our next stage of growth.

If you thrive at the intersection of healthcare operations data and leadership and you enjoy turning complex systems into efficient high-performing teams this role is for you.

Why Join Us

• 100% remote work from home
  

• High-impact leadership role directly shape company revenue performance
  

• Growth-oriented build systems KPIs and processes from the ground up
  

• Purpose-driven your work supports accessible mental healthcare
  

• Collaborative leadership partner closely with Finance Clinical and Executive teams
  

• 15 days of annual paid time off (PTO)
  
• Paid U.S. holidays
  
• Paid birthday leave
  
• Monthly health stipend
  
• Annual performance and salary review
  

The Role

As the Billing Operations Manager you will own and optimize all aspects of the revenue cycle including billing operations claims management collections and payer performance.

This role blends operational leadership with strategic transformation. You will manage a high-performing billing team introduce automation and data-driven decision-making and serve as a key partner to Finance and Executive leadership in driving sustainable revenue growth.

Key Responsibilities

Revenue Cycle Leadership

• Lead and manage the Billing department ensuring accuracy efficiency and accountability across all billing and collections operations.
  

• Build a culture of performance ownership and continuous improvement within the team.
  

Billing Operations & Performance Management

• Oversee claims submission payment posting denials and collections.
  

• Maintain best-in-class metrics for denial rates first-pass resolution and Days in A/R.
  

• Design and maintain automated KPI dashboards for real-time visibility into team performance.
  

• Implement targeted strategies to reduce insurance A/R over 120 days.
  

Revenue Optimization

• Monitor reimbursement trends and payer performance.
  

• Strategically manage payer mix to reduce dependency on any single payer.
  

• Identify opportunities to increase reimbursement per session and overall yield.
  

Innovation & Process Improvement

• Identify and implement automation and technology solutions (e.g. RPA AI-driven denial analysis workflow automation).
  

• Partner with internal teams and vendors to deploy new tools and systems.
  

• Redesign workflows to improve speed accuracy and scalability.
  

Training & Team Development

• Design onboarding and continuous training programs for billing staff.
  

• Build cross-training and succession plans to ensure operational continuity.
  

• Coach team members through performance improvement and skill development.
  

Stakeholder Management & Reporting

• Act as primary point of contact for payer relationships and escalations.
  

• Resolve complex or high-impact billing issues.
  

• Provide regular performance and financial impact reports to the CEO and Finance leadership.
  

• Collaborate closely with Clinical Operations and Executive teams.
  

What Were Looking For

Experience

• 5 years of experience in medical billing / revenue cycle management.
  

• At least 2 years in a supervisory or leadership role.
  

• Strong background in insurance billing collections and payer negotiations.
  

• Experience in behavioral health mental health or telehealth is a strong plus.
  

Core Skills

• Deep understanding of revenue cycle KPIs (Days in A/R denial rates first-pass resolution etc.).
  

• Strong analytical and financial acumen.
  

• Proven ability to design and improve operational processes.
  

• Excellent written and verbal communication skills.
  

• Ability to lead coach and hold teams accountable in a remote environment.
  

Tech & Systems

• Advanced proficiency in Excel / Google Sheets (formulas dashboards reporting).
  

• Experience with EHR and billing systems (e.g. AdvancedMD Kareo Athena similar).
  

• Comfort working with CRM ticketing or workflow tools.
  

• Interest or experience in automation RPA or data analytics tools is a major plus.
  

Mindset & Leadership Style

• Strategic thinker with strong execution skills.
  

• Comfortable operating in fast-growing evolving environments.
  

• Highly organized proactive and data-driven.
  

• Professional discreet and trusted with sensitive financial and patient data.
  

Work Setup & Requirements

• Full-time: 40 hours/week
  

• Schedule: MondayFriday Pacific Standard Time (PST)
  

• Equipment: Modern laptop/desktop (Intel i5 or equivalent 8GB RAM)
  

• Internet: Stable high-speed connection
  

Why This Role Is Unique

This is not a traditional billing supervisor role.

You are being hired to:

• Build systems not just maintain them
  

• Create dashboards not just review reports
  

• Lead transformation not just operations
  

You will have direct visibility with executive leadership and real influence over how the company scales its revenue engine.