Billing Manager

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health

Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip's culture.  Recognized by Time as one of the most influential companies of 2023, along with awards from Linkedin and Lattice , we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.

We are searching for a highly motivated, experienced, and organized Billing Manager to help lead, improve, and scale the billing department at Equip. The ideal candidate will have extensive health care experience required specifically in the revenue cycle management function, billing, claims, utilization management, and payment practices.

Responsibilities:

• Communicate with the billing team and key stakeholders on changes in reimbursement and expectation of changes in insurance guidelines
• Establish payor performance communications to share in payor meetings; discerns when and how to escalate payer issues
• Collaborate with Senior Leadership on development of strong departmental objectives and key results; accountability for team performance specific to OKRs
• Track and report on key performance indicators regarding claims billing, reimbursement, and denials
• Guide billing team to maintain strict adherence to write-off policies, Sliding Fee Discount, and other accounts receivable policies
• Actively manage, develop, and monitor a highly engaged billing team
• Oversee all aspects of billing activity and initiate appropriate corrective measures as needed.
• Communicate performance data and associated actions plans to Senior Leadership
• Provide subject matter expertise regarding billing processes, policies, and procedures to individuals at a cross-functional level
• Direct the process of identifying, developing, and communicating systems, policies and procedures related to A/R, billing, and collectionsIdentify areas of revenue loss related to billing and claims management
• Create processes and procedures to ensure RCM function is ready to scale for exponential growth
• Oversee utilization, claims, remittance processing, and collection practices
• Create and analyze data on denial management, appeals, and payment postingIntroduce best practices and optimize work processes to address payor, regulatory, financial, and operational changes as well as emerging industry trends

Requirements:

• Bachelor's degree in related field; experience considered in lieu of degree
• 5+ years of experience in a management role in claims billing or revenue cycle
• Familiarity with third party reimbursement methodologies
• Extensive knowledge of third party payer reimbursement systems, rules and regulations relating to A/R
• Strong data analysis skills with Excel knowledge
• Strong communicator with a high level of confidentiality
• Ability and willingness to pivot to other potential tasks
• Enthusiastic, strong team player a must

Bonus if you have the following:

• Telehealth billing experience, ideally across multiple states
• VBC or alternative payment model claims billing experience
• Tableau, PowerBI, and/or strong excel skills
• Passion for mental health and eating disorder treatment and expanding access to treatment
• Experience with various billing systems (Athena, AMD, etc)

$75,000 - $86,000 a year

The pay range for this position in the US is $75,000K - $86,000K/yr; however, base pay offered may vary depending on job-related knowledge, skills, and experience. We are open to compensation negotiations. This role can be located anywhere in the US.

Equip offers a comprehensive benefit package, including medical, dental and vision insurance, 401k, paid time off, family and short-term disability leave.

Equip offers competitive compensation and benefits programs as well as, career development opportunities, and exciting team retreats to ensure community and connection.  The Talent Acquisition team will provide candidates with our benefit guide and share compensation information beyond posted bands. Below we have highlighted a list of some of our most popular benefits.

  Short and long term incentives, including yearly bonus potential

  Remote work from home

  Flexible PTO & Leave programs

  Health, dental, and vision insurance 

  Wellness and reproductive care programs

  401k retirement savings plan

  Home office set-up stipend

  Co-working monthly stipend

At Equip, we believe that our diverse perspectives are our biggest strengths - and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sexual orientation, gender identity, gender expression, familial status, age, weight, disability and/or any other legally protected classification protected by federal, state, or local law.