Billing & Office Manager

Billing & Office Manager

Kinetic Edge Physical Therapy | Corporate Office | Pella, Iowa

Kinetic Edge Physical Therapy is looking for a detail-oriented, people-centered Billing & Office Manager to lead our revenue cycle, insurance, authorization, and billing support functions from our corporate office in Pella, Iowa.

Kinetic Edge is a therapist-owned physical and occupational therapy practice with clinics across central and south-central Iowa. We exist to transform lives and restore hope through movement, and our administrative team plays a vital role in making that possible. When our billing, insurance, authorization, and client account processes work well, our providers can focus on care, our clients can focus on getting better, and our clinics can operate with confidence.

This is a leadership position for someone who enjoys solving problems, improving systems, supporting people, and creating clarity in complex healthcare billing processes.

Position Summary

The Billing & Office Manager is responsible for leading Kinetic Edge’s revenue cycle management operations, including insurance support, authorization workflows, claims management, payment posting oversight, denial follow-up, client account support, billing process improvement, and day-to-day leadership of the billing and back-office support team.

This person will work closely with the CFO, Assistant Financial Officer, COO, clinic leaders, care coordinators, providers, and back-office team members to ensure that our billing systems are accurate, timely, compliant, and client-focused.

The ideal candidate is organized, trustworthy, analytical, relational, and comfortable leading through change. Experience in healthcare billing, insurance processes, EMR systems, team leadership, and process improvement is strongly preferred.

What You’ll Do

• Lead and support the insurance, authorization, billing, claims, payment posting, denial management, and client account functions.


• Provide day-to-day leadership, coaching, accountability, and support to billing and back-office team members.


• Own the revenue cycle workflow from front-end insurance processes through claim submission, payment posting, denial resolution, client statements, and A/R follow-up.


• Monitor key billing and revenue cycle performance indicators, including claim accuracy, denial trends, aging A/R, authorization delays, payment posting timeliness, and client account concerns.


• Work with the CFO and leadership team to identify opportunities for improved cash flow, reduced denials, cleaner claims, better reporting, and more efficient billing processes.


• Serve as the primary operational leader for billing-related questions, workflow decisions, payer issues, and process improvements.


• Partner with clinic managers, care coordinators, and providers to improve front-end accuracy, documentation flow, authorization compliance, and timely claim submission.


• Support the continued optimization of Athelas, Waystar, and related billing/insurance workflows.


• Develop and maintain clear billing procedures, team expectations, training resources, and accountability systems.


• Help resolve complex client billing questions in a way that is accurate, respectful, and consistent with Kinetic Edge’s client-centered culture.


• Maintain appropriate separation between billing operations and finance/accounting functions. This role leads revenue cycle operations but does not own payroll, accounts payable, financial statement preparation, or core accounting functions.


• Collaborate with the Assistant Financial Officer on reconciliation, reporting, and month-end needs while maintaining clear role boundaries and accountability.


• Protect client confidentiality and support compliance with HIPAA, payer requirements, documentation standards, and internal policies.

What We’re Looking For

• A strong understanding of healthcare billing, revenue cycle management, insurance verification, authorizations, claims, denials, payment posting, and patient/client account processes.


• Experience leading people, coordinating team workflow, and holding others accountable in a supportive and professional way.


• Strong problem-solving skills and the ability to find root causes rather than simply react to recurring issues.


• Excellent written and verbal communication skills.


• High attention to detail, accuracy, follow-through, and organization.


• Comfort working with EMR systems, clearinghouses, payer portals, spreadsheets, reports, and billing dashboards.


• Ability to work collaboratively with finance, operations, clinical leadership, care coordination, and provider teams.


• A service-minded approach to helping clients, coworkers, and clinic leaders navigate complicated billing and insurance situations.


• Integrity, discretion, and good judgment when handling confidential financial, client, and personnel information.


• A willingness to learn, adapt, improve systems, and lead through change.

Preferred Experience

Healthcare billing or revenue cycle management experience.

Physical therapy, occupational therapy, outpatient rehab, or medical office billing experience.

Supervisory or team leadership experience.

Experience with EMR transitions, process mapping, payer portals, clearinghouses, denial management, A/R management, and billing analytics.

Experience with Athelas, Waystar, or similar healthcare billing systems is a plus.

Why Join Kinetic Edge?

At Kinetic Edge, our administrative team is not “behind the scenes” in a secondary way. Our back-office team helps create the conditions that allow clients to receive care, providers to serve well, and clinics to thrive.

You’ll be joining a mature, well-established, values-driven organization that is committed to excellent care, healthy teams, strong relationships, and continuous improvement. We are looking for someone who wants to lead with both competence and care.

This is a great opportunity for a revenue cycle or healthcare billing leader who wants to make a meaningful difference in a growing independent therapy practice.

Position Details

Position: Billing & Office Manager
Location: Corporate Office, Pella, Iowa
Status: Full-time
Schedule: Monday through Friday, business hours
Compensation: Competitive and based on experience
Reports to: Chief Financial Officer

How to Apply

Interested candidates should apply through the Kinetic Edge Physical Therapy careers page and submit a resume outlining relevant billing, healthcare administration, revenue cycle, and leadership experience.

Join the movement at Kinetic Edge and help us transform lives and restore hope through movement.