Medical Biller & Revenue Cycle Manager

Medical Biller & Revenue Cycle Manager

Celebrations Speech Group is seeking an experienced Medical Biller & Revenue Cycle Manager to support accurate billing, timely claims submission, AR follow-up, credentialing visibility, payer compliance, and revenue cycle reporting across our clinic, home, and school-based services. This is a hands-on role for someone who understands medical billing from start to finish, takes ownership of follow-up, and enjoys bringing structure to detailed billing processes. The ideal candidate is organized, accountable, and comfortable working with leadership, clinical teams, administrative staff, and outsourced billing partners. In this role, you will review and submit claims, monitor accounts receivable, assist with denial resolution, track documentation and timesheet issues that impact billing, support credentialing and payer enrollment tracking, and prepare regular revenue cycle updates for leadership.

Key Responsibilities

• Review and submit claims daily for accuracy, timeliness, and payer compliance.
• Monitor accounts receivable and follow up on outstanding claims, denials, underpayments, and billing delays.
• Partner with outsourced billing vendors to support timely and accurate billing processes.
• Track missing or incomplete documentation, service logs, and timesheets that may impact billing.
• Support credentialing and payer enrollment tracking for commercial insurance, Medicare, Medicaid/Medi-Cal, Regional Centers, and other applicable payers.
• Maintain organized provider, payer, credentialing, and billing status records.
• Prepare weekly reports related to claims, payments, AR aging, denial trends, credentialing status, and documentation gaps.
• Assist with patient billing questions, statements, account follow-up, and front office billing processes as needed.
• Support accurate CPT, ICD-10, modifier, and payer-specific billing practices
• Identify billing risks, workflow gaps, and revenue cycle trends, and communicate concerns to leadership.

What We're Looking For

• Minimum of 3 to 5 years of experience in medical billing, revenue cycle support, billing operations, or a closely related role.
• Experience with commercial insurance, Medicare, Medicaid/Medi-Cal, AR follow-up, denials, appeals, payment posting, and claim correction.
• Experience with provider credentialing, payer enrollment, CAQH, or credentialing vendor coordination.
• Strong understanding of CPT coding, ICD-10 coding, modifiers, payer requirements, and documentation standards.
• Strong attention to detail, organization, follow-through, and ability to manage multiple priorities.
• Ability to communicate billing issues clearly and professionally with leadership and team members.

Certification Requirement

• One or more of the following certifications is required or must be obtained within a timeframe approved by the company:
• Certified Professional Biller, CPB
• Certified Professional Coder, CPC
• Certified Coding Associate, CCA
• Certified Electronic Health Records Specialist, CEHRS

Preferred Experience

• Pediatric therapy, speech therapy, occupational therapy, ABA, or behavioral health billing.
• School-based billing, education contracts, or related service documentation.
• Tebra or similar EHR and billing systems.
• Experience coordinating with outsourced billing teams or credentialing vendors.

Why Join Celebrations Speech Group

Celebrations Speech Group is a mission-driven organization serving children and families across clinic, home, and school settings. This role offers the opportunity to make a meaningful impact by supporting the financial health and operational strength of a growing pediatric therapy organization. You will join a collaborative team that values accountability, communication, accuracy, and continuous improvement.

Equal Employment Opportunity Statement

Celebrations Speech Group is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital status, pregnancy, reproductive health decision-making, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, military or veteran status, or any other characteristic protected by applicable federal, state, or local law.

California Fair Chance Statement

Qualified applicants with criminal histories will be considered for employment in a manner consistent with the California Fair Chance Act.

Reasonable Accommodation Statement

Celebrations Speech Group provides reasonable accommodations to qualified individuals with disabilities and applicants who need assistance during the hiring process, unless doing so would create an undue hardship. Applicants who need an accommodation may contact Human Resources. Compensation: $72,800.00 - $78,000.00 per year