Medical Biller & Revenue Cycle Manager

About the role

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.

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.

Requirements

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.

Qualifications

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

Skills

Organized, accountable, and comfortable working with leadership, clinical teams, administrative staff, and outsourced billing partners. Hands-on experience with medical billing from start to finish. Proficiency in CPT coding, ICD-10 coding, modifiers, payer requirements, and documentation standards. Strong attention to detail and organizational skills. Effective communication and problem-solving abilities.

Benefits

- Dental insurance - Employee discounts - Health insurance - Paid time off - Vision insurance

Pay

$72,800.00 - $78,000.00 per year

Schedule

Monday through Friday, business hours

Company Information

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.