Medical/Healthcare Claims Billing Manager

About the role

We are seeking a hands-on Medical/Healthcare Claims Billing Manager to become the first dedicated billing hire at RxDiet and lead our billing function as we grow. This is an opportunity to make a big impact on a small team by ensuring billing accuracy, maximizing clean claim rates, and building the foundation of RxDiet's revenue cycle operations and team.

Responsibilities

• Accurate and timely submission of claims to Medicaid, Medicare, and other payers
• Monitoring claim status and resolving denials and rejections
• Ensuring compliance with payer-specific billing requirements
• Building out and leading the billing team, establishing processes, documentation, and best practices
• Hiring, training, and managing billing staff as the function scales

Requirements

• Minimum of 5+ years of experience in healthcare claims billing, including 3 years of prior experience managing or leading a billing team
• Direct experience submitting and managing claims for Medicaid and Medicare is required
• Strong working knowledge of claims submission systems, clearinghouses, and payer portals
• Familiarity with CMS, CPT, ICD-10, and HCPCS coding, and payer-specific billing guidelines
• Experience identifying and resolving claim denials, rejections, and underpayments
• Proven ability to hire, train, and manage billing staff, with strong people-leadership and coaching skills
• Strong working knowledge of Excel/Google Sheets
• Detail-oriented with strong organizational and time management skills
• Excellent written and verbal communication
• Self-starter with a can-do attitude and startup mindset, comfortable building both processes and a team from scratch as the first billing hire on the team
• Interest in food-as-medicine, startups, and community health

Pay

$65,000 - $85,000 / year