Healthcare Billing Manager in London

Backpack Medical Group is seeking an experienced Healthcare Billing Manager to lead and operationalize our end-to-end revenue cycle across a multi-state behavioral health organization. This is a high-impact leadership role responsible for stabilizing, strengthening, and scaling billing operations that support care delivery to underserved Medicaid populations.

You will directly manage a team of 3–4 billing specialists and take full ownership of billing operations — from patient intake through claim resolution, posting, and collections.

• Advanced experience with eClinicalWorks (ECW)

• Behavioral health and Medicaid experience

What You'll Accomplish in the First 60 Days

You'll immediately focus on stabilizing and strengthening our revenue cycle infrastructure by:

• Stabilizing urgent revenue cycle gaps
• Building foundational reporting infrastructure
• Correcting system mappings and configuration issues
• Implementing controls to eliminate:
• Aged claims
• Posting errors
• Patient and payer balance backlogs

This role is both strategic and hands-on — ideal for someone who thrives on fixing broken processes and building scalable systems.

We're looking for a leader who is:

• A systems thinker who can stabilize complex workflows
• Hands-on (not purely strategic)
• Comfortable repairing inefficient or broken processes
• Data-driven and audit-oriented
• Highly organized and detail-obsessed
• A strong communicator across finance, clinical, and technical teams

This performance agreement outlines expectations and success metrics for the Healthcare Billing Manager / Director at Backpack Medical Group. This role is critical to:

• Strengthening billing infrastructure
• Improving collections performance
• Accelerating cash flow
• Standardizing revenue cycle operations
• Supporting scalable behavioral health services for underserved Medicaid populations

You will be accountable for end-to-end revenue cycle performance, team leadership, process standardization, and cash acceleration — directly aligning billing performance with organizational growth and mission delivery.

Revenue Cycle Oversight

Provide operational ownership across the full billing lifecycle, including:

• Eligibility and prior authorization verification
• Claim creation, transfer, and submission through eClinicalWorks (ECW)
• Payment posting, reconciliation, and deposit tracking
• Patient balance follow-up and payer balance resolution
• Denial management and aged accounts recovery

Ensure billing compliance across:

• Credentialing status
• Supervision requirements
• CPT / ICD / POS combinations
• Fee schedule mapping
• Payer contract terms

Team Leadership & Operational Management

Directly supervise and lead 3–4 billing specialists:

• Maintain productivity standards, quality audits, and KPI accountability
• Develop and document SOPs and internal controls
• Manage billing ticket prioritization to ensure timely responses to internal and external inquiries

Immediate Infrastructure & Stabilization (First 60 Days)

Lead development and operationalization of key infrastructure:

• Validate payer data across systems
• Identify and correct posting errors
• Lead team through existing Claim Denial Projects
• Establish payer portal access across all payers
• Conduct internal systems review and adjust settings:
• Validate and correct supervision mappings
• Confirm POS, payer ID, and fee schedule crosswalk accuracy
• Resolve over-applied postings

Claims Management & Compliance

Ensure timely claim submission:

• Validate coding combinations and billing readiness criteria
• Track denials with documented root-cause analysis
• Coordinate corrective actions across departments to prevent recurrence

Payment Posting & Reconciliation Oversight

Cross-check bank deposits and patient payments for posting accuracy:

• Monitor patient statement generation and notification workflows
• Coordinate balance resolution and write-off processes consistent with policy

Credentialing & Provider Lifecycle Alignment

Partner with Credentialing, HR, and Clinical leadership to confirm provider readiness prior to billing:

• Track supervision changes and effective dates

Reporting, Analytics & Strategic Initiatives

Monitor A/R aging, denial trends, posting lag, and clean claim performance:

• Lead targeted initiatives to reduce aged payer and patient balances
• Participate in strategic billing initiatives including reimbursement testing and workflow optimization

Soft Skills

• Investigative mindset with strong root-cause problem-solving ability
• Proven leadership capability with direct team management
• Excellent cross-functional communication and stakeholder alignment
• Results-oriented and data-driven decision maker
• Mission-aligned with improving access to care for underserved populations
• Long-term partnership orientation and commitment to organizational growth

Hard Skills

• Advanced eClinicalWorks (ECW) billing experience (mandatory)
• MS Excel reporting proficiency (mandatory)
• Payment posting expertise
• Denial management and A/R recovery experience
• Familiarity with Waystar, Availity, payer portals, and payment platforms
• Strong CPT / ICD / POS validation knowledge
• 5+ years of healthcare revenue cycle leadership experience with direct reports
• Behavioral health billing and Medicaid experience (preferred)

Why This Role Matters

This is more than a billing leadership role — it's an opportunity to build operational excellence that directly expands access to behavioral health services. If you're a hands-on revenue cycle leader who thrives in complexity and wants to create scalable systems that support mission-driven care, we'd love to hear from you.