Billing Director

Wealth Management Group, LLC.

Billing Director managing Medicaid and out-of-network billing operations for outpatient addiction treatment organization. Taking ownership of billing strategy and revenue cycle compliance across multi-state operations.

Posted 6/5/2026full-timeRemote • North Carolina • 🇺🇸 United StatesLead💰 $150,000 - $180,000 per yearWebsite

About the role

Key responsibilities & impact

Lead all Medicaid billing processes (network and out-of-network) across our multi-state operations.
Manage and optimize performance of our third-party billing vendor handling out-of-network claims.
Track and improve key revenue cycle metrics including days in A/R, denial rates, collection ratios, and first-pass claim acceptance.
Collaborate with clinical, medical, and administrative teams to ensure accurate documentation, timely charge entry, and proper coding.
Leverage our EMR and RCM platforms (experience with Kipu and/or Collaborate MD strongly preferred).
Manage claim submissions, follow-up, appeals, payer relations, and reimbursement optimization with a primary focus on Medicaid.
Develop billing workflows, policies, and internal controls to support scalability as the organization grows.
Provide leadership, training, and mentorship to internal billing staff while maintaining strong coordination with external partners.
Monitor regulatory changes, payer policies, and industry updates affecting behavioral health billing.
Deliver regular performance reports and revenue forecasts to senior leadership.

Requirements

What you’ll need

3–7+ years of progressive medical billing experience with a strong emphasis on Medicaid billing (network and out-of-network) in healthcare, ideally in behavioral health or substance abuse treatment.
Prior experience managing billing teams or third-party billing vendors is highly preferred.
Hands-on experience with AI-driven billing tools, automation, or financial reporting integrations (especially for revenue cycle analytics and operational reporting) will be a strong differentiator.
Hands-on proficiency with Kipu EMR and/or Collaborate MD RCM systems is a significant advantage.
Deep knowledge of revenue cycle management, claim editing, denial management, appeals, and compliance requirements.
Strong analytical skills with the ability to identify trends, solve problems, and drive process improvements.
Excellent communication and collaboration skills.
Must be based in or willing to work from one of our primary locations: Houston, TX, Atlanta, GA, or Wilmington, NC.
We are open to candidates across different experience levels — from seasoned directors ready to fully own and scale the function to strong Medicaid billing professionals who can effectively manage the third-party partner while growing into the broader director role.

Benefits

Comp & perks

We also provide a basic benefits package.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medicaid billingrevenue cycle managementclaim editingdenial managementappeals managementfinancial reportingprocess improvementdata analysisbilling workflowsinternal controls

Soft Skills

leadershipmentorshipcommunicationcollaborationanalytical skillsproblem-solving