Billing Manager- Healthcare

About Belle

Belle delivers high-touch in-home care to Medicare members using a novel Community Health Worker (CHW)-led model, supported by telehealth clinicians and a comprehensive CCM program. We are scaling rapidly across states and transitioning into a full MSO + multi-medical group architecture.

We’re entering the next phase of growth — multi-state expansion, payer contracting, and significant operational scale. Belle needs a hands-on financial builder to architect and own our financial foundation.

About this Role

Belle is seeking a Billing Manager to own end-to-end billing execution and revenue cycle performance. Belle operates a simple, standardized medical claims model with a limited code set and repeatable workflows, enabling high-volume, low-complexity billing at scale.

This role is hands-on today and managerial by design—responsible for direct claim execution initially, with the opportunity to build and lead additional billing capacity as volume grows. The Billing Manager will report directly to the Director of Finance and partners closely with Practice Operations to ensure clean upstream handoffs and continuous improvement.

Responsibilities

• Billing & Claim Execution
  • Own daily and weekly medical claim submission
  • Monitor clearinghouse activity and payer responses
  • Correct and resubmit rejected claims
  • Ensure timely, accurate claim throughput
    
    
• Denials & A/R Management
  • Manage payer denials and appeals
  • Own A/R aging and follow-up cadence
  • Escalate unresolved payer issues as needed
  • Identify underpayments and discrepancies
    
    
• Process Ownership & Scaling
  • Maintain and improve billing workflows
  • Document repeatable processes
  • Prepare billing operations to scale from current volumes to 20k+ claims/month
  • Support future hiring or vendor support as volume increases
    
    
• Cross-Functional Collaboration
  • Partner with the Practice Manager to surface upstream issues related to eligibility, configuration, or documentation
  • Provide structured feedback to prevent repeat billing errors
  • Coordinate closely with Finance on cash visibility and performance

Experience, Skills, & Personality

• Required
  • 3+ years of healthcare physician billing or revenue cycle experience
  • Demonstrated experience billing professional physician services (non-facility)
  • Medicare and/or Medicare Advantage billing experience
  • Experience working claims end-to-end (submission through payment)
  • Familiarity with eClinicalWorks
  • Strong attention to detail and follow-through
  • Comfort owning a full claims queue independently
• Preferred
  • Experience in high-volume, standardized billing environments
  • Remote work experience
  • Prior exposure to finance-led RCM teams

Success Metrics

• Timely claim submissions
• Clean claim rate
• Denial rate
• Day Sales Outstanding (DSO)
• Net collections rate

Benefits

• Remote role!
• Competitive compensation based on experience
• Health, Dental, and Vision Insurance Benefits
• 401k
• PTO, Sick, Wellness leave, and Paid Holidays
• Opportunity for significant career growth and expansion of responsibilities
• Ability to reshape an industry and protect lives

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer conducts post-offer background checks and participates in E-Verify. Belle will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.