Role Description Capital Revenue Consultants (CRC) is seeking a Billing Operations Manager to lead and optimize daily billing operations across client accounts. This role ensures service delivery is structured, accountable, and performance-focused—supporting strong denial management, accurate reporting, and high client retention. The Billing Operations Manager serves as the operational bridge between clients and the internal billing team, translating expectations into clear workflows, measurable KPIs, and consistent execution. This leader is accountable for how work moves through the billing cycle and how systems sustain growth without compromising quality. This is a remote, 1099 contractor position for candidates located in the United States. - Lead daily billing operations across client accounts to ensure accurate, timely revenue cycle execution - Serve as primary client contact; prepare for and lead recurring client meetings - Oversee biller performance by setting priorities, clarifying ownership, and reinforcing accountability - Monitor denials, AR aging, collections, and outstanding balances; drive structured follow-up - Run and review daily and weekly reports to identify risks and revenue gaps early - Implement and manage quality assurance processes to protect billing accuracy and reduce repeat errors - Troubleshoot claim issues by identifying root causes and directing resolution - Maintain and improve workflows, documentation, and SOPs to ensure consistency and scalability - Support onboarding of new clients by organizing billing expectations and processes - Ensure continuity of operations when team members are unavailable - Identify operational inefficiencies and implement solutions to improve billing function performance - Gradually transition day-to-day client oversight from the CEO into structured systems Qualifications - 3–5+ years of medical billing experience with full revenue cycle exposure - Preferred: At least 1 year of mental health billing experience - Experience leading or overseeing billing work with accountability for outcomes - Experience managing client communication and leading recurring client meetings Requirements - Proficient in Google Workspace (Sheets, Docs, Drive) - Comfortable working across multiple EHR systems (SimplePractice and TherapyNotes preferred) - Familiar with common payer portals and insurance follow-up processes - Able to interpret EOBs/ERAs and resolve denials independently - Experienced in documenting and maintaining SOPs and workflows Professional Attributes - Detail-oriented and highly organized - Confident, professional communicator with clients - Balanced people manager—empathetic yet direct - Strong problem-solver and self-starter - Calm under pressure with high ownership and discretion Benefits - High-impact leadership role in a growing mental health billing company - 15–20 hours per week expected commitment - Direct partnership with the CEO and real influence over operations - Opportunity to build and optimize systems — not just maintain them - Clear, measurable outcomes (denials, AR aging, retention) tied to your performance - Autonomy to lead, improve processes, and strengthen team accountability - Meaningful work that helps mental health providers focus on client care instead of billing stress Hiring Process - Applications are reviewed within 3 business days - 15-minute virtual preliminary interview - 30–45 minute in-depth interview - 45–60 minute final interview with the CEO of Capital Revenue Consultants

• Responsible for planning, directing, organizing, monitoring and staffing departmental services. • Oversees and coordinates the insurance billing function, including claims submission, follow-up, and denial management. • Supports staff in maintaining accuracy and timeliness in claims processing. • Develops and implements quality assurance initiatives and monitors compliance with payer and policy requirements. • Conducts regular audits and analyzes performance metrics. • Partners with Revenue Cycle leadership on training and process improvement initiatives.

• Executar análises detalhadas de faturamento, identificando e corrigindo inconsistências; • Realizar rateios personalizados complexos e validar cálculos; • Coordenar o envio e conferência de arquivos com clientes e operadoras; • Acompanhar processos de isenção de copay, garantindo rastreabilidade; • Efetuar e validar lançamentos sistêmicos e assegurar a integridade dos dados entre plataformas (Qbem, Quiver Pro, etc.); • Contribuir para o controle de indicadores de produtividade e qualidade; • Confeccionar o arquivo de folha personalizado de acordo com cliente; • Realizar interface com clientes, operadoras para resolução de ocorrências; • Apoiar a liderança na implantação de melhorias e automações; • Realizar prorrogações de fatura; • Realizar negociação de pleitos junto às operadoras quando necessário; • Treinar e orientar Analista I e II; • Garantir o cumprimento de SLA’s e padrões de qualidade estabelecidos.

Role Description The Billing and Coding Specialist accelerates revenue capture by ensuring clean claims submission, preventing denials before they occur, and proactively identifying coding issues that cause delays. Your success is measured by first-pass claim acceptance rates, reduced denial rates, and faster cash flow achieved through accurate, timely charge entry. This role directly impacts revenue performance by eliminating rework, preventing payment delays, and catching problems before they become costly denials. Core Responsibilities - Maximize Revenue Through Clean Claims Submission - Ensure charges result in clean claims that pay on first submission without denials or rejections - Prevent revenue loss by catching coding errors before claims are submitted - Accelerate cash flow through timely charge entry, enabling faster billing cycles - Apply correct CPT, ICD-10, and HCPCS codes that maximize appropriate reimbursement - Reduce claim rework and resubmissions that delay payment receipt - Maintain high accuracy rates that minimize denials impacting collections - Proactively Identify and Eliminate Recurring Issues - Recognize provider documentation patterns causing repeated coding problems - Escalate systematic issues to prevent ongoing denials and revenue delays - Alert management to trends before they impact multiple claims - Partner with providers to improve documentation supporting clean claims - Identify and communicate training needs that will reduce future errors - Take initiative to solve problems rather than repeatedly coding around them - Drive Quality That Prevents Downstream Revenue Problems - Catch laterality mismatches, documentation gaps, and coding errors before submission - Ensure diagnosis codes support medical necessity, preventing claim denials - Review clinical notes thoroughly to identify issues AR teams would face later - Maintain accuracy standards that eliminate costly denial and appeal work - Perform quality self-checks preventing errors that create collection obstacles - Focus on getting claims right the first time to avoid revenue cycle delays - Accelerate Charge Processing and Reduce Lag Time - Enter charges promptly, enabling timely claim submission and faster payment - Minimize charge lag that delays billing cycles and extends days to payment - Process high volume efficiently while maintaining quality standards - Prioritize work that has the greatest impact on revenue timing - Meet productivity targets supporting departmental cash flow goals - Eliminate backlogs that prevent timely revenue capture - Resolve Documentation Issues That Block Revenue - Identify missing information preventing accurate charge entry - Follow up with providers and clinical staff to obtain documentation needed for coding - Clear obstacles quickly so charges can be processed without delays - Ensure supporting documentation meets payer requirements for reimbursement - Prevent claims from aging in unbilled status due to incomplete information - Drive the resolution of documentation gaps that would cause denials Performance Expectations - Achieve high first-pass claim acceptance rates through coding accuracy - Maintain error rates that minimize denials and collection delays - Process charges within timeframes supporting optimal cash flow - Proactively escalate recurring issues preventing future revenue loss - Meet daily productivity targets, enabling timely billing cycles - Reduce charge lag, minimizing days to claim submission - Contribute to departmental goals for clean claim rates and denial reduction - Demonstrate outcome focus by preventing problems rather than just processing tasks Qualifications - 2+ years of medical billing and coding experience - Strong understanding of CPT, ICD-10, and HCPCS coding systems - Proven ability to maintain high accuracy while processing high volume - Knowledge of medical terminology and clinical documentation - Attention to detail with a focus on preventing errors before submission - Proactive problem-solver who escalates issues and drives solutions - Ability to work independently in a remote environment - Proficiency with MS Office, Excel, and practice management systems Preferred Qualifications - CPC certification or working toward certification - Knowledge of personal injury billing and documentation requirements - Familiarity with NextGen or similar healthcare systems - Track record of high accuracy and low denial rates - Experience identifying and resolving systematic coding issues The Ideal Candidate - Views coding as revenue enablement, not just data entry - Takes ownership of claim outcomes, not just task completion - Proactively identifies problems and escalates before they impact multiple claims - Recognizes patterns and addresses root causes rather than repeating workarounds - Demonstrates urgency around charge timing and its impact on cash flow - Shows initiative in resolving documentation issues that block revenue - Maintains quality focus, understanding that accuracy prevents costly rework - Thinks strategically about preventing denials rather than just processing charges Compensation & Benefits - Competitive hourly rate with performance-based bonus potential - Remote work flexibility - Comprehensive benefits: medical, dental, vision, 401(k) - Professional development support, including certification and continuing education - Clear advancement pathway to Senior Specialist, Auditor, or Team Lead roles Work Environment - 40 hours per week with occasional extended hours to meet deadlines - Fast-paced environment focused on quality and productivity - Regular communication with the team via phone, email, and video conferencing - Self-directed work requiring strong time management and accountability