Behavioral Framework – the leading provider of ABA therapy to children diagnosed with autism in the DMV area – is looking for an experienced Billing Manager!
We are seeking a dynamic and hands-on Billing Manager to join our revenue cycle leadership team. In this role, you will lead day-to-day billing operations while serving as the right hand to our current Billing team leader. This is a unique opportunity to step into a fast-paced, multi-state environment and gain tremendous experience under an expert mentor, while helping us build a world-class billing function.
You’ll manage and support a billing team composed of both local and offshore resources and will be accountable for timely and accurate claim submission, denial resolution, AR follow-up, monthly close, and payment posting. You'll also help operationalize systems improvements and partner closely with Finance, Intake, Authorizations, Credentialing and Clinical teams to drive performance.
Behavioral Framework Highlights:
- Behavioral Framework is devoted to the pursuit of providing excellent, honest, and compassionate care within the autism community.
- We believe in the dedication and passion of our professional team and the science behind ABA to make a difference in the families and children we serve.
- Ranked on the Inc. 5000 list for 3 consecutive years.
- 1 of 4 Autism providers in the country to earn 3-year accreditation + telehealth from the Behavioral Health Center of Excellence
- Beautiful new office 2 minutes from I-270
Key Responsibilities
Billing Operations
- Ensure accurate and timely billing of all claims across commercial, Medicaid, and other payers
- Review and approve adjustment write-off requests
- Processing client and payer refund request
- Generate and distribute claim scrub reports to appropriate teams
- Review and analyze billing dashboard in EHR system to identify areas of improvement (claims submitted, claims denied, timely filing, rejections)
- Receive, sort, and distribute incoming office mail
- Oversee and ensure monthly submission of client statements
- Oversee and ensure completion of monthly close
- Assist with preparation for annual audits
- Attend weekly meetings to review eligibility and verification report and address barriers
- Drive AR follow-up—both insurance and patient balances—with relentless follow-through
- Work insurance denials efficiently, escalate trends, and drive resolution strategies
- Oversee timely and accurate payment posting
- Oversee timely and accurate charge entry
- Maintain and optimize payer setups in the EHR and clearinghouse
Team Leadership & Collaboration
- Lead a high-performance team of billing specialists, both in-house and offshore
- Train, coach, and hold the team accountable to daily, weekly, and monthly goals
- Effectively conduct weekly one-on-one meetings with team members to monitor development, outcomes, create relationship-building, motivate, and address barriers
- Foster a strong service-oriented culture—respond quickly to internal and external billing inquiries
- Work closely with Authorization, Intake and Clinical Ops to resolve issues at the source
- Support onboarding and integration of new markets or acquisitions into billing workflows
Process Improvement & Reporting
- Use reporting tools and EHR data to track KPIs (DSO, denial rate, aging buckets, etc.)
- Identify inefficiencies and work with the billing leader to implement scalable solutions
- Assist with creating SOPs and standardizing billing procedures across markets
- Help ensure our EHR system and workflows are aligned for accuracy and efficiency
- Remain updated on medical billing regulations to ensure compliance, accuracy, and avoid fines
What You’ll Gain
- Direct mentorship from a seasoned billing leader with deep knowledge of ABA and payer nuances
- Exposure to a PE-backed, growth-stage company expanding across the East
- A leadership role where you can grow your career in RCM while making a real impact
- Fast-tracked learning on how to scale a billing function in a mission-driven, real-world setting
Qualifications
- 5+ years of healthcare billing experience; ABA/behavioral health preferred
- Prior experience managing or leading billing teams (including offshore/vendor teams a plus)
- Strong understanding of payers, EDI workflows, denial management, and patient responsibility
- Experience with EHRs, clearinghouses, and Excel-based reporting (specify EHR if desired)
- Proactive, solutions-focused mindset—ready to roll up your sleeves
- Excellent communication and follow-up skills; you set the tone for responsiveness
- Thrives in a fast-paced environment where priorities shift and ownership is valued
- Excellent organizational skills, deadline-driven with excellent time management ability
- Excellent attention to detail and accuracy in entering financial data
- Proficiency in Microsoft Office Suite
- Knowledge of regulations related to Medicaid and commercial insurance
EOE
Behavioral Framework is committed to equitable treatment for all employees, clients, and their families. We welcome and respect the diversity of the families we serve, and we focus our organizational efforts to build a culture of respect, dignity, fairness, caring, equality, and self-esteem.
We believe our strength comes from the shared experiences of our employees, clients, and community. We pride ourselves on serving a diverse population and always seeking to hire, retain, and promote from a wide variety of backgrounds.
