What are the responsibilities and job description for the 1099 RCM & Billing Manager (Contractor Position) position at Manatee?
About Us: Manatee is a family-first virtual mental health clinic and platform designed for kids living in the modern world. We are on a mission to build a better tomorrow by creating the best mental health care for families. Join us in creating a world where every child and teen feels understood, supported, and where families thrive.
The Role: 1099 RCM and Billing ManagerWe are seeking a dynamic and highly organized Revenue Cycle Manager to lead our billing operations while serving as a trusted point of contact for clients, payers, internal teams, and vendors. This role blends strategic oversight with hands-on execution (and agency) — overseeing and being responsible for the full revenue cycle. This role is for someone who wants to step in, take ownership, and move things forward without waiting for direction.
You will guide a team of billing specialists and administrative vendors to complete payment and insurance responsibilities and address issues – ensuring every interaction reflects our commitment to compassionate, patient-centered care.
The ideal candidate is as comfortable analyzing payer data as they are navigating a sensitive billing conversation with empathy or root-causing a patience balance discrepancy. You thrive in a remote environment, excel at problem-solving, and know how to balance operational efficiency with the human side of healthcare.
This is a maternity leave contract position with the opportunity to convert to full-time. Must have experience with Healthie. Candid experience is beneficial.
Why This Role Matters- Serving families and providers. Your engagement will be crucial in providing a positive patient and clinician experience.
- Building a sustainable business. Your work will directly impact how we operate and grow. You will be relied upon as a trusted SME to inform leadership and business decisions related to patient experience, billing, and collections.
RCM Oversight (Verification, Billing, & Claims Mastery):
- Go-to person for all things RCM— insurance verification --> account setup --> claims escalations --> payment posting --> denial management --> patient billing
- You'll be expected to identify problems, recommend solutions, and make decisions that improve revenue cycle operations
- Effectively deploy the resources available (ie outside vendors) that help execute a portion of these workflows, but you will be responsible for the effectiveness and efficiency of the execution.
- Monitor key performance indicators (KPIs) such as days in A/R, clean claim rate, denial rate, and collections (including patient invoicing and outstanding balances) and implement changes to improve them
- Continuously identify gaps and implement solutions to improve efficiency and compliance
- Perform hands-on billing tasks as needed, including claim corrections, payment reprocessing requests, and balance adjustments.
- Reconcile patient accounts and ensure accurate posting of payments, adjustments, and refunds.
Vendor Oversight:
- Ensure proper coding of claims, achievement of performance metrics, SLAs, etc
- Ensure SLAs are met with verification of benefits and address any questions from the team
- Provide relevant reporting and project management to support efforts of vendors (ie patient outstanding balances, CPT codes billed vs CPTs logged in Healthie, etc)
- Vendor invoice accuracy - ensure vendor invoices match activity of the resource
- Establish clear performance expectations, provide ongoing feedback, and conduct regular check-ins.
Customer Hero:
- Offer stellar support to patients and providers, explaining billing and insurance details with ease.
- Serve as a key escalation point for complex or sensitive patient or provider billing concerns.
- Approach disputes and misunderstandings with empathy, transparency, and a problem-solving mindset.
- Work closely with clients to establish manageable payment arrangements, ensuring care continuity while maintaining financial responsibility.
- Translate insurance and billing processes into clear, understandable language for clients and caregivers.
- 5 years of progressive experience in revenue cycle management, medical billing, or healthcare finance.
- Experience managing external vendors
- Strong working knowledge of Healthie (required) and Candid (beneficial).
- Exceptional interpersonal skills with the ability to de-escalate conflicts and build trust with clients and staff.
- High degree of agency, accountability, and organization
- Flexibility: We’re a remote-first company that’s mastered remote work long before it became trendy.
- Autonomy: We trust you to get the job done, no micromanaging here.
- Children are our future.
- Diversity is our superpower.
- Growth happens outside your comfort zone.
- Kindness is always possible.
Ready to make an impact? We’re a fast-growing company, and we’re looking for people who are as passionate about changing the world as we are. Join us in transforming mental health for families, and help us build a future where every child can thrive.
The hourly rate range or this specific position is $30-$45 depending on background and experience.
*The compensation offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws
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Salary : $30 - $45
