Billing Manager

About Equip 

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at www.equip.health.

Founded in 2019 as a fully virtual company, Equip is built on the dedication of highly engaged, passionate, and diverse Equipsters who have shaped our unique culture. In recognition of this impact, Equip was honored in 2024 by Forbes as a Next Billion-Dollar Startup, LinkedIn as a Top Startup, TechCrunch as one of the 10 Most Exciting Digital Health Startups, Fast Company among the Most Innovative Companies, and Business Insider’s 44 Companies to Bet Your Career On. We are immensely grateful to our Equipsters for creating a sustainable company and treatment program that has served thousands of patients and families to date.

About the role

The Billing Manager will be responsible for helping, leading, improving, and scaling the billing department at Equip. The Billing Manager will have extensive health care experience required specifically in the revenue cycle management function, billing, claims, utilization management, and payment practices.

Responsibilities

• Communicate with the billing team and key stakeholders on changes in reimbursement and expectation of changes in insurance guidelines
• Establish payor performance communications to share in payor meetings; discerns when and how to escalate payer issues
• Collaborate with Senior Leadership on development of strong departmental objectives and key results; accountability for team performance specific to OKRs
• Track and report on key performance indicators regarding claims billing, reimbursement, and denials
• Guide billing team to maintain strict adherence to write-off policies, Sliding Fee Discount, and other accounts receivable policies
• Actively manage, develop, and monitor a highly engaged billing team
• Oversee all aspects of billing activity and initiate appropriate corrective measures as needed
• Communicate performance data and associated actions plans to Senior Leadership
• Provide subject matter expertise regarding billing processes, policies, and procedures to individuals at a cross-functional level
• Direct the process of identifying, developing, and communicating systems, policies and procedures related to A/R, billing, and collectionsIdentify areas of revenue loss related to billing and claims management
• Create processes and procedures to ensure RCM function is ready to scale for exponential growth
• Oversee utilization, claims, remittance processing, and collection practices
• Create and analyze data on denial management, appeals, and payment postingIntroduce best practices and optimize work processes to address payor, regulatory, financial, and operational changes as well as emerging industry trends
• Perform other duties as assigned
• Hours 8a - 5pm

Qualifications

• Bachelor’s degree in related field; experience considered in lieu of degree
• 5+ years of experience in a management role in claims billing or revenue cycle
• Familiarity with third party reimbursement methodologies
• Extensive knowledge of third party payer reimbursement systems, rules and regulations relating to A/R
• Strong data analysis skills with Excel knowledge
• Strong communicator with a high level of confidentiality
• Ability and willingness to pivot to other potential tasks
• Enthusiastic, strong team player a must

Physical Demands

Work is performed 100% from home with no requirement to travel. This is a stationary position that requires the ability to operate standard office equipment and keyboards as well as to talk or hear by telephone. Sit or stand as needed.

Diversity, Equity, Inclusion, Belonging

At Equip, Diversity, Equity, Inclusion and Belonging (DEIB) are woven into everything we do. At the heart of Equip’s mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity. We also strive toward our providers and corporate team reflecting that same dedication both in bringing in and retaining talented employees from all backgrounds and identities. We have an Equip DEIB council, Equip For All; also referred to as EFA. EFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip. 

As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, and/or any other legally protected classification protected by federal, state, or local law.