Billing Manager — Behavioral Health (Remote)

Hello We're Aion Therapy, an outpatient behavioral health practice in Portland. About 1,000 people count on us for care, and roughly 90% of them are covered through Oregon Health Plan CCOs. We bill around $5 million a year. We're looking for someone to take the whole billing operation and make it theirs. What this job really is You'd own the full accounts receivable cycle — charge entry through final payment, denials, appeals, secondary billing, and month\-end reporting. You'd be the person who knows where every dollar is and why. We want to be upfront about two things: **This is a hands\-on role.** You won't have a team under you. If you love being the person who actually does the work and sees it through, you'll like it here. If you're hoping to move into managing people, this probably isn't your next step. **Our payer mix is demanding.** Working with CCOs means eligibility that shifts without warning, retroactive COB recoveries that land in your lap, and coordination\-of\-benefits puzzles that take real skill to solve. If you've done this work, you know exactly what we mean — and you're probably the person we're looking for. In exchange, you get genuine autonomy, a practice that will listen when you say something needs to change, and colleagues who understand that clean billing is what keeps the doors open for our clients. **Day to day** **Claims and AR** * Own the revenue cycle end to end: eligibility verification, charge review, claim submission, payment posting, denials, appeals, and patient balances * Submit and track claims to OHP CCOs, commercial payers, and Medicare * Work the aging report each week — you'll decide what gets attention and when * Keep an eye on timely filing deadlines across every payer so nothing slips away **OHP and coordination of benefits** * Verify OHP eligibility and CCO assignment at intake and on an ongoing basis, catching plan changes before they become denials * Handle coordination of benefits: identify the right primary payer, sequence claims correctly, and bill secondary with accurate primary EOB and ERA data * Untangle COB denials, eligibility mismatches, and retroactive recoveries with CCOs and OHA * Stay on top of CCO\-specific requirements — authorizations, encounter data, and each plan's particular quirks **Credentialing and payer relationships** * Keep clinician credentialing and enrollment current across CCOs and commercial payers * Be our main point of contact with payer provider relations **Reporting** * Produce monthly AR aging, collection rate, denial rate by reason, and days\-in\-AR reporting * Spot trends and payer\-specific problems early, while they're still small * Support month\-end close alongside our bookkeeper **Making things better** * Document billing workflows so the knowledge doesn't live only in your head * Help clinical staff understand the documentation and coding details that affect claims — teaching, not policing * Tell us what's broken and what you'd do about i