What are the responsibilities and job description for the Medical Billing Manager - Addiction Services position at EPC Billing?
About EPC Billing
EPC Billing is a specialized medical billing company focused on supporting behavioral health and addiction treatment providers across the country. We understand the complex and ever-changing nature of substance use and mental health billing, and we’re committed to delivering exceptional claims management, utilization review support, and revenue cycle performance for our partners.
Position Overview
We are seeking an experienced and strategic Medical Billing Manager to lead and oversee our billing operations. This individual will function at a Manager level and must have in-depth knowledge of addiction treatment billing, claims management, payer requirements, and utilization review processes. The ideal candidate will be a hands-on leader who can drive team performance, resolve complex billing issues, and serve as a strategic partner to both internal teams and client providers.
Key Responsibilities
- Oversee the full revenue cycle process for multiple addiction and behavioral health clients, including claim submissions, payment posting, denial management, and AR follow-up.
- Lead and manage a team of billing specialists, utilization review coordinators, and support staff.
- Provide subject matter expertise in billing for services such as PHP, IOP, RTC, MAT, and detox.
- Ensure accurate and timely submission of claims to commercial and government payers.
- Monitor and analyze key metrics (e.g., DSO, first-pass resolution rate, denial rates) and implement process improvements.
- Collaborate with utilization review and clinical documentation teams to ensure medical necessity and prior authorization compliance.
- Manage payer relationships and stay current on changing reimbursement rules, coding requirements, and state/federal regulations.
- Provide monthly performance reports and insights to leadership and client stakeholders.
- Develop and enforce billing policies and procedures to maintain operational efficiency and compliance.
- Serve as an escalation point for complex claims, audits, and client concerns.
Qualifications
- Preferred: 3 years of experience in medical billing, ideally with some focus on behavioral health or addiction treatment claims. However, candidates with less experience but strong knowledge and aptitude in this area are encouraged to apply.
- Proven leadership experience managing a billing or revenue cycle team.
- Strong knowledge of commercial insurance, ASAM levels of care, UR processes, and denial management.
- Familiarity with clearinghouses, EMRs, and billing software (e.g., KIPU).
- Experience interpreting payer policies and implementing coding/billing best practices.
- Excellent communication and organizational skills.
- Ability to work independently in a fast-paced, deadline-driven environment.
Job Type: Full-time
Pay: $75,000.00 - $125,000.00 per year
Benefits:
- Health insurance
- Paid time off
Schedule:
- Monday to Friday
Work Location: In person
Salary : $75,000 - $125,000