Billing Manager (Pediatric Therapy) at Little Land Pediatric Therapy & Play Gym

Cedar Park, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Sep, 26

Salary

0.0

Posted On

14 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Medical Billing, Collections, Denial Management, Team Management, KPI Tracking, Authorization Tracking, Practice Management Systems, Medicaid Billing, Compliance Auditing

Industry

Medical Practices

Description

About Little Land Little Land Pediatric Therapy & Play Gym is a multi-state pediatric therapy company with corporate clinics in Cedar Park, TX and Arcadia, CA. We provide OT, PT, speech-language pathology, and ABA services to children and families. Revenue cycle is the financial backbone of our clinical operation. We need someone who takes that seriously and knows how to run it. The Role We're hiring a Billing Manager to own the full revenue cycle function across both corporate locations. This is not a back-office role — you will be a core part of the leadership team, managing our billing staff, driving clean claims, reducing denials, and owning collections across Cedar Park and Arcadia. You will manage a billing team that spans both US and offshore staff and report directly to the CEO. What You'll Own Clinical Billing Own the end-to-end billing process across OT, PT, ST, and ABA — Cedar Park and Arcadia Ensure claims are submitted accurately and on time across all payers — Medicaid managed care, TMHP, Medi-Cal, commercial insurance, and private pay Manage authorization tracking and ensure no claims fall through on expired or missing auths Maintain clean billing records and audit regularly for accuracy and compliance Collections & Denials Own the collections function — track outstanding AR, manage aging, and drive resolution Build and manage a denial management process — identify patterns, root-cause issues, and close gaps upstream Set and track KPIs for clean claim rate, denial rate, days in AR, and collection rate Escalate payer issues and credentialing problems proactively Team Management Directly manage billing staff across Cedar Park and Arcadia — including offshore team members Set clear expectations, hold regular check-ins, and develop your team's skills and accuracy Build a billing function that runs consistently regardless of payer mix or location Systems & Reporting Own billing workflows within our practice management system (Axis Ops) Report regularly to CEO on revenue cycle health — AR aging, denial trends, cash collections Identify and implement process improvements that reduce friction and increase collections velocity Who You Are 3–5+ years in medical billing, revenue cycle management, or practice management — pediatric therapy, outpatient rehab, or specialty practice strongly preferred You know Medicaid managed care, TMHP, and/or Medi-Cal — not just commercial billing You've managed a billing team before and know how to hold people accountable to accuracy You are metrics-driven — you track the numbers that matter and act on them Comfortable managing remote and offshore staff ABA and therapy-specific billing experience is a significant plus Compensation & Benefits Base salary based on experience Full-time, salaried exempt PTO and paid holidays Health benefits (details during offer process) Little Land is an equal opportunity employer. Salary: Based on experience

Responsibilities

Own the full end-to-end revenue cycle function across multiple corporate locations, managing billing staff and driving clean claims. Responsible for reducing denials, managing collections, and reporting revenue cycle health directly to the CEO.