Billing Manager- Behavioral Health Non-Profit

About Chicago Therapy Collective Chicago Therapy Collective (CTC) is the largest nonprofit provider of LGBTQ+ mental health services in Illinois. We provide culturally responsive, depth-oriented, relational psychotherapy to LGBTQ+ individuals, couples, and families across private pay, commercial insurance, Medicaid, and accessible care pathways. Our work is rooted in a commitment to long-term, culturally responsive and accessible care. We are in a period of strategic growth and statewide expansion—and our financial and billing systems must match the sophistication and integrity of our clinical mission. We are seeking a Billing Manager who understands that revenue cycle management is mission-critical infrastructure that sustains access to care. Position Overview The Billing Manager oversees CTC’s revenue cycle, including claims submission, client payments, accounts receivable, denial management, payer enrollment and credentialing, and financial reporting. They supervise the Billing Team and coordinate across departments to support accurate, timely, and accountable billing operations across Medicaid, commercial insurance, and private pay services. This is a hands-on management role. In addition to supervising billing team staff and managing workflows, the Billing Manager directly carries out billing functions as needed and must be prepared to execute any part of the department’s work. The Billing Manager works closely with Clinical Leadership, the Executive Director, Intake Team, Operations Team, and other administrative staff to support financial sustainability, transparency, and access to care. Core Responsibilities Revenue Cycle Management Ensure timely submission of Medicaid and commercial insurance claims and accurate private pay invoicing; identify and resolve unsubmitted sessions and billing discrepancies. Responsible for timely benefits verification and communication of coverage, estimated client responsibility, and billing barriers to Intake, clinicians, and clients as appropriate. Responsible for required prior authorizations, including tracking approvals, expiration dates, and authorized visits. Oversee collection and reconciliation of client payments, including copays, deductibles, coinsurance, and private pay fees. Ensure high claim resolution and recoupment rates through timely follow-up on denied and rejected claims, appeals when appropriate, and correction of recurring causes of preventable denials. Monitor accounts receivable aging and ensure timely follow-up on outstanding balances. Oversee payer enrollment, clinician rostering, credentialing, and recredentialing; track deadlines and resolve issues that could interrupt billing. Maintain compliance with applicable state and federal billing regulations and payer requirements. Grant-Supported Therapy Revenue & Reporting Track and reconcile therapy services funded by restricted grants, contracts, or scholarship programs, using internal coding to distinguish funding sources and any partially funded sessions. Include sessions delivered, amounts billed and received, and outstanding receivables by funding source in monthly billing reports. Coordinate with Clinical, Advancement, and Grant Reporting teams to supply accurate session logs, billing summaries, and other documentation needed for grant invoicing, reimbursement requests, and reporting. Financial Reporting & Metrics Generate monthly and annual billing reports, including: Claims submitted, denied, rejected, and appealed, with resolution and payment outcomes. Accounts receivable analysis and aging. Revenue trends across payer types and funding sources. Grant-supported sessions, amounts billed and received, and outstanding receivables. Provide completed-session and billing data to support clinician productivity reporting in collaboration with Clinical Leadership. Identify workflow bottlenecks and implement corrective improvements. Provide leadership with clear, timely data to inform decision-making and ongoing operational improvements. Billing Team Leadership & Workflow Management Supervise Billing Team staff, assign responsibilities, monitor workload and performance, and lead regular workflow meetings. Ensure the Billing Team regularly and effectively participates in cross-departmental workflows and meetings. Ensure adherence to deadlines and billing standards. Establish clear communication practices regarding availability, workload changes, barriers, and deliverables. Coordinate billing-related onboarding and offboarding for clinical staff. Adjust delegation and directly perform billing work as needed to maintain continuity and timely follow-through. Cross-Departmental Coordination & Billing Support Ensure timely responses to routine client and clinician billing inquiries, either personally or through delegation and oversight of Billing Team staff. Resolve billing concerns and escalations in coordination with Intake, clinicians, Clinical Leadership, and administrative staff. Recognize when an issue requires Clinical Leadership review or involvement, or direct clinician engagement, and coordinate that follow-up. Provide clear information about billing and insurance processes, with defined responsibilities for follow-through. Required Qualifications 3+ years of experience in behavioral health billing or healthcare revenue cycle management. Demonstrated experience supervising staff and managing billing workflows. Strong familiarity with Medicaid billing and commercial insurance claims. Experience with payer enrollment, clinician rostering, and credentialing processes. Experience with EHR systems and billing software. Deep familiarity with ICD-10 and CPT billing codes. Ability to analyze billing data and produce clear financial reports and summaries. Strong organizational and systems thinking skills. Demonstrated ability to meet deadlines consistently. Strong written and verbal communication skills. Willingness and ability to perform hands-on billing work alongside management responsibilities. Commitment to LGBTQ+ affirming care and organizational values.

Preferred Qualifications

Illinois Medicaid billing knowledge and experience are strongly preferred. We are open to the right candidate developing this skill set with support and training provided on the job. Experience in nonprofit healthcare settings. Experience developing billing systems during organizational growth. Familiarity with grant-funded service billing and reporting structures. Spanish language proficiency. Who This Role Is For This role is ideal for someone who takes ownership, improves systems, communicates proactively when barriers arise, and brings both accountability and collaboration to their work. You understand how accurate, responsive billing supports access to care and are energized by helping a growing, mission-driven organization build sustainable operations. Compensation & Benefits Salary range: 78,000–85,000, commensurate with experience. Hybrid or remote work flexibility; must be based in Illinois. Generous PTO. Health benefits. Retirement options. Professional development support. The opportunity to help build infrastructure for LGBTQ+ mental health equity in Illinois.

How to Apply

Please submit: Resume. Cover letter addressing: Your experience managing billing systems and supervising staff. Your interest in this specific role and alignment with CTC’s mission. Contact information for 2–3 professional references, included as an additional page with your cover letter. SEND FULL APPLICATION PACKAGE TO [email protected] Pay: $78,000.00 - $85,000.00 per year Benefits 401(k) matching Dental insurance Flexible schedule Health insurance Health savings account Life insurance Paid time off Professional development assistance Retirement plan Vision insurance People with a criminal record are encouraged to apply Work Location: Remote