About Belle

Belle delivers high-touch in-home care to Medicare members using a novel Community Health Worker (CHW)-led model, supported by telehealth clinicians and a comprehensive CCM program. We are scaling rapidly across states and transitioning into a full MSO + multi-medical group architecture.

We're entering the next phase of growth - multi-state expansion, payer contracting, and significant operational scale. Belle needs a hands-on financial builder to architect and own our financial foundation.

About this Role

Belle is seeking a Billing Manager to own end-to-end billing execution and revenue cycle performance. Belle operates a simple, standardized medical claims model with a limited code set and repeatable workflows, enabling high-volume, low-complexity billing at scale.

This role is hands-on today and managerial by design-responsible for direct claim execution initially, with the opportunity to build and lead additional billing capacity as volume grows. The Billing Manager will report directly to the Director of Finance and partners closely with Practice Operations to ensure clean upstream handoffs and continuous improvement.

Responsibilities

Billing & Claim Execution

Own daily and weekly medical claim submission

Monitor clearinghouse activity and payer responses

Correct and resubmit rejected claims

Ensure timely, accurate claim throughput

Denials & A/R Management

Manage payer denials and appeals

Own A/R aging and follow-up cadence

Escalate unresolved payer issues as needed

Identify underpayments and discrepancies

Process Ownership & Scaling

Maintain and improve billing workflows

Document repeatable processes

Prepare billing operations to scale from current volumes to 20k+ claims/month

Support future hiring or vendor support as volume increases

Cross-Functional Collaboration

Partner with the Practice Manager to surface upstream issues related to eligibility, configuration, or documentation

Provide structured feedback to prevent repeat billing errors

Coordinate closely with Finance on cash visibility and performance

Experience, Skills, & Personality

Required

3+ years of healthcare physician billing or revenue cycle experience

Demonstrated experience billing professional physician services (non-facility)

Medicare and/or Medicare Advantage billing experience

Experience working claims end-to-end (submission through payment)

Familiarity with eClinicalWorks

Strong attention to detail and follow-through

Comfort owning a full claims queue independently

Preferred

Experience in high-volume, standardized billing environments

Remote work experience

Prior exposure to finance-led RCM teams

Success Metrics

Timely claim submissions

Clean claim rate

Denial rate

Day Sales Outstanding (DSO)

Net collections rate

Benefits

Remote role!

Competitive compensation based on experience

Health, Dental, and Vision Insurance Benefits

401k

PTO, Sick, Wellness leave, and Paid Holidays

Opportunity for significant career growth and expansion of responsibilities

Ability to reshape an industry and protect lives

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer conducts post-offer background checks and participates in E-Verify. Belle will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

Belle

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