Plutonic ยท 5 hours ago
Billing and Operations Manager
Atlanta Metro
Contract
Hybrid
Mid Level
3+ years expPlutonic is a technology-focused mental health services company pioneering immersive virtual therapy solutions for young people and families. They are seeking an experienced Billing & Operations Manager to lead payer enrollment, insurance operations, and revenue cycle processes to support their growing organization.
GamificationHealth CareInformation TechnologyMental HealthWellness
Responsibilities
Support new client intake calls and help guide clients to the appropriate therapist or service offering
Maintain accurate client and therapist data within our EHR and internal systems
Assist therapists with onboarding, caseload organization, operational questions, and support needs
Manage and submit therapist credentialing across commercial, Medicaid, and Medicare payers (e.g., CAQH, NPPES, payer portals)
Oversee collection and review of clinician documentation, licenses, degrees, and insurance requirements
Track enrollment statuses, maintain credentialing databases, and ensure timely renewals
Serve as the primary point of contact with payer credentialing departments and networks
Learn and support the full RCM process, including benefits verification, eligibility checks, authorization requirements, and reimbursement guidelines
Support claim preparation and submission, monitor claim statuses, and escalate denials or rejections for resolution
Help maintain payer records, fee schedules, and insurance updates relevant to behavioral health services
Assist with optimizing self-pay and insurance-based payment workflows
Monitor payments, outstanding balances, and client billing issues with an eye toward improving collections
Help implement processes that streamline billing accuracy and reduce payment friction for clients
Identify workflow bottlenecks and contribute to process improvements across client experience, billing, credentialing, and scheduling
Work directly with leadership to gather feedback from clients and therapists to improve both the platform and care operations
Collaborate cross-functionally with clinical, administrative, and technology teams to strengthen day-to-day operations
Qualification
Required
Bachelor's degree in Healthcare Administration, Public Health, Health Informatics, Psychology, Business Administration, or a related field
Strong interest in behavioral health operations, digital health, revenue cycle management, or insurance processes
Excellent communication, organization, and problem-solving skills
Tech-savvy and comfortable navigating modern digital tools and EHR systems
Detail-oriented, analytical, and able to manage multiple priorities
Experience in healthcare operations, billing, customer experience, or administrative roles is a plus but not required
Preferred
3+ years of experience in behavioral health billing, credentialing, or revenue cycle management within the mental health industry (strongly preferred)
Experience with commercial payers, Medicaid, and/or Medicare in a mental health or therapy practice
Strong understanding of CPT codes, telehealth rules, behavioral health reimbursement, and payer requirements
Proficiency with EHR systems and billing platforms (TheraNest, SimplePractice, Athena, or comparable)
Highly organized, detail-oriented, and able to manage multiple deadlines
Strong communication skills and ability to collaborate with clinicians and operational leadership
Ability to analyze billing data, identify trends, and optimize workflows
Bachelor's degree in Healthcare Administration, Health Information Management, Business, or related field preferred
Company
Plutonic
Plutonic is a digital health and gamification company that provides gamified solutions for wellness, mental health, and diversity.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
James S.
Founder & CEO
Recent News
2023-12-10
Canada NewsWire
2023-10-04
Company data provided by crunchbase