Remote Insurance Verification Jobs in Powder Springs, GA

Company Description

Psychotherapy Collective of Atlanta is dedicated to making mental health care accessible, compassionate, and effective for individuals and families across Georgia. The organization offers comprehensive services, including therapy, counseling, and psychiatric evaluations, delivered across inpatient, outpatient and telehealth options. The team is committed to high-quality, client-centered care that respects diverse backgrounds and experiences. Applicants will join a mission-driven environment focused on improving mental health outcomes and reducing barriers to care.

Position Summary

Psychotherapy Collective of Atlanta is seeking an experienced Healthcare Operations Manager to oversee the administrative, reimbursement, and operational functions of a growing behavioral healthcare practice.

This individual will serve as the primary operational partner to the Owner/Clinical Director. An immediate priority will be coordinating the practice's transition from an LLC to a corporation while ensuring continuity across payers, credentialing, billing, banking, vendors, and business systems.

This is not a clinical position. We are seeking someone with strong healthcare operations experience who understands how healthcare practices operate, navigate insurance reimbursement, and maintain efficient business systems.

This position is 100% remote. Candidates do not have to live in the state of Georgia.

Key Responsibilities

• Coordinate operational aspects of the transition from LLC to corporation, including payer, banking, vendor, credentialing, and administrative updates.
• Oversee the revenue cycle, including claims submission, rejections, denials, corrected claims, appeals, payment posting, accounts receivable, overpayments, and reimbursement issues.
• Manage payer credentialing and enrollment, including CAQH, Medicare, Medicaid, commercial insurers, EFT/ERA, and payer portals.
• Troubleshoot insurance claims and reimbursement discrepancies directly with payers.
• Monitor aging A/R and identify opportunities to improve collections and reduce revenue leakage.
• Maintain payer contracts, fee schedules, enrollment records, and credentialing deadlines.
• Support billing and operational workflows for services provided in assisted living, memory care, skilled nursing, and other healthcare settings.
• Develop and maintain policies, procedures, and operational workflows to improve efficiency and consistency.
• Coordinate with the CPA, attorney, payroll provider, vendors, and other external partners.
• Assist with financial operations, QuickBooks workflows, payroll administration, and reporting.
• Oversee administrative use of SimplePractice, Google Workspace, payer portals, and other business systems.
• Support employee and contractor onboarding and offboarding.
• Maintain HIPAA-compliant administrative processes and support healthcare compliance requirements.
• Provide regular operational and revenue-cycle reporting to the Owner/Clinical Director.

Qualifications

• 3–5+ years of healthcare operations, practice management, revenue cycle, or related healthcare administrative experience.
• Strong knowledge of healthcare insurance reimbursement and claims processing.
• Working knowledge of Medicare, Medicaid and commercial insurance.
• Experience with claim denials, appeals, corrected claims, accounts receivable, and insurance verification.
• Experience with payer credentialing and provider enrollment.
• Knowledge of healthcare compliance and HIPAA requirements.
• Experience developing and improving policies, procedures, and operational workflows.
• Proficiency with EHR/practice-management systems and basic data reporting.
• Strong organizational, project-management, and problem-solving skills.
• Effective communication skills and the ability to work with clinicians, administrative staff, payers, vendors, and outside professionals.
• Ability to independently identify operational problems and follow them through to resolution.

Preferred Qualifications

• Behavioral health or outpatient medical practice experience.
• Experience with QuickBooks.
• Medicare enrollment, credentialing, and billing experience.
• CAQH and commercial payer credentialing experience.
• Experience with major insurers such as BCBS/Anthem, UHC/Optum, Cigna/Evernorth, Aetna, and Medicare and Georgia Medicaid
• Assisted living, memory care, skilled nursing, or facility-based healthcare experience.
• Experience supporting a healthcare organization through a corporate or organizational transition.

Ideal Candidate

The ideal candidate is equally comfortable working with insurance companies, reviewing A/R, managing commercial and Medicare/Medicaid credentialing, coordinating with a CPA, troubleshooting payer portals, developing workflows, and helping leadership keep the business organized and moving forward.

This role is well suited for a proactive healthcare operations professional who enjoys taking ownership of problems, creating structure, and helping a growing practice operate more efficiently.