Billing Operations Manager
Twin Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $120,000 - $135,000 per year
About the role
- Lead and manage daily Billing Operations, including new customer billing setup, invoice and claims submission, payment posting, denial management, and accounts receivable (AR) follow-up.
- Establish quality controls and monitor key performance indicators (KPIs) such as Days in AR, denial rates, and clean claim rates to ensure timely reimbursements and meet individual/team goals.
- Develop and enforce billing policies and system controls to ensure strict compliance with customer agreements, payor requirements, and guidelines.
- Lead internal post billing audits to ensure billing integrity and compliance to contractual agreements and payer policies.
- Identify operational gaps, drive process improvement, and implement standardization across workflows.
- Develop and implement scalable operational workflows for claims management, system reconciliations, and Service Level Agreements (SLAs).
- Partner with Product and Engineering teams to design and implement automated tools, leveraging technology to reduce manual effort and increase productivity.
- Resolve customer grievances and escalations, ensuring a world-class customer experience.
- Co-lead the direct to consumer billing operations initiative.
- Oversee and execute Billing Operations projects, leading the initiative from inception to completion.
- Develop and manage project boards to track deliverables and ensure timely completion across all teams.
- Conduct regular project status meetings with the team and communicate progress, risks, and mitigation strategies to stakeholders.
- Maintain open and effective communication channels with project teams, internal departments, external customers, and stakeholders.
- Generate thorough and accurate project documentation, including Standard Operating Procedures (SOPs), policies, and best practices.
- Directly manage the Billing Operations Team.
- Establish and monitor performance metrics and individual development plans for all direct reports.
- Conduct regular 1:1 sessions, providing effective coaching and hands-on mentoring to foster a culture of continuous improvement.
- Empower direct reports by developing and implementing efficient processes to achieve departmental and organizational goals.
- Maintain positive team dynamics and promote a constructive workplace culture through active team member engagement.
- Serve as a change management leader, guiding the team through operational improvements.
Requirements
- Undergraduate degree in healthcare, business or equivalent practical experience.
- A minimum of 7 years of experience in healthcare revenue cycle management, including at least 7 years managing RCM or billing operations teams.
- Proven expertise in operating RCM systems (Candid Health or similar systems are a plus), comprehensive understanding of general reimbursement workflows, and proficiency in payer management, including denials analysis.
- Deep and extensive knowledge of medical coding, EDI systems, and adherence to commercial and government payer requirements, policies, and compliance standards.
- An exceptional communicator capable of translating technical billing issues into actionable cross-functional strategies. A collaborative, hands-on leader who fosters trust, accountability, and performance across distributed teams.
- A data-driven leader with strong analytical and process improvement capabilities, proficient in Excel, Google Workspace, and/or Business Intelligence (BI) reporting tools.
- Strong operational rigor with the ability to establish Service Level Agreements (SLAs), observability metrics, and scalable processes.
- A self-directed problem-solver who seeks the "why" behind processes, comfortable navigating ambiguity in a fast-paced, high-growth environment.
- Embraces technology to enhance work while maintaining a people-centric approach. Comfortable and enthusiastic about working in an AI-forward environment where AI tools are integrated into daily operations.
Benefits
- A competitive compensation package in line with leading technology companies
- A remote and accomplished global team
- Opportunity for equity participation
- Unlimited vacation with manager approval
- 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
- 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
- 401k retirement savings plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billing operationsrevenue cycle managementmedical codingdenials analysisoperating RCM systemsclaims managementprocess improvementdata analysisperformance metricsproject management
Soft Skills
communicationleadershipcollaborationcoachingproblem-solvingteam dynamicschange managementmentoringtrust-buildingaccountability