Twin Health
Twin Health invented the Whole Body Digital Twin™ to help reverse and prevent chronic metabolic diseases.
Billing Operations Manager
Location
United States
Posted
33 days ago
Salary
$120K - $135K / year
Bachelor Degree7 yrs expEnglish
Job Description
• 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.
Job 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