Twin Health

Twin Health invented the Whole Body Digital Twin™ to help reverse and prevent chronic metabolic diseases.

Billing Operations Manager

Billing SpecialistBilling SpecialistFull TimeRemoteTeam 201-500Since 2018H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

45 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

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