Billing Operations Manager

 Opportunity

We are actively expanding the Twin Billing Operations Team and are seeking a highly dynamic and experienced Billing Operations Manager. This role offers a significant opportunity to drive scalability through automation and process improvement while innovating our billing and collections processes to support the company's high growth trajectory. The ideal candidate will be a data-driven and process-oriented leader with superior knowledge of Revenue Cycle Management and a genuine passion for developing people. This position reports directly to the Billing Operations Director.

Responsibilities 

Revenue Cycle Management

• 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.

Project Management 

• 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.

People Management 

• 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.

Qualifications 

• Education and Experience: Undergraduate degree in healthcare, business or equivalent practical experience.
• Revenue Cycle Management (RCM) Expertise: A minimum of 7 years of experience in healthcare revenue cycle management, including at least 7 years managing RCM or billing operations teams.
• System and Workflow Knowledge: 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.
• Compliance and Coding: Deep and extensive knowledge of medical coding, EDI systems, and adherence to commercial and government payer requirements, policies, and compliance standards.
• Leadership and Communication: 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.
• Data and Analytical Skills: A data-driven leader with strong analytical and process improvement capabilities, proficient in Excel, Google Workspace, and/or Business Intelligence (BI) reporting tools.
• Operational Discipline: Strong operational rigor with the ability to establish Service Level Agreements (SLAs), observability metrics, and scalable processes.
• Problem-Solving and Adaptability: A self-directed problem-solver who seeks the "why" behind processes, comfortable navigating ambiguity in a fast-paced, high-growth environment.
• Technology Mindset: 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.

Preferred Experience

• Experience in business-to-business (B2B) and business-to-consumer (B2C) billing and collections
• Experience managing complex, transformational projects, including billing product implementations
• Experience in a startup environment within healthcare 
• Experience with NetSuite is a plus

This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Compensation and Benefits   

The compensation range for this position is $120,000-135,000 annually. 

Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin

• 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