Billing Operations Lead, Healthcare TPA

Health Plans, Inc.; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Health Plans, Inc. is seeking a Billing Manager to lead the billing department within a national TPA focused on self-funded health plan solutions.

You will oversee daily billing, drive accuracy, and ensure efficient processes across multiple clients and software migrations. The role requires 5–7 years in healthcare billing finance, strong communication, and a knack for process improvement in a fast-paced environment.

Qualifications

• 5-7 years of experience in Finance within a third-party administrator of health plans in billing.
• Strong organizational skills with the ability to manage multiple priorities.
• Exceptional attention to detail and accuracy.
• Proven ability to meet deadlines in a fast-paced environment.
• Excellent verbal and written communication skills; able to collaborate with internal teams, vendors, and customers to resolve inquiries.

Responsibilities

• Supervise, mentor, and train billing team members.
• Foster a collaborative and positive work environment.
• Assign tasks and monitor performance to ensure targets are met.
• Oversee daily billing activities, including billing coordination, billing, and reconciliation.
• Ensure timely and accurate submission of invoices to clients.
• Review and resolve billing discrepancies or errors.
• Maintain up-to-date knowledge of industry regulations and payer requirements.
• Ensure billing practices comply with HIPAA and other relevant standards.
• Conduct regular audits to identify and correct issues.
• Address escalated billing inquiries from clients.
• Provide clear explanations of billing procedures and resolve concerns promptly.
• Support the team in delivering excellent service.
• Identify opportunities to streamline billing workflows.
• Collaborate with other departments to optimize cross-functional processes.
• Generate and analyze billing reports to track performance metrics.
• Present findings and recommendations to management.

Skills

Billing

Attention to detail

Communication

MS Office

Cross-functional collaboration

Education

Associate’s or Bachelor’s degree in Healthcare Administration, Finance, or Business related discipline

ACA, ACCA or CIMA is a plus

Tools

SAP

Job description

Health Plans, Inc. is seeking a Billing Manager to lead the billing department within a national TPA focused on self-funded health plan solutions.

You will oversee daily billing, drive accuracy, and ensure efficient processes across multiple clients and software migrations. The role requires 5–7 years in healthcare billing finance, strong communication, and a knack for process improvement in a fast-paced environment.