Billing & Revenue Operations Manager

TRES HEALTH INC; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

Tres Health is seeking a Billing & Revenue Operations Manager to lead our end-to-end billing and revenue cycle processes in a fully remote, U.S.-aligned role. You will oversee invoicing, ACH pulls, cash application, and banking activities while driving process improvements across Finance, Operations, and other teams.

You will guide configuration efforts, manage escalations, and ensure accurate records and controls.

Qualifications

• Bachelor’s degree or equivalent in a related field preferred.
• 4+ years in billing, AR, or revenue-cycle leadership.
• Experience with billing configurations, reconciliations, and controls.

Responsibilities

• Oversee end-to-end billing and revenue operations, incl. invoicing and cash application.
• Coordinate billing configuration, including PB creation and portal setup.
• Manage invoicing workflow, monitor activity, and resolve exceptions.
• Oversee ACH payments, banking operations, and cash-reconciliation.
• Provide escalation support for complex billing and revenue issues.
• Identify process improvements and develop scalable procedures.

Skills

Billing

Accounts receivable

Revenue cycle

Finance operations

Healthcare billing

Education

Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration

Tools

Billing systems

Microsoft Excel

Google Sheets

Job description

Position SummaryThe Billing & Revenue Operations Manager oversees the day-to-day operations of Tres Health’s billing and revenue cycle functions, ensuring billing, invoicing, payment processing, cash application, disbursements, banking, delinquency management, and related activities are completed accurately, timely, and in accordance with established processes and controls. This role coordinates work across team members, provides oversight and guidance on complex issues, manages escalations, and serves as a key resource for billing-related decisions and process improvements. The Billing & Revenue Operations Manager works cross-functionally with Finance, Operations, and other internal stakeholders to resolve exceptions, improve workflows, support system configuration and implementations, and develop scalable processes that support Tres Health’s continued growth.Essential Duties & ResponsibilitiesOversee the end-to-end billing and revenue operations process, including billing configuration, invoicing, ACH pulls, cash application, disbursements, group terminations, delinquency activities, billing inquiries, and banking operations.Coordinate and oversee billing configuration activities, including PB creation, system configuration, portal configuration, and resolution of complex configuration issues.Manage the invoicing workflow, including assignment and monitoring of invoice activities, review of invoice activity, resolution of exceptions, and escalation management.Oversee ACH payment processing and cash application activities, ensuring payments are processed and applied accurately and timely while supporting the resolution of exceptions and discrepancies.Provide oversight of disbursement, reconciliation, reporting, statement, and banking activities to ensure appropriate financial controls and accurate records are maintained.Oversee billing-related activities associated with group terminations, including refunds, additional invoices, invoice adjustments, and coordination with applicable internal teams.Manage and monitor delinquency processes, including account follow-up, escalations, issue resolution, and appropriate decision-making regarding outstanding balances.Oversee the billing inbox and related inquiries, ensuring questions and issues are appropriately prioritized, assigned, documented, and resolved in a timely manner.Serve as an escalation point and subject matter resource for complex billing, payment, configuration, reconciliation, and revenue-cycle issues, working with internal stakeholders to identify root causes and appropriate resolutions.Identify and implement process improvements, develop and maintain standard operating procedures, strengthen internal controls, and support system implementations and configuration changes to improve the accuracy, efficiency, and scalability of revenue operations.Provide work direction, prioritization, and operational support to team members responsible for billing and revenue-cycle activities while promoting accountability, consistency, and accuracy.Other tasks as assigned.Minimum QualificationsBachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field preferred; equivalent relevant experience may be considered.4+ years of experience in billing, accounts receivable, revenue cycle management, finance operations, healthcare billing, or a related field.Experience overseeing multiple financial operations and workflows, including invoicing, payment processing, cash application, reconciliations, and accounts receivable.Working knowledge of billing systems, payment processing, ACH transactions, financial controls, and revenue-cycle processes.Experience identifying, researching, and resolving financial, billing, and payment discrepancies.Experience coordinating work across multiple team members and/or functions.Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.Strong written and verbal communication skills.Ability to manage competing priorities, meet deadlines, and work independently in a fast-paced, remote environment.Ability to exercise sound judgment when resolving exceptions and determining when escalation is required.Demonstrated ability to identify opportunities for process improvement and develop scalable operational solutions.Proficiency with Microsoft Excel, Google Sheets, or similar spreadsheet and reporting tools.Healthcare, insurance, benefits administration, or HIPAA-regulated environment experience preferred.Experience with billing system configuration, implementation, or process development preferred.Work Schedule & Remote WorkFull-time, remote position aligned with U.S. business hours. Flexibility required for critical billing deadlines, month-end activities, cross-functional meetings, system implementations, escalations, and other time-sensitive operational needs. Occasional travel (0–10%) may be required for team collaboration, company meetings, or vendor engagements.Remote Work RequirementsDedicated home office with reliable, high-speed internet.Secure workspace aligned with HIPAA security standards (device encryption, secure Wi-Fi, screen privacy).Ability to effectively coordinate, oversee, and communicate revenue-cycle activities in a fully remote environment.Ability to maintain confidentiality and securely handle financial, employee, customer, and other sensitive information.Ability to effectively use computers, financial and billing systems, video conferencing tools, and other standard remote work technology.Security, Privacy & ComplianceThis position requires adherence to Tres Health’s security and privacy policies, including HIPAA compliance. All employees must complete security training and comply with access management protocols. The employee is expected to safeguard confidential financial, customer, employee, and business information and follow all applicable company policies and regulatory requirements.Physical RequirementsProlonged periods of sitting and working at a computer.Ability to communicate effectively through video, phone, and written platforms.Ability to effectively use computers, video conferencing tools, financial and billing systems, and other standard remote work technology.Visual and auditory capabilities suitable for remote work.Ability to occasionally lift up to 15 pounds.Tres Health is committed to ADA compliance and will provide reasonable accommodations to individuals as needed.Employment StatusThis position is governed by at-will employment, meaning either the employee or Tres Health may end the employment relationship at any time, with or without cause or notice, as permitted by law.EEO & Reasonable AccommodationTres Health is an Equal Opportunity Employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other protected category. Tres Health provides reasonable accommodations to enable individuals with disabilities to perform the essential functions of the role. This description is not intended to list all duties or qualifications and may be updated at any time.