Billing & Revenue Operations Manager

Position Summary The 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 & Responsibilities Oversee 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 Qualifications Bachelor’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…