Billing Operations Manager

Manager, Billing Operations | NYC Hybrid or Remote (U.S.)

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 40,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

About the Role
We’re seeking a proactive and detail-oriented Manager of Billing Operations to lead our end-to-end billing workflows, ensure timely reimbursement, and drive down Days in Accounts Receivable (AR). This role will oversee claims processing, payment posting, AR follow-up, and denials management, ensuring operational excellence and strong financial performance, while enabling a supportive billing experience for our patients.

Location: Hybrid (NYC). We value in-person collaboration and aim for at least three days per week in our NYC office, with flexibility as needed. Or fully remote within the US.

What You’ll Do

• Drive Strong Billing Operations Team Performance

• Lead a team of revenue cycle professionals across billing, collections, and denials management, driving high billing operations performance

• Manage team of onshore and offshore specialists across billing, payment posting, AR, and denials with clear ownership and accountability.

• Build SOPs, documentation, and scalable processes to ensure consistent and high-quality execution.

• Foster a culture of operational excellence and continuous improvement.

• Own AR performance and KPI management, including DSO, first-pass acceptance rate, denial rate, etc.

• Ensure Clean Claims & Prevent Denials

• Own processes that ensure accurate charge capture, eligibility, and coding before claims are submitted.

• Build preventive workflows to reduce first-pass rejections

• Partner with clinical, intake, credentialing, and coding teams to address upstream issues that drive repeat denials.

Lead Claims Submission, Payment Posting & AR Management

• Oversee timely claim submission, remit posting, and structured AR follow-up workflows.

• Maintain consistent follow-up cadence by age bucket, payer, and denial category.

• Ensure all claims are processed, followed up on, and escalated within defined SLAs.

• Drive Denial Resolution & Recovery

• Lead a structured denial management program with root-cause categorization and recovery targets.

• Create SOPs for addressing common denial categories (coverage, coding, eligibility, prior auth, modifier issues, medical necessity, etc.).

• Oversee appeals, corrected claims, and secondary billing processes.

Deliver a Patient-Friendly Billing Experience

• Build clear processes and service standards to ensure patient billing questions are answered accurately and promptly

• Create feedback loops from patient inquiries to identify recurring pain points and implement improvements across billing workflows

Maintain Compliance & Strengthen Billing Operating Infrastructure

• Ensure compliance with payer policies, telehealth billing requirements, and documentation standards.

• Stay current on industry policies and billing best practices.

• Partner in management of billing systems and vendors and ensure swift resolution of any technical issues impacting billing

Who You Are

• Bachelor's degree required; Master's degree in Healthcare Administration, Business, or related field preferred

• 5+ years of progressive experience in healthcare revenue cycle management

• 3+ years of leadership experience in a healthcare setting

• Experience with telehealth billing and reimbursement

• Demonstrated success in improving revenue cycle metrics (e.g., clean claim rates, AR days, denial rates)

• Strong understanding of healthcare reimbursement models, coding, and compliance requirements

• Experience with revenue cycle management systems and healthcare technology platforms

• Excellent analytical skills with the ability to translate data into actionable insights

• Exceptional communication and leadership abilities

• Experience utilizing modernized billing and EHR platforms such as Candid, Adonis, and Elation, highly preferred OR proven ability to learn new systems quickly

Bonus Points

• Telehealth or digital health background

• Women's health or specialty care experience

• Experience scaling billing operations in a high-growth environment

What Allara Offers

Compensation & Career Growth

• $115-$130K with opportunities for advancement

• Professional development and employee learning programs

Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks.

Work Environment & Flexibility

• Hybrid or remote options

• Unlimited PTO & 11 company holidays

• Annual onsite gathering in NYC

Health & Wellness

• Medical, dental, and vision benefits

• Health Savings Account (HSA) & Flexible Spending Account (FSA) options

• Long- and short-term disability coverage

• Annual wellness stipend

Family & Future Planning

• 401(k) plan

• Parental leave & family planning support benefits

Additional Perks

• Company-issued laptop

• Annual work-from-home stipend

• Commuter benefits (if applicable)

• A collaborative, mission-driven culture focused on improving patient care

At Allara, we celebrate everything that makes us human. We are proud to be an equal opportunity employer and are committed to building a diverse and inclusive team. We do not discriminate based on race, gender identity, sexual orientation, religion, disability, veteran status, or any other protected characteristic.