Finance & Billing Operations Manager – Remote
Location: Remote – Kentucky
Employment Type: Full-Time
Reports To: CEO / Executive Leadership
About the Role
Mysti's is seeking a highly capable, hands-on Finance & Billing Operations Manager to take ownership of financial operations, billing performance, revenue-cycle accountability, cash-flow visibility, and financial reporting across our California and Washington operations.
We are looking for a builder and operator who can walk into a small growing organization, assess what is happening financially, identify gaps, build stronger systems, hold people accountable, and give executive leadership reliable financial information for decision-making.
This position will work closely with leadership, billing staff, program operations, payroll/accounting resources, and external accounting/tax professionals.
Key ResponsibilitiesBilling & Revenue Cycle Management
- Take ownership of billing operations across HEALTHCARE programs.
- Manage and hold billing staff accountable for productivity, accuracy, timeliness, and follow-through.
- Establish clear billing deadlines and performance expectations.
- Monitor services delivered versus services actually billed.
- Identify earned revenue that has not been billed.
- Identify claims or invoices that were submitted but have not been paid.
- Track rejected, denied, delayed, or underpaid claims.
- Ensure appropriate follow-up, correction, and resubmission.
- Monitor authorization-related billing issues.
- Establish systems for tracking outstanding billing issues from identification through resolution.
- Work with operational leadership to address documentation or workflow problems affecting reimbursement.
- Develop billing dashboards and weekly reporting.
Accounts Receivable & Collections
- Maintain accurate accounts-receivable reporting.
- Monitor outstanding balances and aging.
- Establish follow-up procedures for unpaid receivables.
- Identify collection bottlenecks.
- Assign responsibility for outstanding items and ensure follow-through.
- Reconcile expected revenue against actual collections.
- Track collection trends and identify recurring payment issues.
- Develop strategies to improve the organization's speed from service delivery to cash collection.
Cash-Flow Management
The Finance & Billing Operations Manager will be responsible for giving leadership clear visibility into the organization's cash position.
Responsibilities include:
- Develop and maintain a rolling 13-week cash-flow forecast.
- Update cash projections regularly based on actual collections and expenses.
- Separate confirmed cash from projected or uncertain revenue.
- Forecast upcoming payroll and major operating expenses.
- Identify potential cash-flow shortages before they become emergencies.
- Develop conservative, expected, and growth cash-flow scenarios when appropriate.
- Provide leadership with recommendations regarding spending, hiring, and financial commitments.
Financial Reporting
Prepare regular financial reports for executive leadership, including:
- Cash position
- Cash-flow forecast
- Revenue
- Collections
- Accounts receivable
- A/R aging
- Outstanding billing
- Billing productivity
- Denials/rejections
- Payroll
- Major expenses
- Budget versus actual
- Program-level financial performance
- Revenue trends
- Financial risks
Leadership should not have to chase Finance for basic financial information.
The Finance Manager should proactively identify important trends and bring both problems and proposed solutions to leadership.
Budgeting & Forecasting
- Develop and maintain organizational and program budgets.
- Monitor actual performance against budget.
- Investigate significant variances.
- Develop revenue forecasts.
- Develop expense forecasts.
- Assist leadership with financial modeling for hiring, expansion, contracts, and new programs.
- Evaluate the financial impact of proposed business decisions.
- Help determine program and service-line profitability.
- Create financial models that allow leadership to evaluate best-case, expected, and conservative scenarios.
Finance Operations
- Develop and improve internal financial processes and controls.
- Establish clear approval and documentation workflows.
- Support expense management.
- Review recurring expenses and identify unnecessary or duplicative costs.
- Support accounts payable oversight.
- Review payroll reports and identify unusual trends or discrepancies.
- Coordinate with external accounting, tax, and payroll resources as needed.
- Ensure financial records and supporting documentation are organized and readily available.
Accounting Oversight & Coordination
Mystis currently utilizes external accounting/tax resources.
This position will:
- Coordinate with external accounting and tax professionals.
- Ensure they receive accurate and timely financial information.
- Review financial reports for accuracy and completeness.
- Ensure reconciliations and financial reporting are completed timely.
- Identify gaps between internal finance operations and external accounting services.
- Recommend which functions should remain outsourced versus managed internally.
This position is not expected to replace specialized tax or legal professionals, but should be capable of managing those relationships and ensuring the organization receives the information and services it needs.
Billing Team Leadership & Accountability
This is a management position.
The Finance & Billing Operations Manager must be comfortable:
- Setting expectations.
- Assigning responsibilities.
- Establishing deadlines.
- Monitoring performance.
- Following up when work is incomplete.
- Coaching employees.
- Identifying performance problems.
- Developing corrective action plans with leadership/HR when necessary.
- Building measurable KPIs for billing and finance staff.
Required Qualifications
- 5+ years of progressive experience in finance, accounting, billing, revenue cycle, financial operations, or a related field.
- Demonstrated experience managing financial operations.
- Experience managing or supervising billing, finance, accounting, or revenue-cycle staff.
- Strong accounts-receivable and collections experience.
- Experience with budgeting and cash-flow forecasting.
- Strong Excel and/or Google Sheets skills.
- Ability to analyze financial information and explain it clearly to non-financial executives.
- Experience developing financial reports and dashboards.
- Strong attention to detail.
- Strong organizational and project-management skills.
- Ability to work independently in a remote environment.
- Demonstrated ability to create systems and improve processes, rather than simply maintain existing ones.
Strongly Preferred
- Experience in healthcare, Medicaid, managed care, behavioral health, social services, community-based services, or another reimbursement-driven environment.
- Healthcare billing or revenue-cycle experience.
- Experience managing billing across multiple programs or contracts.
- Experience working with multi-state organizations.
- Experience with Gusto.
- Experience with QuickBooks or comparable accounting systems.
- Experience working with external accounting or CPA firms.
- Experience building financial operations for a growing organization.
This is an opportunity for someone who wants to own and build a finance and billing operation, not simply inherit a finished department.
Application Question
Along with your application, please answer:
You join a growing organization with operations in multiple states. Leadership believes there may be unbilled revenue, accounts receivable needs stronger follow-up, and cash-flow forecasting needs improvement. You are given responsibility for Finance and Billing. What would you assess and accomplish during your first 30 days?
Pay: $60,194.51 - $72,492.31 per year
Benefits:
- 401(k) matching
- Health insurance
- Life insurance
Work Location: Remote
