Billing Operations Manager - Sleep

Aeroflow Health – Billing Operations Manager; Sleep

Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000’s list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We’re working hard to ensure that Aeroflow remains a premier employer in Western North Carolina thus bettering the everyday lives of the employees that work so hard to service our patients.

The Opportunity

Within Aeroflow, the Aeroflow Sleep team is looking for a Billing Operations Manager to oversee day-to-day billing performance and leads a team of supervisors and billing specialists responsible for claims accuracy, collections, and payer compliance. This role drives operational efficiency through rigorous use of data, structured performance management, automation opportunities, and cross-functional collaboration.

You will serve as a key partner to Revenue Cycle, Payer Relations, Sleep Sales, Customer Experience, and Business Analysts to ensure billing outcomes support the Division’s growth, patient experience, and financial goals.

Your Primary Responsibilities

We are currently seeking a Billing Operations Manager for the Sleep team who will:

• Manage and develop Billing Operations and a team of billing specialists focused on accuracy, collections, and payer compliance.
• Ensure alignment with organizational goals, operating standards, and financial targets.
• Set clear expectations, provide coaching, and execute performance management plans when needed.
• Monitor, interpret, and analyze core billing KPIs including DSO, write-offs, aging, rejections, denials, appeals, collection rates, and productivity.
• Identify trends, root causes, and inefficiencies; propose and implement solutions.
• Optimize workflows to improve accuracy, throughput, and automation.
• Use data to influence strategic decisions, process design, and staffing needs.
• Compare actual performance to targets, identify gaps, and deliver actionable insights.
• Maintain data integrity across systems; support the development of new reporting tools and queries.
• Present findings and recommendations to Division leadership.
• Work closely with Payer Relations on guideline interpretation, payer-specific requirements, and denial reduction strategies.
• Collaborate with Revenue Cycle Support and Sales Operations to align processes, support payer testing, and maintain compliance.
• Partner with Customer Experience to monitor trends in patient billing communications and identify opportunities to reduce inbound volume through improved processes.
• Ensure adherence to payer guidelines, regulatory requirements, documentation standards, and internal billing policies.
• Lead process audits to validate claim accuracy, coding workflows, documentation completeness, and payer-specific rules.
• Identify opportunities for automation, scalability, and standardization across the Sleep billing function.
• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance
• Maintain HIPAA/patient confidentiality
• Other job duties assigned
  
  

Skills For Success

• Able to interpret complex datasets, identify patterns, and convert insights into action.
• Uses logic, evidence, and data—not assumptions—to inform decisions.
• Comfortable navigating a fast-paced environment with evolving priorities.
• Clear, concise, and capable of translating technical billing insights for non-technical audiences.
• Skilled at building talent, coaching supervisors, and fostering a high-performance culture.
• Embraces system enhancements, automation, and optimization tools.
• Works collaboratively across multiple teams and levels.
  
  

Required Qualifications

• 5–8 years of experience in medical billing, reimbursement, revenue cycle operations, or similar.
• 2+ years leading teams or managing supervisors and/or projects in an operations environment.
• Extensive knowledge of insurance billing, payer policies, rejections, denials, appeals, and compliance.
• Demonstrated ability to use data analysis tools (Excel, SQL, reporting dashboards, etc.) to monitor performance.
• Strong organizational skills with the ability to manage multiple priorities in a complex environment.
• Proven record of driving measurable improvements in operational KPIs.
• Strong collaboration experience with internal stakeholders across clinical, operations, finance, and payer-facing functions.
  
  

You might also have

• Experience specifically within Sleep or DME billing (CPAP, resupply, compliance requirements).
• Experience implementing billing system enhancements or automation.
• Familiarity with payer testing, documentation workflows, and revenue cycle analytics.
• Bachelor’s degree in Healthcare Administration, Business, Data Analytics, or a related field.
  
  

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award
  
  

If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.