Billing Manager

Amperos is healthcare's first AI-native denial management and revenue recovery platform. Our agentic AI works claims end-to-end, from portal follow-ups and payor calls to appeals and medical records, so providers can resolve more denials, recover more revenue, and focus on what matters most: serving patients.

We just closed a $16M Series A led by Bessemer Venture Partners, with continued participation from Uncork Capital and Neo. We're still small, still early, and going after a $260B+ problem that's only getting worse. If you want to work on hard problems that matter, alongside people who care deeply about the mission (and each other), we'd love to meet you.

About the role

The Billing Manager will own a book of client accounts and the team that runs them. This isn't a role where you inherit a fixed team and keep it running. You'll need to be equal parts people manager, operator, and trusted advisor, working in concert with your peers to build best practices, document processes, and drive efficiencies. You need the judgment to staff and restaff a team as your book changes; the discipline to run fair, consistent 1-on-1s, and performance conversations; the coaching instinct to grow the leaders who report to you, not just the billers on the floor; and enough command of your clients' data to speak to it with real authority.

• Own your client portfolio

  • Manage a book of client accounts, sized by complexity rather than a fixed count

  • Staff and restaff each account with the right mix of billers and specialists as the book changes

  • Serve as the escalation point above your Team Leads for claim, staffing, and client issues

• Deliver on production and quality expectations

  • Set and track production and quality targets across your portfolio

  • Run regular production and quality reviews with your Team Leads

  • Decide whether a slipping metric is a coaching issue, a staffing issue, or a product issue, and route it accordingly

• Act as a trusted RCM advisor

  • Speak to your clients' workflows, A/R, denial trends, and performance with real authority

  • Be the person a client turns to for an answer, not just an update

• Manage and coach your people

  • Run formal 1-on-1s and performance conversations with billers, up to and including terminations

  • Coach and develop the Team Leads who report to you into stronger leaders, not just the billers on the floor

  • Identify and develop future Team Lead and senior biller talent

• Collaborate across RCM Ops

  • Work in concert with peer Billing Managers to build best practices and document processes

  • Drive efficiencies across the broader team, not just your own book

• 8+ years of leadership experience, including meaningful time directly managing billing or RCM teams in healthcare RCM

• Deep RCM domain knowledge: fluent on denial management, A/R aging, payer behavior, and reimbursement trends

• Experience staffing and scaling a team to match a changing book of business

• Experience managing offshore teams, including performance management across geographies

• Comfortable owning multiple client relationships and multiple direct/indirect reports at once

• Experience with leading PM systems (ModMed, NextGen, Athenahealth, or similar) and payer portals

• Direct, clear communicator, comfortable delivering hard feedback and handling escalations

• Ability to work US hours (9am-6pm ET)

• Lead with Empathy - Great products and teams are built on empathy—whether for our customers, users, or team members. We take the time to walk in others' shoes, listen actively, and truly understand their challenges, needs, and perspectives.

• Humbly Ambitious - We combine humility with ambition. No task is beneath us, and no challenge too big. Greatness comes from being willing to do whatever it takes, while having the courage to take bold risks and learn from failures.

• Radical Agency - Own your domain. Drive initiatives with autonomy and accountability. Think deeply, communicate with the team, and maintain a bias for action.