Manager, Billing & Financial Operations - Remote

Company Overview

The Compliance Services Organization didn't exist. We built it.

MP1 Solutions pioneered the Compliance Services Organization (CSO) — a new category of operating partner built to replace the fragmented vendor model that has defined compliance programs for decades. Built on the foundation of MedPro Disposal, the nation's largest privately-held medical waste company serving 35,000+ providers across 48 states over the past 15 years, MP1 Solutions extends that operational infrastructure, vendor network, and customer trust into a category we're actively building — and leading. We're doing it with a technology-forward approach, actively developing the AI infrastructure that will make this model smarter, faster, and more scalable as we grow.

What we do: We operate as the single compliance partner for non-acute healthcare facilities — consolidating every obligation into one coordinated program, assigning one dedicated account manager as the point of accountability, and actively managing the underlying vendor ecosystem through continuous evaluation, negotiation, and optimization on the practice's behalf.

Why it matters: Regulated facilities across the country are managing compliance the same fragmented way they always have. We're changing that — and we're looking for people who want to help build what comes next.

Our technology: We're actively building the AI infrastructure that sits behind this model — automating compliance tracking, surfacing risks before they become problems, and creating a system that gets smarter with every client we add. If you want to build at the intersection of compliance and technology, you're in the right place.

Our impact: Our clients never have to worry about something falling through the cracks — obligations are coordinated, tracked, and documented in one place. We audit costs, eliminate overcharges, and deliver proof of compliance that always keeps practices inspection ready. Every client has one dedicated account manager who owns their program end to end. And unlike a traditional vendor relationship, our model is designed to get better over time — continuously re-evaluated, optimized, and improved with every client we serve.

Position Overview:
The Manager, Billing & Financial Operations is the operational owner of MedPro Disposal and MP1 Solutions' non-CA financial transaction engine — the function that ensures every invoice goes out accurately, every payment gets applied, every vendor gets paid, and every manifest and billing record is reconciled and audit-ready.

This is a 1st-line management role for a detail-obsessed, process-driven leader who has run billing and collections teams before. You are not just doing the work — you are building the systems, the SOPs, and the team discipline that make the work run without constant supervision. You manage the specialists; you own the numbers; you report up to leadership with clean, confident data.

Key Responsibilities:
Billing Operations & Transaction Processing

• Own end-to-end billing operations — from invoice generation through delivery, dispute resolution, and closed-loop reconciliation across all MedPro and MP1 service lines
• Oversee accurate and timely processing of all financial transactions: vendor payables, service billings, manifest entries, client invoices, and payment applications
• Ensure all billing records align with service agreements, contracts, and pricing structures — identifying and correcting discrepancies before they reach the client or vendor
• Manage the billing cycle calendar: maintain a disciplined, predictable cadence for invoice runs, payment postings, and month-end closes
• Build and enforce quality controls that reduce error rates, prevent duplicate payments, and maintain clean accounts across all transaction types

Collections & Accounts Receivable Management

• Own the collections process: proactively work aging receivables, contact clients with outstanding balances through defined outreach workflows, and escalate chronic non-payers through the appropriate path
• Maintain current and accurate AR aging reports — tracking open balances, days sales outstanding (DSO), and collection trends with weekly reporting to leadership
• Resolve billing disputes and discrepancies with professionalism and speed — balancing firmness in collections with the client relationship standards MedPro and MP1 are built on
• Identify and flag accounts at risk; recommend credit holds, payment plans, or escalation paths in partnership with leadership
• Ensure all collections activity is documented, auditable, and compliant with applicable regulations

Accounts Payable & Vendor Payments

• Manage the accounts payable function — ensure all vendor invoices are received, approved, accurately coded, and paid on schedule
• Maintain the vendor master list; manage vendor relationships for routine billing and payment inquiries
• Reconcile AP aging reports, resolve vendor disputes, and ensure no invoices age beyond terms without documented reason
• Coordinate with internal teams to ensure all expense submissions, manifests, and purchase-related documents are processed accurately and on time
• Support month-end AP close activities: accruals, reconciliations, and documentation for financial reporting

Team Leadership & Performance Management

• Lead, coach, and develop a team of billing specialists, collections specialists, and AP/transaction processors — setting clear expectations, running weekly check-ins, and delivering structured feedback
• Build and maintain the performance scorecard for the team: accuracy rate, turnaround time, DSO, collection rate, and AP aging metrics — with visible accountability at every level
• Design and document SOPs for every process the team touches — billing, collections, AP, manifest processing, and dispute handling. If it is not written down, it does not exist
• Identify skill gaps, cross-training opportunities, and development paths that build team depth and reduce single-point-of-failure risk
• Escalate issues and risks to leadership proactively — full transparency, clean data, solution-first framing

Systems, Reporting & Process Improvement

• Own the financial operations technology stack — CRM billing modules, AP platforms, reporting dashboards — ensuring data integrity and team adoption
• Build and maintain weekly and monthly reporting packages for leadership: transaction volumes, AR aging, DSO, collection performance, billing error rates, and AP status
• Identify inefficiencies in the current billing, collections, and AP workflows and lead process improvement initiatives with measurable impact
• Support system migrations and platform changes as needed — including data mapping, testing, and team training for any new financial operations tools
• Ensure all financial operations are compliant with applicable data privacy, security, and regulatory standards

Qualifications
Required:
Billing Operations & Transaction Processing

• Own end-to-end billing operations — from invoice generation through delivery, dispute resolution, and closed-loop reconciliation across all MedPro and MP1 service lines
• Oversee accurate and timely processing of all financial transactions: vendor payables, service billings, manifest entries, client invoices, and payment applications
• Ensure all billing records align with service agreements, contracts, and pricing structures — identifying and correcting discrepancies before they reach the client or vendor
• Manage the billing cycle calendar: maintain a disciplined, predictable cadence for invoice runs, payment postings, and month-end closes
• Build and enforce quality controls that reduce error rates, prevent duplicate payments, and maintain clean accounts across all transaction types

Collections & Accounts Receivable Management

• Own the collections process: proactively work aging receivables, contact clients with outstanding balances through defined outreach workflows, and escalate chronic non-payers through the appropriate path
• Maintain current and accurate AR aging reports — tracking open balances, days sales outstanding (DSO), and collection trends with weekly reporting to leadership
• Resolve billing disputes and discrepancies with professionalism and speed — balancing firmness in collections with the client relationship standards MedPro and MP1 are built on
• Identify and flag accounts at risk; recommend credit holds, payment plans, or escalation paths in partnership with leadership
• Ensure all collections activity is documented, auditable, and compliant with applicable regulations

Accounts Payable & Vendor Payments

• Manage the accounts payable function — ensure all vendor invoices are received, approved, accurately coded, and paid on schedule
• Maintain the vendor master list; manage vendor relationships for routine billing and payment inquiries
• Reconcile AP aging reports, resolve vendor disputes, and ensure no invoices age beyond terms without documented reason
• Coordinate with internal teams to ensure all expense submissions, manifests, and purchase-related documents are processed accurately and on time
• Support month-end AP close activities: accruals, reconciliations, and documentation for financial reporting

Team Leadership & Performance Management

• Lead, coach, and develop a team of billing specialists, collections specialists, and AP/transaction processors — setting clear expectations, running weekly check-ins, and delivering structured feedback
• Build and maintain the performance scorecard for the team: accuracy rate, turnaround time, DSO, collection rate, and AP aging metrics — with visible accountability at every level
• Design and document SOPs for every process the team touches — billing, collections, AP, manifest processing, and dispute handling. If it is not written down, it does not exist
• Identify skill gaps, cross-training opportunities, and development paths that build team depth and reduce single-point-of-failure risk
• Escalate issues