Revenue Cycle Operations Manager

🕒 il y a 7 jours

🏄 California, Colorado, +7 états de plus – Distant

🏄 California – Remote ⛰️ Colorado – Remote 🌽 Illinois – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote ☕ Washington – Remote

💵 $125 000 - $145 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

⚙️ Opérations

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Hey Jane

Site WebLinkedInTous les Emplois

1 - 10 employés

Fondée en 2021

⚕️ Assurance santé

💰 €6 100 000 Venture Round en 2022-10

Healthcare Insurance

Hey Jane est un prestataire de services de santé virtuels spécialisé dans les soins de santé reproductive et sexuelle. L'entreprise propose une gamme de services incluant l'avortement médicamenteux, la contraception d'urgence, et les traitements pour les infections urinaires, les infections à levures, la vaginose bactérienne et l'herpès, tous accessibles via une plateforme virtuelle. Hey Jane offre des soins discrets, sans jugement, avec un accès rapide et abordable aux médicaments et à un soutien expert. Ils opèrent dans plusieurs États des États-Unis, permettant aux patients de consulter des prestataires en ligne et de recevoir leurs prescriptions directement à leur pharmacie ou par courrier. Leur mission est de rendre les soins de santé reproductive plus accessibles et bienveillants, en assurant la confidentialité et le soutien tout au long du processus de traitement.

Description

• Own design and oversight of end-to-end revenue cycle operations, including charge capture, claims submission, denial management, payer follow-up, patient billing, and AR collections • Monitor and manage key revenue cycle metrics (clean claim rate, AR days, denial rate, write-off rate) and report results to leadership on a monthly cadence • Develop and document billing and coding protocols in partnership with Clinical, and ensure consistent application across all payer types • Lead denial prevention and appeals processes, tracking root causes, identifying patterns, and closing systemic gaps • Own billing compliance and operational readiness for every new insurance plan Hey Jane accepts — this role does not negotiate contracts, but ensures the infrastructure to bill under them is in place before care is delivered • Partner with Product and Engineering to evaluate RCM and AI tooling, optimize EHR and billing system configuration, including automations, reporting, and integrations • Support state expansion by operationalizing billing for new Medicaid programs and payer launches • Identify and resolve operational gaps in the revenue cycle, building scalable processes that reduce manual work and improve accuracy • Manage a team of 2-3 billing specialists

🎯 Exigences

• 5–7+ years in healthcare revenue cycle or billing operations, with at least 2 years in a management or lead role • Medi-Cal/Medicaid billing experience strongly preferred; multi-state Medicaid experience a strong plus • Telehealth, reproductive health, or women's health background strongly preferred • Fluency in clearinghouse workflows, ERA/EOB reconciliation, and CPT/ICD-10 coding for reproductive and virtual care • Hands-on experience configuring and managing billing systems and EHRs; comfortable being the internal subject-matter expert • Analytical mindset with a track record of using data to identify trends, track KPIs, and drive process improvements — not just reporting numbers but acting on them • Strong cross-functional operator: able to work with Clinical, BD, Finance, Product, and Clinical Operations without needing a go-between • Excellent written and verbal communication skills; able to translate billing complexity into clear escalations, documentation, and leadership updates • Thrives in fast-paced, ambiguous environments; adaptable, resourceful, and solutions-oriented • Passion for Hey Jane’s mission and a commitment to expanding access to essential healthcare