Revenue Cycle Associate

Summary

Join Pomelo Care, a dynamic healthcare technology company, and contribute to improving maternal and child health outcomes. As a Revenue Cycle Operations Specialist, you will play a crucial role in optimizing operational processes and enhancing clinician efficiency. Your responsibilities will include monitoring key revenue cycle metrics, setting up internal processes for claims submission, developing a revenue cycle playbook, ensuring compliance with billing regulations, and collaborating with cross-functional teams. This role requires 3+ years of revenue cycle experience with telehealth companies, strong analytical skills, and exceptional project management abilities. Pomelo Care offers a remote work environment, competitive benefits, generous equity compensation, and professional development opportunities.

Requirements

• 3+ years revenue cycle experience with telehealth companies
• Strong analytical skills with experience using data to inform decisions, optimize processes, and track performance metrics
• Exceptional project management and prioritization skills
• Results-oriented operator who moves fast
• Meticulous attention to detail and highly organized
• Comfort with ambiguity
• Ability to work cross-functionally
• Passionate about maternal and child health

Responsibilities

• Assist in monitoring key revenue cycle metrics for the doula business line, including accounts receivable (AR), collections rate, and clean claims rate
• Support the setup of internal processes and systems for fee-for-service claims submission, ensuring compliance with federal, state, and plan-specific guidelines
• Contribute to the development and maintenance of a revenue cycle playbook that outlines essential processes for new launch setups and plan-specific billing, serving as a resource for the broader team
• Stay informed about billing regulations, guidelines, and updates to Medicaid rules, and help ensure compliance with billing requirements
• Collaborate with various teams, including coding, customer success, product, and data, to support smooth and efficient revenue cycle operations
• Provide support in coordinating with third-party billing vendors to monitor key revenue cycle metrics and ensure effective performance

Benefits

• Remote working environment
• Competitive healthcare benefits & vacation policy
• Generous equity compensation
• Professional development opportunities