Revenue Cycle Manager

Summary

Join Pomelo Care, a leading technology-driven maternal and child healthcare company, as a Revenue Cycle Manager for our doula business line. You will be responsible for overseeing all revenue cycle metrics, setting up internal processes for claims submission, developing a revenue cycle playbook, ensuring compliance with billing regulations, collaborating with cross-functional teams, managing a small team, and managing a third-party billing vendor. This role requires 5+ years of revenue cycle experience with telehealth companies and a meticulous attention to detail. Pomelo offers a competitive salary, equity, benefits, and the opportunity to make a profound impact on maternal and child health.

Requirements

• 5+ years revenue cycle experience with telehealth companies
• Experience overseeing key revenue cycle KPIs, including AR, clean claims rate, timely submissions, etc
• Meticulous attention to detail
• Passionate about maternal and child health

Responsibilities

• Oversee all revenue cycle metrics for the doula business line, including AR, collections rate, clean claims rate, etc, and regularly implement plans to continuously improve performance
• Set up all internal processes and infrastructure for fee-for-service claims submission, adhering to any federal, state, or plan-specific guidelines
• Develop a revenue cycle playbook that outlines all of the processes required for new launch set up and plan-specific billing that can be referenced by a broader team as we scale
• Stay up to date with billing regulations, guidelines, and changes in Medicaid rules, ensuring compliance with billing requirements
• Collaborate with the coding, customer success, product, and data teams to streamline our revenue cycle operations
• Manage a small team of revenue cycle specialists
• Manage third party billing vendor, including holding them accountable to key revenue cycle metrics

Benefits

• Equity
• Benefits
• Other opportunities at Pomelo Care
• Salary range: $95,000-125,000