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8 days ago
Requirements and responsibilities
Role OverviewWe are seeking a highly organized and detail-oriented Revenue Operations Leader who thrives in high-volume healthcare environments and is motivated by the opportunity to secure the financial sustainability of essential reproductive health care.In this role, you will partner with clinical, finance, and operations teams, ensuring the seamless execution of the full claim lifecycle and maximizing net patient service revenue. You will own the workflows, clearinghouse tools, and EHR configurations that help the billing office operate effectively. You will translate financial strategy into action through clear SOPs, rigorous denial management, and direct oversight of two Billing Specialists, guiding their daily productivity and professional development.The ideal candidate is comfortable working in the weeds of complex billing rules, skilled in revenue analytics, and passionate about building scalable financial workflows that capture earned revenue with greater precision and speed. You excel at spotting revenue gaps, creating structure in billing workflows, and problem solving trends in denials and rejections.Why This Role MattersThis isn’t a standard RCM role: the financial frameworks you build and maintain directly sustain patient access to safe, timely, and compassionate care. In a pivotal moment for reproductive rights, your ability to optimize reimbursement and navigate complex payer landscapes ensures patients get access to the care they need at no or little out of pocket cost. Your work has a tangible impact on the future of digital healthcare access and the stability of reproductive rights in the U.S.Responsibilities 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 collectionsMonitor and manage key revenue cycle metrics (clean claim rate, AR days, denial rate, write-off rate) and report results to leadership on a monthly cadenceDevelop and document billing and coding protocols in partnership with Clinical, and ensure consistent application across all payer typesLead denial prevention and appeals processes, tracking root causes, identifying patterns, and closing systemic gapsOwn 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 deliveredPartner with Product and Engineering to evaluate RCM and AI tooling, optimize EHR and billing system configuration, including automations, reporting, and integrationsSupport state expansion by operationalizing billing for new Medicaid programs and payer launchesIdentify and resolve operational gaps in the revenue cycle, building scalable processes that reduce manual work and improve accuracyManage a team of 2-3 billing specialistsQualifications7+ years in healthcare revenue cycle or billing operations, with at least 2 years in a management or lead roleMedi-Cal/Medicaid billing experience strongly preferred; multi-state Medicaid experience a strong plusTelehealth, reproductive health, or women's health background strongly preferredFluency in clearinghouse workflows, ERA/EOB reconciliation, and CPT/ICD-10 coding for reproductive and virtual careHands-on experience configuring and managing billing systems and EHRs; comfortable being the internal subject-matter expertAnalytical mindset with a track record of using data to identify trends, track KPIs, and drive process improvements — not just reporting numbers but acting on themStrong cross-functional operator: able to work with Clinical, BD, Finance, Product, and Clinical Operations without needing a go-betweenExcellent written and verbal communication skills; able to translate billing complexity into clear escalations, documentation, and leadership updatesThrives in fast-paced, ambiguous environments; adaptable, resourceful, and solutions-orientedPassion for Hey Jane’s mission and a commitment to expanding access to essential healthcareCompensation: $145-180k + equityUnlimited vacationHealth, dental, and vision insurance with FSAUnless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, IL, MA, MD, NJ, NY, OR, and WA.