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Manager, Revenue Cycle
Oula Health
Remote
USD 75k-85k / year
Posted 6+ months ago
Oula delivers better maternity care built around our patients – offering comprehensive support before, during, and after pregnancy. With fewer C-sections and higher VBAC success rates, our research-backed approach is delivering better outcomes. Our team of trusted midwives, OBGYNs and dedicated care navigators ensure our patients get the type of care they need in the moments that matter most. Since launching in 2021, we’ve expanded our services to include Preconception and Miscarriage Care, Pregnancy Care, Hospital-Based Delivery, Postpartum Support, and Gynecology. We have 3 clinics in New York, with exciting expansion on the Horizon! Come join our team of clinicians, innovators, operators, and technologists, passionate about setting a new standard in maternity care.
About the role: As the Manager, Revenue Cycle Management, you will be responsible for owning all aspects of the revenue cycle process, from eligibility verification and billing to claims processing and reimbursement. You will work closely with our clinical and finance teams to optimize revenue performance, minimize denials, and ensure timely reimbursement for services rendered. The ideal candidate will have a strong understanding of the ins-and-outs of OBGYN professional billing and health insurance, excellent leadership and strategic thinking skills, and a passion for improving financial outcomes.
Key Responsibilities
- Oversee the entire revenue cycle process, including insurance verification, coding, billing, authorization management, collections and reporting
- Develop and implement policies and procedures to ensure accurate and timely billing and reimbursement
- Monitor key performance indicators and financial metrics to identify trends, issues, and opportunities for improvement
- Analyze and report on revenue cycle performance to senior management, identifying areas for growth and optimization
- Collaborate with clinical staff to resolve billing discrepancies, denials, and other revenue cycle issues
- Stay up-to-date with healthcare regulations and payor policies to ensure compliance and maximize reimbursement
- Conduct patient financial counseling including benefit education, payment plans and financial assistance options
- Provide leadership and guidance to revenue cycle team (initially two billing specialists), including hiring, training, coaching, and performance evaluation
Skills and Experience
- Minimum of 7 years of experience in healthcare revenue cycle management, preferably in a OBGYN or similar healthcare setting
- Thorough understanding of OBGYN payor guidelines as well as technical knowledge of the ICD-10 and CPT classification systems
- Familiarity with electronic health record (EHR) systems and revenue cycle management software (ideally Epic and Athenahealth)
- Excellent analytical skills and attention to detail, including proficiency in Excel
- Strong leadership and communication skills, with the ability to effectively manage a team and collaborate with cross-functional stakeholders
- Certified Professional Biller (CPB) or Certified Revenue Cycle Professional (CRCP) certification is a plus
Oula offers a competitive total rewards package which includes base salary, and comprehensive benefits. Exact compensation inclusive of salary and any bonuses is determined based on a number of factors including experience and skill level, location, and qualifications which are assessed during the interview process. Oula is committed to fostering an inclusive workplace where everyone's contributions are valued.
Salary Range
$75,000—$85,000 USD
Oula's Commitment as an Equal Opportunity Employer:
We want you to know: You can be a great candidate even if you don't fit everything we've described above. You can also have important skills we haven't thought of. If that's you, don't hesitate to apply and tell us about yourself (especially in your cover letter – this is where you can really state your case for *why you*). We are committed to fostering diversity in our organization and building an equitable and inclusive environment for people of all backgrounds and experiences. We're taking steps to meet that commitment. We especially encourage members of traditionally underrepresented communities to apply, including women, people of color, LGBTQ people, veterans, and people with disabilities.