Hey Jane
Healthcare
RevenueCycleOperationsManager
Neural analysis suggests this role is
optimal for Manager candidates.
“Revenue Cycle Operations Manager at Hey Jane. Skills: Revenue cycle operations, Billing, Denial management, AR collections. Own end-to-end revenue cycle operations design. Own end-to-end revenue cycle operations oversight”
What You'll Achieve.
Reduce manual work; Improve accuracy
Industry & Context.
Identify trends; Drive process improvements; Resolve operational gaps; Solutions-oriented
What They're Looking For.
Must Have
5–7+ years healthcare revenue cycle or billing operations, 2+ years management or lead role, Medi-Cal/Medicaid billing experience, Fluency clearinghouse workflows, Fluency ERA/EOB reconciliation, Fluency CPT/ICD-10 coding, Hands-on billing systems configuration, Hands-on billing systems management, Analytical mindset, Track record using data to identify trends, Track record tracking KPIs, Track record driving process improvements, Cross-functional operator, Excellent written communication, Excellent verbal communication, Adaptable, Resourceful, Solutions-oriented
Nice to Have
Multi-state Medicaid experience a plus, Telehealth background strongly preferred, Reproductive health background strongly preferred, Women's health background strongly preferred
What You'll Do.
Own end-to-end revenue cycle operations design
Own end-to-end revenue cycle operations oversight
Monitor key revenue cycle metrics
Manage key revenue cycle metrics
Report revenue cycle metrics to leadership
Develop billing protocols
Document billing protocols
Develop coding protocols
Document coding protocols
Ensure consistent application of protocols
Lead denial prevention processes
Lead appeals processes
Track denial root causes
Identify denial patterns
Own billing compliance
Own operational readiness for new insurance plans
Ensure infrastructure to bill under new plans
Partner to evaluate RCM tooling
Partner to evaluate AI tooling
Optimize EHR configuration
Optimize billing system configuration
Optimize integrations
Support state expansion
Operationalize billing for new Medicaid programs
Operationalize billing for new payer launches
Identify operational gaps
Resolve operational gaps
Build scalable processes
Manage billing specialists
How You'll Work.
Team & Collaboration
Partner with Product; Partner with Engineering; Work with Clinical; Work with BD; Work with Finance; Work with Clinical Operations
Communication Scope
Translate billing complexity; Clear escalations; Clear documentation; Leadership updates
Full Job Description
## Description Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, IL, MA, MD, NJ, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health—and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment—and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone. Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We’re committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. ## 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 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 cyc
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