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Billing & Revenue Operations Manager

Hey Jane

Hey Jane

Operations
California, USA
Posted on Wednesday, February 8, 2023
All positions are fully remote from protected states in the eyes of abortion law (CA, CT, DE, IL, MA, NJ, NM, NY)
Hey Jane is healthcare, on your own terms. As the most-trusted virtual clinic offering telemedicine abortion care, we’re proudly putting the power back in people’s hands by providing care that’s private, safe, supportive, accessible, and convenient—for less than half the average in-clinic cost of a medication abortion.
Our innovative Complete Care model utilizes technology for unparalleled layers of support: medical, emotional, and social. Not only do eligible patients get FDA-approved medications delivered to their door, but our experienced clinical care team is always just a call or text away and all of our patients have access to our first-of-its-kind peer-to-peer community forum. Since 2021, Hey Jane has helped more than 25,000 patients get the care they need. And this is only the beginning; soon, we will reimagine care for even more common but underserved treatments, with the ultimate goal of becoming the most trusted healthcare company out there—one that pushes the boundaries of access with convenient, inclusive, and patient-driven care.
As Hey Jane expands to partner with more payers, we look forward to offering our services to more patients with fewer out of pocket costs. Hey Jane’s Billing and Revenue Operations Manager is responsible for standing up our insurance, billing, and revenue cycle functions. This position is a key contributor in making Hey Jane’s payment processes more efficient and sustainable as we grow to serve more patients. We are looking for a candidate with an eye for detail, who enjoys creating new systems to simplify processes in a busy startup environment.
Compensation: $75,000-$90,000 + Equity

What you'll do

  • Operate as the in-house expert on insurance billing, building out documentation and training for the full team to train up on best practice billing processes
  • Support patients paying with insurance through intake, onboarding, and payment collection
  • Counsel patients regarding financial and insurance related questions, including Medicaid enrollment
  • Manage abortion fund invoicing and reimbursements
  • Create new systems and policies to support claims processing, billing, coding, and denials
  • Maintain follow-up systems for tracking and reporting of claims and denials
  • Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims
  • Review revenue and reimbursement issues and design continuous process improvement interventions to positively impact net revenue
  • Support new payor partnerships, working collaboratively with internal and external stakeholders to ensure we have the pieces in place to offer covered care to more patients

Who you are

  • 2-3 years professional experience, preferably in healthcare billing or revenue cycle management
  • Professional Biller Certification (AAPC CPB) preferred
  • Strong understanding of CPT codes, modifiers, and Dx codes
  • Experience accounting software and financial operations, including strong understanding of payers, grants, coding issues, fee and collection policies
  • Experience working with claims reporting and patient eligibility verification
  • Strong passion for advancing equitable healthcare, with a deep-rooted ability to empathize with Hey Jane patients
  • Thrives in an unstructured and resource-constrained environment, with a strong inclination towards problem-solving and self-guided learning
  • Nimble, ability to move quickly, ability to handle multiple tasks
  • Team player with proven ability to develop strong working relationships within a fast-paced startup environment
  • Exemplify strong attention to detail
  • Problem solver who is self-motivated and able to work independently
  • Able to exercise initiative and excited to build new processes
At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare—and bring that same vision to our workplace. We’re an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.