Manager, Revenue Cycle

As the Manager, Revenue Cycle at Pomelo Care, your primary responsibilities will include overseeing all revenue cycle metrics for the doula business line. This involves monitoring accounts receivable, collections rates, and clean claims rates. You will also set up internal processes for fee-for-service claims submissions and develop a playbook detailing required processes for new launches, ensuring compliance with federal and state guidelines. Your role will require staying updated on billing regulations while collaborating with cross-functional teams to streamline operations.

Candidates for the Manager, Revenue Cycle position at Pomelo Care should have at least 5 years of experience in revenue cycle management, particularly in telehealth settings. You should be familiar with key performance indicators related to revenue cycles, such as accounts receivable and claim submission timelines. Attention to detail and a passion for improving maternal and child health are essential to thrive in this role.

At Pomelo Care, we believe in fostering a culture of continuous learning and growth. By joining our team as the Manager, Revenue Cycle, you'll get access to various resources and opportunities for professional development. This may include training sessions on the latest billing regulations, workshops on best practices in revenue cycle management, and chances to collaborate with experts in the field. We prioritize the development of our employees to ensure that they succeed in their roles.

You can expect to work with a diverse and passionate team at Pomelo Care comprised of clinicians, technologists, and problem solvers. As the Manager, Revenue Cycle, you will collaborate closely with other departments such as coding, customer success, and data, fostering open communication and teamwork. We believe in supporting each other, sharing knowledge, and working together to achieve our mission of improving health outcomes for mothers and babies.

The salary range for the Manager, Revenue Cycle position at Pomelo Care is estimated to be between $95,000 and $125,000. We take into account various factors such as your qualifications, experience level, and internal equity when determining final pay. Also, there's flexibility in choosing between equity and cash as part of our comprehensive compensation package.

In your response, highlight specific metrics you've managed in previous roles, such as accounts receivable, collections rates, and clean claims rates. Be prepared to share examples of how you utilized these metrics to improve processes or solve problems in revenue cycle management.

Discuss your methods for staying updated on billing regulations and guidelines, such as participating in continued education or networking with professionals in the field. Share examples of how you've implemented compliance measures in past positions.

Provide concrete examples of your previous work with fee-for-service claims submission. Highlight how you set up processes or systems to ensure timely submissions and accurate billing in your previous roles.

Talk about the specific strategies you've employed in the past to optimize performance metrics, such as identifying bottlenecks in claims processing or enhancing training for staff. Be sure to mention any measurable outcomes that resulted from your strategies.

Emphasize your team collaboration skills and give examples of previous collaborations with departments like customer success, coding, or data analytics. Discuss how such partnerships contributed to the overall efficiency of the revenue cycle.

Share your leadership style and methods for managing a team effectively. Highlight your experiences in performance management, team motivation, and problem-solving when challenges arise within your team.

Mention activities or strategies you’ve used to boost team morale, such as regular check-ins, celebrating successes, and providing constructive feedback. Demonstrating your investment in your team's development can be a significant advantage.

Be prepared to provide a specific situation demonstrating your problem-solving skills. Discuss the challenge you faced, the steps you took to resolve it, and the positive outcome that resulted from your efforts.

Express genuine interest in Pomelo Care’s mission and vision, particularly regarding maternal and child health. Discuss how your values align with the company’s goals and your desire to contribute meaningfully to its success.

Describe the resources you utilize, such as professional networks, industry publications, or online courses, to stay updated on billing regulations. Highlight your dedication to continuous learning and applying that knowledge in your job.