Sr. Payer Operations Associate (Remote)

As a Senior Payer Operations Associate at Rula, you will play a critical role in the Financial Operations team. Your primary responsibilities include researching payer requirements, creating comprehensive training materials, and reviewing claims and payments. You will leverage your knowledge of revenue cycle management to ensure seamless verification of benefits, claim submissions, and collections, ultimately supporting our mission to make mental healthcare accessible to all.

To qualify for the Senior Payer Operations Associate position at Rula, candidates should possess at least 3 years of diverse revenue cycle management experience, including benefits verification and payment posting. Familiarity with insurance benefit terminology and strong communication skills are essential. Additionally, experience with EHR and CRM tools such as Salesforce and payer portals will significantly enhance your application.

Rula offers a range of attractive benefits for full-time Senior Payer Operations Associates, including a fully remote work environment, competitive pay, comprehensive health benefits, and access to a 401(k) plan. Employees also enjoy generous time-off policies, paid parental leave, a home office stipend, wellness events, and opportunities to engage in employee resource groups, all aimed at promoting work-life balance and personal well-being.

Success as a Senior Payer Operations Associate at Rula requires a blend of skills. You should have high attention to detail, strong communication abilities, and effective organizational skills. It's also crucial to be adaptable in a fast-paced, evolving healthcare environment, and to possess thorough knowledge of revenue cycle operations and behavioral health terminology.

Rula is committed to the professional development of our Senior Payer Operations Associates through various avenues. We provide opportunities for continued learning via wellness events, lunch & learns, and funding for team-building activities. Additionally, creating process guides and training materials helps our team members hone their expertise, which is essential in the dynamic healthcare industry.

In answering this question, emphasize your relevant experience in revenue cycle management. Discuss specific responsibilities you had, such as verifying benefits, submitting claims, and tracking payments. Use quantifiable achievements to demonstrate your impact, like improving claim submission accuracy or streamlining processes, to showcase how your skills align with Rula's needs.

This is an important question for a Senior Payer Operations Associate at Rula. Highlight methods such as subscribing to relevant news outlets, attending webinars or conferences, and participating in professional networks. Show a commitment to ongoing education and adaptation to ensure that you’re always compliant and informed about best practices.

When discussing claim denials, detail the approach you took to analyze the denial reason, the steps you implemented to rectify the situation, and how you communicated with insurers. Highlight a successful resolution that positively impacted claims processing, demonstrating your problem-solving skills and attention to detail.

Provide examples of how you prioritize tasks effectively, especially under pressure. Share any tools you use for task management and how you assess urgency versus importance. This will demonstrate your organizational skills and ability to manage multiple responsibilities in a dynamic environment, which aligns with the expectations at Rula.

For this question, list specific EHR and CRM tools you are familiar with, such as Salesforce, Availity, or similar platforms. Discuss how you utilized these tools to improve efficiency in payer operations and how this experience will benefit you in the Senior Payer Operations Associate role at Rula.

Discuss your conflict resolution approach, emphasizing communication skills, listening to understand different perspectives, and seeking collaborative solutions. Use a specific example if possible to illustrate how you resolved a conflict successfully, as teamwork is crucial in Rula's culture.

To answer this question, choose a complex insurance concept, such as 'deductibles' or 'coinsurance,' and break it down into simple, relatable terms. Demonstrating your ability to communicate effectively is vital, especially in a role where you’ll educate others about payer requirements at Rula.

Provide insight into current challenges such as navigating payer policies or compliance issues. Your understanding of these issues and how they impact both providers and patients will reflect well during your interview, especially since Rula is committed to addressing these challenges in mental healthcare.

In answering this question, express your passion for mental health and how Rula’s mission resonates with your values. Highlight specific aspects of Rula’s culture or initiatives that appeal to you and explain how your skills and experience align with their goals. This shows that you are genuinely interested in being part of their team.

Articulate your career aspirations clearly, connecting them to the opportunities available at Rula. For instance, if you aim to grow in revenue cycle management, discuss how this role will help you achieve that while providing value to the company’s mission of improving mental healthcare.