Founding RevOps Product Lead

Role Overview

• Oversee the end-to-end revenue cycle: From patient registration, insurance verification, billing, to collections and reconciliation, leveraging AI and modern technology to optimize each step.
• Increase collection rates: Implement tech-driven strategies to reduce claim denials and improve overall collections to over 95%.
• Tech-Product Integration: Collaborate with product and engineering teams to build and integrate tools that streamline revenue cycle processes, ensuring efficient and scalable operations.
• Financial and Compliance Management: Ensure all billing practices comply with federal, state, and payer-specific regulations, including HIPAA and CMS guidelines, while driving improvements through tech-enabled finance operations.
• Optimize workflows and systems: Identify bottlenecks within the revenue cycle and implement product-based solutions to improve efficiency and reduce errors.
• Team Leadership: Lead and mentor a cross-functional team of revenue cycle professionals, including billing specialists, coders, and product engineers focused on finance operations.
• Data-Driven Decision-Making: Utilize analytics and product metrics to inform strategic decisions, drive process improvements, and optimize revenue cycle technology.
• Vendor and Tech Partnerships: Manage relationships with third-party vendors, including billing services, AI-based collection agencies, and software providers, while integrating modern financial tech solutions.
• Audit and Risk Management: Conduct regular audits of both operational processes and tech systems to identify risks, ensuring compliance and security of all financial and revenue cycle processes.
• Adapt to a multi-state environment: Manage complexities of billing across different states, integrating state-specific regulations and payer requirements into the product systems and tech stack.
• Stay ahead of industry trends: Keep up with trends in healthcare, revenue cycle management, AI, and technology to maintain a competitive edge and ensure future product scalability.

Requirements

• 5+ years of experience revenue cycle management with a strong understanding of product, tech, finance, and operations, in a telemedicine or healthcare startup environment.
• Strong experience at telemedicine or healthcare startup environment is a must
• Proven success in integrating technology into revenue cycle operations and managing revenue cycles.
• In-depth knowledge of CPT codes , insurance verification, and payer-specific billing practices.
• Strong understanding of product development and experience collaborating with tech and product teams to improve operational processes.
• Excellent organizational and time management skills, with a focus on using data and analytics to drive process improvements.
• Exceptional interpersonal and leadership skills, with the ability to collaborate effectively across internal and external teams.
• Proactive and adaptable mindset , thriving in a fast-paced, tech-driven startup environment.

Benefits

• Flexible work arrangements