Revenue Cycle Manager

About Allara:

Allara is a specialty care platform built for millions of people living with complex, hormonal and gynecologic conditions such as polycystic ovary syndrome (PCOS) and endometriosis. Allara makes expert healthcare accessible online by connecting patients with qualified medical practitioners and Registered Dietitians who have a deep understanding of hormonal and metabolic care. Allara is backed by leading investors including GV (Google Ventures).

About the Role:

We're looking for an experienced Revenue Cycle Manager to support the full end-to-end insurance life cycle for our medical practice. This role will be responsible for overseeing and optimizing all aspects of the Revenue Cycle, including billing, coding, reimbursement, and collections. Your expertise and leadership will be instrumental in maximizing revenue, improving operational efficiency, and ensuring compliance with regulatory guidelines. The ideal candidate for this role has deep understanding of insurance RCM, is comfortable taking ownership with the day-to-day execution, consistently assesses and refines processes to optimize performance, and prioritizes patient experience while improving revenue outcomes. This is a high-impact role with the opportunity to grow and shape a critical business function. This role will report to the Head of Payer Strategy.

Key Responsibilities:

• Develop and implement initiatives to enhance the Revenue Cycle management processes and drive financial performance.
• Establish and oversee insurance eligibility and patient out of pocket expenses, partnering with our Clinical operations team for a positive patient experience.
• Establish and maintain effective billing and collections procedures, ensuring accurate and timely submission of claims, and minimizing denials and rejections.
• Oversee coding operations, ensuring adherence to current coding guidelines and standards, and optimizing coding accuracy and productivity.
• Collaborate with cross-functional teams, including operations, product and engineering, to streamline Revenue Cycle workflows and resolve any operational challenges.
• Monitor key performance indicators (KPIs) related to Revenue Cycle management, identify areas for improvement, and implement performance improvement initiatives.
• Stay up-to-date with changes in healthcare regulations, payer policies, and coding guidelines, and ensure compliance with all relevant laws and regulations.
• Conduct regular audits and reviews to assess the accuracy and integrity of Revenue Cycle processes, identify opportunities for improvement, and mitigate any potential risks.
• Develop and maintain strong relationships with payers and insurance providers to negotiate favorable contracts and resolve any billing and reimbursement issues.
• Lead, mentor, and develop a high-performing Revenue Cycle management team, providing guidance, training, and performance feedback.
• Prepare and present reports on Revenue Cycle performance, financial trends, and recommendations for senior leadership and stakeholders.
• Create and maintain documentation, training materials, and resources to support the Revenue Cycle management team in their day-to-day operations.

Required Qualifications:

• 3+ years of proven experience in Revenue Cycle management in a healthcare or telemedicine setting.
• Strong knowledge of healthcare billing, coding, reimbursement, and compliance requirements, including HIPAA and other relevant regulations.
• Excellent understanding of Revenue Cycle workflows and best practices, with a track record of improving financial performance and operational efficiency.
• Familiarity with healthcare Revenue Cycle management software and technology solutions.
• Strong analytical and problem-solving skills, with the ability to interpret data, identify trends, and make data-driven decisions.
• Exceptional leadership and interpersonal skills, with the ability to effectively collaborate with cross-functional teams and motivate staff.
• Excellent communication skills, both written and verbal, with the ability to present complex information in a clear and concise manner.
• Detail-oriented with strong organizational and time management skills, capable of managing multiple priorities and meeting deadlines.
• Comfortable in a small, fast-paced, startup environment. You will wear a lot of hats but also take a lot of ownership.
• Ability to balance strategy with execution - you will both drive high-level revenue strategy and at the beginning, be in the weeds calling payers.

Preferred Qualifications:

• Bachelor's degree in healthcare administration, business, or related field.
• Bonus points for experience in scaling Revenue Cycle management at an early stage business.

Benefits

• Estimated salary: $90-$120k
• Medical/Dental/Vision
• 401(k)
• Unlimited PTO

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We're an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.