Legion Health · 8 hours ago
Founding Revenue Operations Product Lead [Product, Operations, Finance]
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Responsibilities
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.
Qualification
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Required
5+ years of experience in revenue cycle management with a strong understanding of product, tech, finance, and operations, ideally in a telemedicine or healthcare startup environment.
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.
Company
Legion Health
Legion Health offers telepsychiatry services that improve mental health access and care.
Funding
Current Stage
Early StageTotal Funding
$5.74M2024-09-15Seed· $5.62M
2021-06-01Pre Seed· $0.12M
Leadership Team
Recent News
Behavioral Health Business
2024-10-18
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