heyjane - Senior Revenue Operations Manager
Requirements
• 7+ years in healthcare revenue cycle or billing operations, with at least 2 years in a management or lead role • Medi-Cal/Medicaid billing experience strongly preferred; multi-state Medicaid experience a strong plus • Telehealth, reproductive health, or women's health background strongly preferred • Fluency in clearinghouse workflows, ERA/EOB reconciliation, and CPT/ICD-10 coding for reproductive and virtual care • Hands-on experience configuring and managing billing systems and EHRs; comfortable being the internal subject-matter expert • Analytical mindset with a track record of using data to identify trends, track KPIs, and drive process improvements — not just reporting numbers but acting on them • Strong cross-functional operator: able to work with Clinical, BD, Finance, Product, and Clinical Operations without needing a go-between • Excellent written and verbal communication skills; able to translate billing complexity into clear escalations, documentation, and leadership updates • Thrives in fast-paced, ambiguous environments; adaptable, resourceful, and solutions-oriented • Passion for Hey Jane’s mission and a commitment to expanding access to essential healthcare
Responsibilities
• Own design and oversight of end-to-end revenue cycle operations, including charge capture, claims submission, denial management, payer follow-up, patient billing, and AR collections • Monitor and manage key revenue cycle metrics (clean claim rate, AR days, denial rate, write-off rate) and report results to leadership on a monthly cadence • Develop and document billing and coding protocols in partnership with Clinical, and ensure consistent application across all payer types • Lead denial prevention and appeals processes, tracking root causes, identifying patterns, and closing systemic gaps • Own billing compliance and operational readiness for every new insurance plan Hey Jane accepts — this role does not negotiate contracts, but ensures the infrastructure to bill under them is in place before care is delivered • Partner with Product and Engineering to evaluate RCM and AI tooling, optimize EHR and billing system configuration, including automations, reporting, and integrations • Support state expansion by operationalizing billing for new Medicaid programs and payer launches • Identify and resolve operational gaps in the revenue cycle, building scalable processes that reduce manual work and improve accuracy • Manage a team of 2-3 billing specialists
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