Revenue Cycle Manager

  • Remote
  • Applications have closed

Stork Club

About us

At Stork Club, we want to give everyone the ability to have a healthy family. We are a next-generation maternity benefits provider that helps mid-market and large enterprises attract top diverse talent, drive better clinical outcomes and reduce their largest area of healthcare cost (~$130B per year). We have a Stripe-like ambition to rebuild health insurance from the inside-out while providing continuous support and love for everyone on their family-building journey.

Trusted by leading employers, we exited 2020 with 5x growth and raised a $30M Series A led by General Catalyst. One of our members recently told us “I’m so happy that my company switched to Stork Club before I quit trying. The level of care I got after the switch was leaps and bounds better than any care I’d received prior and I totally attribute our success to Stork Club and our clinic.”

We’re looking for experienced enterprise sales executives to help forward-thinking HR and Benefits leaders find, evaluate and secure our programs.

If you’re looking for an exciting opportunity to use your entrepreneurial and creative talents to change an entire industry and are excited to work with people who deeply care about what they do, we’d love to talk.

About the role

We’re seeking a passionate, hands-on member of the team to manage our revenue cycle at Stork Club. We’re looking for a candidate who has experience working in revenue cycle management or business operations with strong leadership skills and a high level of detail orientation. The ideal candidate is someone with strong written and verbal communication skills who’s not afraid to tackle hard problems and present solutions. The candidate will be responsible for communicating directly with patients and providers to solve issues and help our stakeholders through any revenue cycle related “speedbumps”. We love candidates who are able to think about problems both in the short term and long term to help our business run efficiently.

Responsibilities

  • Approve/reject authorizations and claims from our provider network
  • Ensures the accuracy of complex revenue cycle from end to end
  • Monitors complex transactions including coverage eligibility, authorizations, patient portion calculation and member collection activity utilizing available systems and resources
  • Submit claims for processing and work through any rejections that may occur
  • Work with our payors on any outstanding claims to ensure timely processing
  • Processing and posting remittance advice documents
  • Knowledge of different payer regulations and communicating effectively with team members regarding member coverage benefits and financial liability
  • Manage provider and member payments and monitors member payment plans to ensure financial clearance for continued benefits
  • Provides guidance, feedback to internal stakeholders on revenue processes, payers and systems
  • Receive inbound inquiries from physician offices, insurance carriers, etc. with the goal to resolve the concern in a timely manner
  • Manage and works closely with Rev Ops team to ensure the OKRs of Revenue Cycle Operations are achieved and quality standards are met
  • Review, analyzes and interprets financial data to monitor progress toward established goals
  • Ensures the other teammates have the resources they need to be successful within their roles and support Stork Club Members
  • Communicate directly with patients and providers as needed to solve any problems
  • Propose solutions and efficiency improvements to our revenue cycle process
  • Respond to questions on reimbursement and serves as a resource and program expert for team members, providers, and members

About you:

  • 3+ years experience in a revenue cycle management role or a role working directly with claims/invoices
  • Experience working with patients/providers or customer experience
  • Strong analytical and independent thinking skills
  • Strong problem solving skills to assist internal and external customers on member issues
  • Skilled at resolving complex member account issues

Benefits:

  • Competitive compensation
  • Equity
  • Apple workstation
  • Remote work from home, forever (even after COVID)
  • Bi-Annual team off-sites in beautiful locations
  • Flexible vacation policy
  • Health, dental, and vision insurance, HSA and FSA
  • Fertility benefits and generous maternity leave
  • 401k retirement savings plan
  • Home office allowance
  • …and more!