Sales Operations Specialist
Olaplex Inc. (Nasdaq: OLPX)
Head of Payer and Revenue Operations
Berry Street
full-time
Posted on:
Origin: • 🇺🇸 United States • New York
Visit company websiteSalary
💰 $150,000 - $170,000 per year
Job Level
Lead
About the role
- Develop revenue cycle management function and ensure smooth flow of claims and payments from insurance payers
- Track and optimize end-to-end revenue cycle operations, including benefits verification, claims submission, payment posting, denials management, and revenue optimization
- Manage and lead payer operations and processes
- Monitor and analyze revenue cycle performance metrics and KPIs; identify opportunities for improvement and implement action plans
- Implement and optimize payer operations strategies, policies, and procedures to maximize revenue and minimize denials and delays
- Collaborate with Product & Engineering and the broader Operations function to surface upstream issues impacting collections and implement solutions
- Develop and maintain strong relationships with insurance payers to ensure accurate and timely claims submission and payment processing
- Stay up to date with industry trends, regulations, and revenue cycle management best practices
Requirements
- 5+ years of experience in payer operations, revenue cycle management and medical billing in the health insurance industry, ideally in a Telehealth environment
- Expert knowledge of medical billing operations, insurance regulations, and revenue cycle management best practices
- Experience managing and leading a remote revenue cycle management team
- Excellent analytical and problem-solving skills, with the ability to analyze and interpret complex data
- Strong attention to detail and ability to prioritize tasks in a fast-paced environment
- Proficiency in medical billing software and systems
- Excellent communication and interpersonal skills, with the ability to effectively collaborate with cross-functional teams and build relationships with insurance payers
