Associate, Revenue Cycle

About us

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.

Role Description

Your North Star: Support core operational processes to improve clinician efficiency and utilization as we scale.

In this role you will: 

• Assist in monitoring key revenue cycle metrics for the doula business line, including accounts receivable (AR), collections rate, and clean claims rate. 
• Support the setup of internal processes and systems for fee-for-service claims submission, ensuring compliance with federal, state, and plan-specific guidelines.
• Contribute to the development and maintenance of a revenue cycle playbook that outlines essential processes for new launch setups and plan-specific billing, serving as a resource for the broader team.
• Stay informed about billing regulations, guidelines, and updates to Medicaid rules, and help ensure compliance with billing requirements.
• Collaborate with various teams, including coding, customer success, product, and data, to support smooth and efficient revenue cycle operations.
• Provide support in coordinating with third-party billing vendors to monitor key revenue cycle metrics and ensure effective performance.

Who you are

• 3+years revenue cycle experience with telehealth companies
• Strong analytical skills with experience using data to inform decisions, optimize processes, and track performance metrics
• Exceptional project management and prioritization skills
• Results-oriented operator who moves fast
• Meticulous attention to detail and highly organized
• Comfort with ambiguity
• Ability to work cross-functionally
• Passionate about maternal and child health

Why you should join our team

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven company where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, …