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Full-Time

Director – Revenue Cycle

Confirmed live in the last 24 hours

Pomelo Care

Pomelo Care

51-200 employees

Virtual maternity care and 24/7 support

Healthcare
Consulting

Compensation Overview

$120k - $150kAnnually

+ Equity + Benefits

Senior, Expert

Remote in USA

Category
Financial Planning and Analysis (FP&A)
Finance & Banking
Required Skills
R
Requirements
  • 7+ years revenue cycle experience required
  • 5+ years medical coding experience preferred
  • Certified Professional Coder (CPC) certification or equivalent coding certification preferred
  • In-depth knowledge of CPT and ICD-10 coding guidelines and Medicaid coding rules
  • Meticulous attention to detail
  • Passionate about maternal and child health
Responsibilities
  • Lead a team of medical coding and billing managers and specialists
  • Streamline all internal processes and infrastructure for encounter coding and billing as we rapidly scale
  • Collaborate with coding and billing team managers to build out trainings to support improved documentation for clinicians
  • Stay up to date with coding regulations, guidelines, and changes in Medicaid rules, ensuring compliance with coding requirements
  • Collaborate with our partnerships and customer success teams, as well as our health plan partners, on researching state-specific coding or billing related questions prior to health plan launches
  • Track and report on billing and coding team KPIs, including team productivity, clean claims rate, outstanding A/R, denial rates, etc.
  • Identify and implement process improvements to enhance efficiency and effectiveness in revenue cycle operations and maximize value generation for the business
  • Conduct regular audits to ensure accuracy of billing practices and no revenue or reporting leakage
  • Work closely with Finance team on revenue reporting and reconciliation

Pomelo Care offers a virtual maternity care program providing 24/7 pregnancy and newborn support through text, phone, or video, utilizing technology to deliver evidence-based, personalized care to improve outcomes for families. The program utilizes technology to provide personalized care and improve outcomes for families.

Company Stage

Series A

Total Funding

$41M

Headquarters

New York City, New York

Founded

2021

Growth & Insights
Headcount

6 month growth

5%

1 year growth

5%

2 year growth

5%
Simplify Jobs

Simplify's Take

What believers are saying

  • The $46M Series B funding will accelerate partnerships with payors, expanding their reach and impact.
  • Pomelo Care's focus on virtual care aligns with the growing trend towards telehealth, offering flexibility and convenience for patients.
  • The addition of experienced board members from Andreessen Horowitz and First Round Capital can provide strategic guidance and industry connections.

What critics are saying

  • The niche focus on maternal and newborn health may limit market size and growth potential.
  • Dependence on partnerships with payors and employers could pose risks if these relationships falter.

What makes Pomelo Care unique

  • Pomelo Care focuses exclusively on maternal and newborn health, a niche yet critical area in the healthcare sector.
  • Their value-based care model aligns incentives with health outcomes, differentiating them from traditional fee-for-service models.
  • Strong backing from prominent investors like Andreessen Horowitz and First Round Capital provides significant financial stability and credibility.