Full-Time

Director – Revenue Cycle

Confirmed live in the last 24 hours

Pomelo Care

Pomelo Care

11-50 employees

Personalized healthcare for pregnancy and newborns

Healthcare

Compensation Overview

$150k - $180kAnnually

Senior, Expert

Remote in USA

Category
Financial Accounting
Financial Analysis
Financial Planning
Management Accounting
Accounting
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 provides personalized healthcare services for pregnant individuals and newborns. The company combines traditional medical practices with advanced technology to improve health outcomes for families. Their services are designed to be accessible and focus on evidence-based care, ensuring that expectant mothers and their newborns receive the best possible support. Unlike many competitors, Pomelo Care emphasizes a tailored approach to healthcare, integrating technology to enhance the patient experience. The goal of Pomelo Care is to create a supportive environment that promotes the health and well-being of families during pregnancy and early childhood.

Company Stage

Series B

Total Funding

$84.6M

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

  • Increased demand for virtual healthcare boosts Pomelo's market potential.
  • Growing interest in personalized maternal care aligns with Pomelo's offerings.
  • Hybrid care models are gaining traction, supporting Pomelo's strategic direction.

What critics are saying

  • Competition from similar maternity care providers may dilute market share.
  • Regulatory changes in telehealth reimbursement could impact revenue.
  • Integration of The Doula Network may face operational challenges.

What makes Pomelo Care unique

  • Pomelo Care combines virtual and in-person services for comprehensive maternity care.
  • The acquisition of The Doula Network enhances Pomelo's unique care model.
  • Pomelo uses AI and machine learning for predictive analytics in maternal health.

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