Soma Capital Portfolio Jobs

Founding Revenue Operations Lead [Product / Operations / Finance]

Legion Health

Legion Health

Accounting & Finance, Product, Operations
United States
Posted on Oct 11, 2024
Location: US / Remote

Job Type: Full-time

Experience: 5+ years

Compensation: $65K - $150K / 0.2% - 0.6% Equity

About Legion Health

Legion Health is building a high-quality, AI-native psychiatry network where patients receive care from providers who accept their insurance. Backed by Y Combinator and top-tier VCs, we aim to integrate AI and technology into nearly every facet of psychiatric care, enhancing both access and treatment outcomes.

About The Role

As the Founding Revenue Operations Lead, you will be responsible for establishing, optimizing, and scaling our revenue cycle operations with a strong focus on leveraging technology and product innovation. You’ll work closely with leadership, finance, and product teams to drive operational excellence, tech-driven improvements, and financial performance. Your role will directly impact the company's revenue growth, ensuring seamless integration of AI, product innovations, and data-driven operations into our revenue cycle processes.

Key Responsibilities:

  • Oversee the end-to-end revenue cycle: From patient registration, insurance verification, billing, to collections and reconciliation, leveraging AI and modern technology to optimize each step.
  • Increase collection rates: Implement tech-driven strategies to reduce claim denials and improve overall collections to over 95%.
  • Tech-Product Integration: Collaborate with product and engineering teams to build and integrate tools that streamline revenue cycle processes, ensuring efficient and scalable operations.
  • Financial and Compliance Management: Ensure all billing practices comply with federal, state, and payer-specific regulations, including HIPAA and CMS guidelines, while driving improvements through tech-enabled finance operations.
  • Optimize workflows and systems: Identify bottlenecks within the revenue cycle and implement product-based solutions to improve efficiency and reduce errors.
  • Team Leadership: Lead and mentor a cross-functional team of revenue cycle professionals, including billing specialists, coders, and product engineers focused on finance operations.
  • Data-Driven Decision-Making: Utilize analytics and product metrics to inform strategic decisions, drive process improvements, and optimize revenue cycle technology.
  • Vendor and Tech Partnerships: Manage relationships with third-party vendors, including billing services, AI-based collection agencies, and software providers, while integrating modern financial tech solutions.
  • Audit and Risk Management: Conduct regular audits of both operational processes and tech systems to identify risks, ensuring compliance and security of all financial and revenue cycle processes.
  • Adapt to a multi-state environment: Manage complexities of billing across different states, integrating state-specific regulations and payer requirements into the product systems and tech stack.
  • Stay ahead of industry trends: Keep up with trends in healthcare, revenue cycle management, AI, and technology to maintain a competitive edge and ensure future product scalability.

Qualifications:

  • 5+ years of experience in revenue cycle management with a strong understanding of product, tech, finance, and operations, ideally in a telemedicine or healthcare startup environment.
  • Proven success in integrating technology into revenue cycle operations and managing revenue cycles.
  • In-depth knowledge of CPT codes, insurance verification, and payer-specific billing practices.
  • Strong understanding of product development and experience collaborating with tech and product teams to improve operational processes.
  • Excellent organizational and time management skills, with a focus on using data and analytics to drive process improvements.
  • Exceptional interpersonal and leadership skills, with the ability to collaborate effectively across internal and external teams.
  • Proactive and adaptable mindset, thriving in a fast-paced, tech-driven startup environment.

Our Values:

  • Customer Focus: We prioritize our patients' and clinicians' needs, using product and tech innovations to continuously improve their experience.
  • High-Velocity Execution: We thrive in a fast-paced environment, leveraging technology to deliver results quickly and efficiently.
  • Empathy: We care deeply about our patients, providers, and team members, focusing on building solutions that create a supportive environment.
  • Entrepreneurial Spirit: We embrace ownership, accountability, and innovation, navigating uncertainty with confidence through product-driven solutions.
  • Transparency: We value clarity, openness, and effective communication across all levels of the organization.

Join us at Legion Health and be part of a mission to improve mental health care for millions through the integration of advanced technology, product innovation, and exceptional service.

About the Interview Process:

  • Phone Screen: Initial call with co-founder and CEO.
  • Technical/Product Interview: Deep dive into your experience with tech, product, and operational problem-solving.
  • Case Study: Tackle a real-world problem related to revenue cycle tech and product integration.
  • Interview with Co-founders: Discuss vision, motivation, and overall fit.
  • Reference Checks: Confirm past achievements and qualifications.