Billing Support Operations Manager (Remote)

Rula Health, Inc.

Job Overview

Location

Remote - United States

Job Type

Full-time

Full Job Description

📋 Description

• Lead and manage the Billing Support team in a remote-first environment, driving operational excellence and scaling workflows to support Rula Health’s revenue cycle and patient billing processes.
• Diagnose root causes of billing inefficiencies and implement data-driven solutions to improve accuracy, reduce claim denials, and optimize revenue collection across multiple BPO vendors.
• Translate complex billing and operational data into clear performance stories, actionable recommendations, and strategic trade-offs for senior leadership using dashboards and analytics tools like Google Sheets and Excel.
• Build and refine scalable, repeatable workflows for verification of benefits, insurance claims processing, billing follow-up, and revenue cycle management in a fast-paced startup setting.
• Strengthen alignment and collaboration across cross-functional teams including FinOps, EPD, Enablement, and external BPO partners, especially where ownership is ambiguous or shared.
• Influence and lead without direct authority by establishing shared goals, aligning incentives, and driving accountability among partners with competing priorities.
• Monitor and balance performance metrics across multiple third-party billing vendors to ensure consistent service quality, compliance, and cost efficiency.
• Act as the operational bridge between clinical care delivery and financial operations, ensuring patient billing experiences reflect Rula’s mission of compassionate, stigma-free mental healthcare.
• Identify opportunities to improve team productivity, reduce manual work, and enhance quality through automation, training, and process standardization.
• Maintain a deep understanding of medical billing standards, insurance coding practices, and healthcare revenue cycle dynamics to guide team decisions and escalate issues appropriately.
• Foster a resilient, adaptive team culture that thrives in ambiguity and effectively manages emotionally charged patient interactions with empathy and professionalism.
• Develop and track key performance indicators (KPIs) for billing accuracy, turnaround time, denial rates, and customer satisfaction to inform continuous improvement.
• Partner with Enablement and FinOps to ensure billing support teams are equipped with accurate documentation, tools, and training to serve patients and providers effectively.
• Contribute to the design and implementation of CRM systems (e.g., Zendesk, Salesforce, JIRA) to enhance support team efficiency and patient communication.
• Champion operational rigor while maintaining flexibility to adapt to evolving regulatory, payer, and organizational requirements in mental healthcare.
• Serve as a key point of contact for leadership on billing operations performance, risk exposure, and improvement initiatives.

🎯 Requirements

• 5+ years of medical billing support experience, including verification of benefits, coding, insurance claims, billing processing, follow-up, and revenue cycle management
• 3+ years of people leadership experience guiding teams in billing support, healthcare operations, revenue cycle, or customer operations environments
• Expertise in independently mapping processes, defining performance metrics, and building scalable workflows to improve operational efficiency and quality
• Proficiency in using dashboards and analytics tools (e.g., Google Sheets/Excel) to analyze metric movement, identify root causes, and communicate performance insights to senior stakeholders
• Experience influencing cross-functional partners such as FinOps, EPD, Enablement, or BPO teams in environments with ambiguous ownership and shared goals
• Demonstrated resiliency and adaptability in navigating emotionally charged customer situations and thriving in fast-paced, evolving environments

🏖️ Benefits

• 100% remote work environment with flexible hours to support work-life balance (must be based in the United States, excluding Hawaii)
• Comprehensive health benefits including medical, dental, vision, life, disability, and FSA/HSA
• 401(k) plan access with company contribution
• Generous time-off policies including two company-wide shutdown weeks per year for self-care
• Paid parental leave for all parents, including birthing, non-birthing, adopting, and fostering
• Home office stipend for new hires plus $50 monthly stipend for internet or cell phone expenses
• Quarterly department stipend for team-building activities or in-person gatherings
• Wellness at Rula program with $50/month wellness stipend and year-round wellness initiatives
• Employee Assistance Program (EAP) for mental and physical health support
• Community and employee resource groups to foster belonging and inclusion

Skills & Technologies

Remote

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Rula Health, Inc.

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About Rula Health, Inc.

Rula Health, Inc. operates an online platform that connects individuals with licensed therapists and psychiatrists for video-based mental health care. The company offers in-network access within the United States, matching patients to providers based on clinical needs, insurance coverage, and scheduling preferences. Services include individual therapy, couples therapy, psychiatry, and medication management. Rula coordinates care through secure telehealth technology, handles insurance billing, and provides ongoing support to both patients and clinicians. Founded in 2021, the company aims to increase access to affordable, evidence-based behavioral health services nationwide.

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