About Plume:

Plume Health is a passion-fueled, mission-driven company that is trans-founded with a vision to transform healthcare for every trans life. We hope to make gender-affirming hormone therapy easily accessible at the touch of a button in every state of the US.

This work is deeply personal and heart-driven, and we want teammates who care about the mission and the people we serve. For the right candidates, we present a rare opportunity to do well by doing good. Plume offers an affirming, trans-centered, culturally inclusive, and fun work environment filled with purpose.

About the Role:

The Revenue Cycle Manager is responsible for managing and optimizing all aspects of the healthcare organization's revenue cycle, from patient registration to final payment collection. This role involves overseeing billing, coding, insurance claims, collections, and related activities to ensure accurate and timely revenue generation.

This person needs to be a self-starter and comfortable reaching out for information and challenging the answers they are given. Ideally, the right candidate has a digital health background and is familiar with building new systems or optimizing current processes.

• Revenue Cycle Management: Oversee the entire revenue cycle, from patient registration to payment posting, ensuring smooth and efficient operations.
• Claims Management: Manage the submission, tracking, and follow-up of insurance claims, minimizing denials and maximizing reimbursement.
• Collections: Implement and monitor effective collection strategies to ensure timely payment of patient accounts and reduce outstanding balances.
• Denial Management: Identify, analyze, and address reasons for claim denials, developing strategies to prevent future denials and recover denied revenue.
• Compliance: Ensure adherence to all relevant healthcare regulations, payer guidelines, and industry standards related to billing and coding.
• Process Improvement: Develop and implement strategies to improve efficiency, reduce costs, and enhance the overall revenue cycle process.
• Communication and Collaboration: Collaborate with other departments, such as coding, billing, and finance, to ensure effective communication and coordination.
• Payer Relations: Build and maintain relationships with insurance payers to negotiate payment terms and resolve billing issues.

• A strong understanding and appreciation for the trans experience.
• 2-4 years of experience working in digital health
• 2-4 years of experience in medical billing and/or claims processing.
• Experience building new systems or optimizing current processes.
• Experience communicating and managing payer relationships.
• Experience in credentialing providers in multiple states.
• Strong interpersonal and organizational skills.
• Excellent customer service skills.
• Knowledge of HIPAA regulations.
• Computer, analytical, and organizational skills.
• Proficiency in Excel.
• Comfortable working in a remote, asynchronous environment.
• Prior experience working with claim denials and submitting appeals to payers.

• Healthcare start-up experience.
• Prior telehealth experience.
• Knowledge of Elation EMR system.
• Supervisory experience.
• Prior authorization submission experience.

Applications for this role will be accepted until the end of the day 5/1/2025.

All Full-Time Employees are Eligible for:

• Ground-Floor Equity (Series B)

• Free Medical, Dental, and Vision on the first of the month after you start full-time work

• Unlimited PTO

• 11 paid holidays and company shut-down for a week in December

• 401(k)

• Free Plume and BetterHelp Subscriptions

Everyone associated with Plume gets the major benefit of having the best coworkers you could imagine if you love fiercely intelligent, heart-forward, and mission-driven collaborators.

At Plume, we structure our compensation to reflect cost-of-living differences across regions. Our salary tiers are based on the cost of living relative to the national average. We use these tiers to maintain fair and competitive compensation across all locations. Tier placement will be discussed during the offer stage.

Plume is an equal-opportunity employer. Trans and gender-nonconforming individuals are strongly encouraged to apply, particularly those who identify as People of Color. We positively encourage applications from suitably qualified and eligible candidates regardless of age, color, disability, national origin, ancestry, race, religion, gender, sexual orientation, gender identity and/or expression, veteran status, genetic information, or any other status protected by applicable law. We will provide reasonable accommodations to individuals with disabilities upon request. Please let us know if you require any accommodations to apply or interview for this position.

Only those legally authorized to work in the USA are eligible to apply; residency in the USA is a requirement of employment for this role.

Discover more about Plume at www.getplume.co and become part of our award-winning journey towards transforming healthcare for every trans life. Join us today in shaping the future of healthtech and LGBTQ+ care!

Please be aware that employment scams are on the rise. Plume will only contact candidates using an official "@getplume.co" email address. Plume does not conduct interviews via email and will never request banking information through text or email. Please protect your information!

We’re so grateful for your interest in joining our team! To help us keep our operations running smoothly and ensure fair consideration for all candidates, we kindly ask that you refrain from reaching out to staff members directly regarding open roles.