We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.
We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being.
We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.
Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.
About the Role
At Rula, we are seeking a Billing Support Operations Manager who is highly adaptable, passionate about leading people, and energized by building in the face of constant change. This person will lead Billing Support through its next phase by driving change management, strengthening operating rigor, and improving alignment across Billing Support, FinOps, EPD, Enablement, and BPO partners.
This person will turn operational and billing data into clear performance stories, recommendations, and trade-offs for leadership. They will be expected to diagnose root causes, influence cross-functional partners, balance performance across multiple BPO vendors, and build scalable workflows in a fast-moving startup environment.
Required Qualifications
5+ years of medical billing support experience, including experience with verification of benefits process, coding, insurance claims, and billing processing, follow-up, and revenue cycle management
3+ years of people leadership, guiding teams and upleveling individuals through ambiguity, change, or performance recovery in a billing support, healthcare operations, revenue cycle, or customer operations environment
Expertise in independently mapping processes, defining performance metrics, and building scalable workflows that improve operational efficiency and quality
Proficiency building or using dashboards, analyzing metric movement (i.e. Google Sheets/Excel), autonomously identifying root causes, and communicating the performance story and recommended actions to senior stakeholders
Experience influencing cross-functional partners such as FinOps, EPD, Enablement, or BPO teams, especially when ownership is ambiguous and shared goals need to be created
Demonstrated resiliency and adaptability, possessing the skills to navigate emotionally charged customer situations and thrive in fast-paced, evolving environments
Preferred Qualifications
While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.
An Associate’s Degree or higher, and/or equivalent experience
Experience working directly with patient populations or in Health Care / Mental Health, and with a strong understanding of patient needs
Experience with multi-channel support teams (phone, email, chat)
Strong knowledge of CRM systems (i.e. Zendesk, Salesforce, JIRA) and/or similar tools that enable support teams to be successful
We're serious about your well-being! As part of our team, full-time employees receive:
100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)
Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States
Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
401(k) plan access: Start saving for your future
Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
Employee Assistance Program (EAP): Supporting your mental and physical health
Quarterly department stipend: Fun team-building activities or in-person gatherings
Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all
Home office stipend: New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses
Wellness at Rula program: Year-round wellness initiatives and a $50/month wellness stipend
Our team
We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone. We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.
Skills Required
- 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 guiding teams through ambiguity, change, or performance recovery in billing support, healthcare operations, revenue cycle, or customer operations
- Expertise mapping processes, defining performance metrics, and building scalable workflows to improve operational efficiency and quality
- Proficiency building or using dashboards and analyzing metric movement (e.g., Google Sheets/Excel); identifying root causes and communicating performance stories to senior stakeholders
- Experience influencing cross-functional partners (FinOps, EPD, Enablement, BPOs) when ownership is ambiguous to create shared goals
- Demonstrated resiliency and adaptability; ability to navigate emotionally charged customer situations and thrive in a fast-paced, evolving environment
- Associate's Degree or higher, and/or equivalent experience
- Experience working directly with patient populations or in Health Care / Mental Health with strong understanding of patient needs
- Experience with multi-channel support teams (phone, email, chat)
- Strong knowledge of CRM systems (Zendesk, Salesforce, JIRA) or similar support tools
What the Team is Saying
Rula Compensation & Benefits Highlights
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Leave & Time Off Breadth — Time off includes unlimited PTO and two company‑wide shutdown weeks each year. Paid holidays, sick time, and bereavement leave are also highlighted.
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Healthcare Strength — Health coverage includes employer medical, dental, and vision insurance, plus EAP access, mental‑health benefits, and disability/life insurance. Wellness programs and FSA options are also listed.
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Parental & Family Support — Paid parental leave is provided for all parents, alongside family medical leave eligibility. Company‑wide recharge weeks complement family‑oriented leave.
Rula Insights
What We Do
We believe that when access to quality mental healthcare improves, patients, providers, and payers all benefit. And that’s why we’re on a mission to make mental healthcare work for everyone. We remove barriers and strengthen connection points between patients, providers, and payers to improve mental health outcomes. With Rula, it’s easy for patients to find a high-quality therapist or psychiatric practitioner who meets their unique needs, accepts insurance, and is taking new patients. For providers, Rula offers the flexibility of private practice, while also filling caseloads and offering the necessary behind-the-scenes support. Rula handles the marketing, credentialing, billing, and admin tasks so providers can focus on what they do best: providing care to those in need. Rula is a remote-first company with teams who specialize in the areas of Clinical, Partnerships, Operations, Marketing, Engineering, Product, and more. We’re committed to reimagining how mental health is treated.
Why Work With Us
As a remote company, we're intentional about the culture we're building. We write things down, we communicate clearly, we follow-up, and we follow-through. We have high expectations for our team, and empower individuals with a high degree of trust and autonomy. In turn, we expect that individuals operate with a sense of ownership in everything.
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Rula Offices
Remote Workspace
Employees work remotely.
We're a 100% remote company.
