Senior Director, RCM Operations
GeneDx
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $200,000 - $220,000 per year
Job Level
About the role
- Develop and execute long-term strategies for revenue cycle optimization.
- Collaborate with VP Billing and Reimbursement to align operational goals with organizational objectives and financial targets.
- Identify potential risks to revenue based on payer policies and requirements.
- Direct daily operations for entire revenue cycle from prior authorization, claim submission through claim follow-up, appeals, payment posting, and correspondence.
- Prioritize collection and appeals efforts to support revenue collections.
- Identify risks based on payer denials and collaborate with internal stakeholders to remove roadblocks.
- Prepare metrics and data analysis of successes and projects for the RCM team.
- Ensure timely and accurate posting of payments and routing of payer communications.
Requirements
- Bachelor’s degree in healthcare administration, business, finance, or related field (Master’s preferred).
- Minimum 10 years of progressive experience in revenue cycle management, with at least 5 years in a senior leadership role.
- Deep knowledge of healthcare billing, payer remittance, and regulatory compliance.
- Proven track record of leading large teams and driving operational improvements.
- Experience with RCM technology platforms and automation tools.
Benefits
- Paid Time Off (PTO)
- Health, Dental, Vision and Life insurance
- 401k Retirement Savings Plan
- Employee Discounts
- Voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
revenue cycle optimizationhealthcare billingpayer remittanceregulatory compliancedata analysismetrics preparationclaims submissionpayment postingprior authorizationappeals management
Soft skills
leadershipcollaborationoperational improvementrisk identificationcommunication