Salary
💰 $99,000 - $130,000 per year
About the role
- Provide strategic and operational leadership to ensure accuracy, compliance, and optimization of revenue capture processes.
- Optimize reimbursement, improve cash flow, reduce avoidable denials, and enhance financial health.
- Provide strategic leadership and oversight for payer compliance, denial prevention, and reimbursement optimization.
- Partner with clinical, operational, and revenue cycle leaders to create a culture of compliance and continuous improvement.
- Manage strategic relationships with payers and lead payer performance meetings and escalations.
- Oversee enterprise-wide denial management strategy and analyze denial trends.
- Develop robust analytics and present performance dashboards to executive leadership.
- Direct and mentor revenue integrity team, establish performance expectations, and build a culture of accountability.
Requirements
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
- Minimum 5–7 years of progressive leadership experience in revenue cycle management for a large medical practice, physician enterprise, or health system.
- Demonstrated success in improving AR performance, denial prevention, and payer collaboration.
- Proven track record with automation/technology deployment in revenue cycle operations.
- AMD and other EHR/Practice Management experience (5-7 years)
- Experience with Cognizant is a plus, payer portal experience required
- Reimbursement methodology for BH/MH is a plus (Medicare, Commercial and payers that reimburse a percent of Medicare)
- Payer policy experience (telehealth and onsite)
- Deep knowledge of payer reimbursement methodologies, claims processing, and denial trends.
- Strong negotiation and conflict resolution skills for payer relations.
- Exceptional data analysis, reporting, and forecasting capabilities.
- Leadership presence with ability to influence at the executive and operational levels.
- Ability to strategically communicate with commercial payers