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Director, RCM Insurance Operations Support
Meduit | Driving Revenue Cycle PerformanceDirector of RCM Insurance Operations Support leading healthcare insurance operations and revenue cycle functions. Focused on denial management, high-dollar account resolution, and process optimization.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive leadership in healthcare Revenue Cycle Management, focusing on denial management, payer reimbursement processes, and operational analytics. Proven ability to drive continuous improvement initiatives and manage complex accounts effectively.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementDenial ManagementPayer Reimbursement ProcessesUser Acceptance Testing (UAT)Operational Analytics
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue Cycle ManagementDenial ManagementPayer ReimbursementData-Driven Decision-MakingWorkflow OptimizationAccount ResolutionHigh-Dollar Accounts ManagementComplex Claims ManagementSystem ImplementationsAnalytical Problem-Solving
Soft Skills
Strategic LeadershipCross-Functional CollaborationAccountabilityTransparencyPerformance Excellence
Tools & Technologies
EpicCernerMeditech
Industry Keywords
Healthcare AdministrationOperational AnalyticsContinuous ImprovementDenial PreventionAccount Management
About the role
Key responsibilities & impact- Provide strategic and operational leadership for insurance-related revenue cycle functions
- Partner cross-functionally with Client Success, Product/ Analytics, IT, and Operational managers
- Manage advanced operational analytics, user acceptance testing (UAT) superuser, workflow optimization, and continuous improvement initiatives
- Lead enterprise-wide denial prevention and resolution strategy
- Oversee prioritization, management, and escalation of high-dollar accounts and complex claims
- Architect trending reports and dashboards to identify systemic issues
- Consult on denial avoidance strategies regarding front-end, mid-cycle, and back-end processes
- Drive standardization across teams for denial workflows, appeals processes, and account resolution
- Promote a culture of accountability, transparency, and performance excellence
Requirements
What you’ll need- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field
- 8–10+ years of progressive leadership experience in healthcare Revenue Cycle Management
- Deep expertise in insurance operations, denial management, and payer reimbursement processes
- Proven experience managing high-dollar AR and complex accounts
- Demonstrated success leading UAT and system implementations (e.g., Epic, Cerner, Meditech)
- Strong analytical and problem-solving capabilities with experience in data-driven decision-making.
Benefits
Comp & perks- Health insurance
- Retirement plans
- Professional development