Director, Accounts Receivable, Laboratory & Specialized Services
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QualDerm PartnersHealthcare Revenue Cycle
United StatesFull-TimeDirector
Salary not disclosed
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Job Details
- Experience
- Minimum of 8 years of progressive Revenue Cycle Management experience within healthcare.
- Required Skills
- Data analytics
Requirements
- Minimum of 8 years of progressive Revenue Cycle Management experience within healthcare.
- Minimum of 5 years of leadership experience managing revenue cycle teams.
- Minimum of 3 years of experience in a large pathology laboratory setting.
- Significant experience supporting pathology, laboratory medicine, or other specialized healthcare service lines.
- Demonstrated success leading laboratory accounts receivable operations, denial resolution, reimbursement follow-up, payer escalations, and collections performance.
- Advanced knowledge of laboratory accounts receivable processes, reimbursement methodologies, payer requirements, denial management, and collections strategies.
- Working knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and laboratory billing regulations.
- Advanced Microsoft Excel and reporting capabilities.
- Strategic leadership and executive presence.
- Strong analytical and problem-solving skills.
- Experience with XiFin Practice Management is strongly preferred.
- Experience with ModMed or comparable EHR and practice management systems is preferred.
Responsibilities
- Serve as the primary revenue cycle liaison and strategic business partner to laboratory leadership, pathology providers, and specialized service line stakeholders.
- Provide leadership and oversight of the laboratory and specialized service line accounts receivable follow-up team.
- Develop, monitor, and present KPI reporting to laboratory leadership, including Days in AR, denial trends, and cash collections.
- Lead revenue cycle integration efforts for laboratory acquisitions, practice onboarding, and system conversions.
- Identify opportunities to improve operational workflows, reduce revenue leakage, and standardize laboratory revenue cycle processes.
- Utilize data analytics to identify trends, reimbursement risks, denial patterns, and opportunities to improve performance.
- Collaborate with Finance, IT, Compliance, and clinical operations to resolve operational issues impacting reimbursement.
- Lead, mentor, and develop a high-performing laboratory revenue cycle team.
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