We are seeking a Director of Revenue Cycle who thrives on collaboration, problem-solving, and leading high-performing teams. This role will be instrumental in establishing and scaling the revenue cycle function, overseeing all aspects of claim submissions, payment posting, denials & appeals, and overall revenue cycle operations. The ideal candidate will bring a strategic mindset, deep expertise in reimbursement and billing, and a passion for improving processes to enhance efficiency and financial performance.

Candidates residing in anywhere in the Midwest are welcome to apply.

 

Key Responsibilities

• Develop and lead the revenue cycle team, overseeing insurance verification, claims processing, payment posting, and denial management.
• Manage both internal staff and outsourced RCM vendors, ensuring efficiency and compliance with regulations.
• Collaborate cross-functionally with internal teams to improve revenue cycle processes and payer reimbursement strategies.
• Partner with the SVP of Market Access on provider credentialing, payer contract administration, and payer analytics.
• Work closely with the Controller to analyze reimbursement trends, manage carrier exceptions, and drive process improvements.
• Ensure the timely and accurate submission of all claims to responsible payers, maintaining compliance with industry regulations.

 

Qualifications

• Bachelor’s degree required.
• Minimum 5+ years of revenue cycle management experience in healthcare, with a strong preference for laboratory settings.
• In-depth knowledge of billing, coding, reimbursement, and compliance regulations within the healthcare industry.
• Experience leading teams, including supervision of claim submissions, payment posting, and denial management.
• Strong analytical and problem-solving skills, with the ability to interpret complex data and communicate findings to leadership.
• Experience managing outsourced RCM vendors preferred.
• Excellent interpersonal skills with a professional and proactive communication style.
• Highly organized with strong attention to detail.