Senior Director, Revenue Cycle Operations

As a Senior Director, Revenue Cycle Operations, you will lead initiatives to maximize hospital reimbursement for our clients. This strategic role will focus on optimizing service delivery, cultivating leadership, driving business development initiatives, and fostering a positive company culture.

Key Responsibilities:

Service Delivery

• Develop, implement, and refine comprehensive denials management strategies customized to meet the specific needs of each client.


• Oversee operational excellence in denials analysis, identification of root causes (coding, billing, authorization, etc.), and development of effective appeal processes.


• Collaborate with clients' internal teams to address and prevent systemic issues leading to denials.


• Implement and leverage analytics tools to track denial performance metrics and identify areas for improvement.

Leadership

• Lead, mentor, and inspire a high-performing team of denials management specialists, fostering a focus on exceptional results and client satisfaction.


• Proactively engage with payers to understand denial trends, negotiate successful appeals, and cultivate strong relationships.


• Remain up-to-date on regulatory changes and industry best practices, sharing knowledge across the team to ensure compliance and innovation.


• Provide insightful reporting to clients and leadership, facilitating data-driven decision-making.

Business Development

• Identify and pursue opportunities to expand our denials management services for existing clients.


• Partner with sales and marketing teams to develop proposals, presentations, and strategies for acquiring new clients.


• Build strong relationships with potential clients, demonstrating the value of our services and solutions.

Culture

• Promote a collaborative, accountable, and results-oriented work environment.


• Champion continuous improvement initiatives, streamlining workflows, and optimizing the service delivery process for our clients

Qualifications:

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field (MBA preferred).


• Minimum of 8-10+ years of progressive experience in healthcare revenue cycle management, with a substantial focus in denials management.


• Proven track record of reducing denials, improving clean claim rates, and driving revenue cycle performance.


• Expertise in healthcare coding, billing, and reimbursement regulations.


• Excellent analytical, problem-solving, and communication skills.


• Demonstrated ability to lead, motivate, and develop teams.