Revenue Cycle Managed Services - Director of AR Resolution

Responsibilities

• Spearhead root-cause analysis for claim denials and underpayments; create strategies to prevent recurring billing errors and optimize the appeals process.
• Manage high-level client or payer negotiations.
• Rewrite and refine cross-departmental operations to ensure accounts are settled efficiently.
• Lead escalations and negotiations with commercial payers and government entities to resolve high-dollar or stalled accounts.
• Utilize revenue cycle software and data analytics to track AR aging buckets, identify trends, and forecast cash collections.
• Develop and present comprehensive reports on performance, trends, and opportunities to internal stakeholders and clients.
• Partner with leaders of other Revenue Cycle teams (Coding, Patient Access, etc.) to resolve systemic issues at the source.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field.
• Master's degree preferred.
• 10+ years of progressive leadership experience within large Medical Group Revenue Cycle operations.
• Background in operating large PFS shops with multiple facilities / clients for a provider or a services firm with a nearshore / offshore component.
• Demonstrated track record of driving results and a hands-on approach to coaching staff, troubleshooting issues, and setting / executing broader priorities aligned to the business strategy.
• Advanced proficiency in EHR / billing platforms to include Epic and data reporting tools (MS Excel, Tableau).
• Exceptional leadership, communication, and interpersonal skills, with the ability to influence and collaborate effectively at all levels.
• Demonstrated ability to drive change, foster a culture of accountability, and achieve measurable results.
• Strong analytical and problem-solving skills, with the ability to interpret complex data and make data-driven decisions.
• Prior 3rd party Managed Services and/or consulting work experience is a plus.

Qualifications

• Experience and success in building a productive and collaborative team environment.

Skills

• Strategic thinking.
• Deep industry knowledge.
• Leadership and team management.
• Communication and negotiation skills.
• Data analysis and reporting.
• Collaboration and cross-functional teamwork.

Benefits

• Transparent and equitable compensation practices.
• Annual performance bonus eligibility.
• Additional benefits and perks may also be available, depending on the position and employment terms.

Pay

$180,000 - $260,000 annually.

Schedule

Hybrid