Revenue Cycle Service Delivery Director – Clinical Denials
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Job Description
Director RCM Service Delivery leading global teams delivering RCM Huron Managed Services for clients. Responsible for ensuring compliance and driving innovative service strategies in revenue cycle management.
Responsibilities:
- Independently, lead and direct multiple complex projects and revenue cycle functions by directing and leading, not necessarily doing
- Identify, create, drive and deliver innovative service strategies and tools to ensure service level agreements are achieved at each client
- Prepare client partnership reports and create presentations to clients and engagement staff that demonstrate full command of revenue cycle material
- Manage day-to-day client relationships and maintain strong client relationships to expand current engagements and identify new business, and cross-selling opportunities
- Ensure all project teams comply with industry regulations and Huron’s internal standards, maintaining accountability across vendor, coding, and centralized business functions
- Lead and manage a diverse team of professionals on large complex engagements by fostering a collaborative team culture
- Collaborate with sales leaders to support key client pursuits and actively participating in client credentialing and reference coordination
- Partner with leaders to create differentiated RC solutions that meet evolving client needs
Requirements:
- Bachelor’s degree required
- Licensure: Registered Nurse with an active license preferred
- 8-10 years of experience in revenue cycle management with specific utilization management and/or Clinical denials-appeal management experience
- 2+ years direct clinical experience in nursing, care management, or provider
- Proven leadership experience, with the ability to manage and motivate global teams
- Strong and broad understanding of Revenue Cycle Operations within a hospital and physician setting
- Exceptional negotiation and problem-solving skills
- Excellent communication and interpersonal abilities
- Proficiency in data analysis and reporting tools
- Limited travel required
- Current permanent U.S. Work Authorization required.
Benefits:
- medical, dental and vision coverage
- 401(k) plan with a generous employer match
- employee stock purchase plan
- generous Paid Time Off policy
- paid parental leave and adoption assistance
- wellness programs
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