Director, Accounts Receivable – Laboratory & Specialized Services

This is a fully remote position, open to applicants in United States.

📋 Description

• **Lab Services**

• Act as the primary liaison for the revenue cycle, serving as a strategic partner to laboratory leadership, pathology providers, and specialized service line stakeholders.

• Provide leadership and supervision to the laboratory and specialized service line accounts receivable follow-up team, ensuring quick resolution of outstanding claims and enhancing collections performance.

• Develop, lead, and mentor the laboratory revenue cycle team while setting performance expectations, accountability measures, and opportunities for professional development.

• Create, monitor, and present KPI reporting to laboratory leadership, encompassing Days in AR, denial trends, cash collections, reimbursement performance, turnaround times, and other critical operational metrics.

• Oversee revenue cycle integration for laboratory acquisitions, practice onboarding, and system conversions, including transitions from legacy EHR and billing systems.

• Collaborate with Revenue Cycle Leadership, Information Technology, Compliance, Finance, and Clinical Operations to identify and resolve operational challenges affecting reimbursement, patient satisfaction, and overall financial performance.

• Identify opportunities for enhancing operational workflows, minimizing revenue leakage, and standardizing laboratory revenue cycle processes across the organization.

• Monitor payer performance and reimbursement trends, implementing corrective action plans to enhance financial outcomes.

• **Data Analytics & Performance Improvement**

• Utilize data analytics to pinpoint trends, risks, and opportunities related to revenue capture and reimbursement.

• Lead performance improvement initiatives aimed at enhancing charge capture accuracy and operational efficiency.

• Use data analytics to identify trends, reimbursement risks, denial patterns, and opportunities for enhancing laboratory revenue cycle performance.

• Develop executive-level dashboards and KPI reporting that deliver actionable insights for laboratory leadership and executive stakeholders.

• Spearhead performance improvement initiatives that boost AR productivity, reimbursement outcomes, denial resolution, and operational efficiency.

• Analyze revenue cycle metrics and propose strategic process enhancements that promote organizational growth and scalability.

• **Collaboration & Clinical Partnership**

• Partner with physicians, laboratory leadership, practice operations, Compliance, Finance, Information Technology, and Revenue Cycle leaders to enhance documentation, charging practices, reimbursement, and operational effectiveness.

• Support organizational growth through the standardization of laboratory revenue cycle processes and best practices.

• Act as the subject matter expert for laboratory revenue cycle operations, reimbursement methodologies, coding support, and financial performance.

• Foster collaborative partnerships across departments to resolve complex revenue cycle challenges and support enterprise initiatives impacting laboratory and specialized service lines.

• **Leadership & Team Development**

• Lead, mentor, and develop a high-performing laboratory revenue cycle team dedicated to operational excellence and customer service.

• Cultivate a culture of accountability, collaboration, continuous improvement, and professional growth.

• Support workforce planning, succession planning, performance management, and employee development initiatives.

• Drive organizational change efforts related to process enhancements, technology implementations, and revenue cycle optimization initiatives.

⛳️ Requirements

• At least 8 years of progressive Revenue Cycle Management experience in the healthcare sector.

• A minimum of 5 years of leadership experience managing revenue cycle teams.

• At least 3 years of experience in a large pathology laboratory environment.

• Significant experience supporting pathology, laboratory medicine, or other specialized healthcare service lines.

• Proven success in leading laboratory accounts receivable operations, denial resolution, reimbursement follow-up, payer escalations, and collections performance.

• Experience in leading revenue cycle optimization initiatives within a multi-site healthcare organization.

• Demonstrated ability to manage large-scale operational improvement and system implementation projects.

• **Technical Knowledge**

• Advanced understanding of laboratory accounts receivable processes, reimbursement methodologies, payer requirements, denial management, and collections strategies.

• Experience with XiFin Practice Management is strongly preferred.

• Familiarity with ModMed or similar electronic health record and practice management systems is preferred.

• Working knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and laboratory billing regulations.

• Proficient in Microsoft Excel and reporting capabilities.

• **Leadership Competencies**

• Strategic leadership and executive presence.

• Solid financial and operational acumen.

• Strong analytical and problem-solving capabilities.

• Expertise in change management and process improvement.

• Exceptional communication and relationship-building abilities.

• Capacity to influence cross-functional stakeholders and executive leadership.

• Strong organizational and project management skills.

🏝️ Benefits

• **Advantages of joining Qualderm Partners:**

• **Competitive Pay** – Attractive compensation to recognize your hard work.

• **Comprehensive Health Coverage** – Includes Medical, Dental, and Vision plans for your protection.

• **Generous 401(k) Plan** – The company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting.

• **Paid Time Off (PTO)** – Start accruing PTO from day one, in addition to enjoying 6 paid holidays and 2 floating holidays each year.

• **Company-Paid Life Insurance** – Peace of mind with basic life coverage, with options for additional plans.

• **Disability Protection** – Short-term and long-term disability coverage for unexpected situations.

• **Additional Wellness Plans** – Options for accident, critical illness, and identity theft protection for extra security.

• **Employee Assistance Program (EAP)** – Access to confidential support for personal or work-related challenges.

• **Exclusive Employee Discounts** – Save on products and services with special discounts just for you.

• **Referral Bonus Program** – Earn bonuses by referring qualified candidates to join the team.