Director Insurance, RCM Insurance Operations Support

Responsibilities: Lead strategic insurance operations focusing on denial prevention, high-dollar account recovery, and revenue integrity. Partner cross-functionally to optimize workflows and implement advanced analytics to improve financial performance.

Requirements: Requires a Bachelor's degree and 8-10+ years of leadership experience in healthcare Revenue Cycle Management. Must have deep expertise in insurance operations, denial management, and experience leading system implementations like Epic or Cerner.

Key skills: Denial Management, Revenue Cycle Management, High-Dollar Account Resolution, Operational Analytics, UAT, Workflow Optimization, Lean Six Sigma, KPI Management, Root Cause Analysis, Payer Reimbursement, Cross-Functional Leadership, Financial Acumen, Change Management, Strategic Thinking, Compliance, Team Development

Keywords: RCM, Denial Management, Revenue Cycle, Epic, Cerner, Meditech, HFMA, Lean Six Sigma, RPA, AI-driven Revenue Cycle, CMS Regulations, Value-Based Care, Risk Contracts, UAT, KPIs, AR Days, Cash Acceleration, Healthcare Administration, Payer Behavior, Root Cause Analysis