Who We Are

PathAI is on a mission to improve patient outcomes with AI-powered pathology. We are transforming traditional pathology methods into powerful, new technologies. These innovations in pathology can help accelerate drug development, improve confidence in the accuracy of diagnosis, and get life-saving therapies to patients more quickly. At PathAI, you'll work with a diverse and talented team of people, who are dedicated to solving complex problems and making a huge impact.

Where You Fit

We are searching for a highly motivated Associate Director for the Insurance Follow-up Team. This role will report to the RCM Director of RCM Core Services at the Diagnostics Division. The ideal candidate is self-motivated, organized, analytical, a team player, and is excited about being a part of a fast-paced and rapidly growing company shaping the category of AI-powered pathology.

What You'll Do

• Lead and manage a team of revenue cycle managers responsible for Insurance Follow-up
• Assist and support managers in the supervision and training of the insurance collection team; focusing on workload management and how to prioritize claim follow-up
• Review and analyze accounts receivable inventory to identify current payor denial and delay of payment trends; devise strategy to resolve
• Review current insurance follow-up methodology and technology to identify if current processes are productive and efficient to reduce denials and improve collections; collaborate with the Director of RCM Core Services if changes need to be made
• Build and implement a comprehensive productivity and quality improvement program that utilizes current technology improvements
• Work with other departments in the organization to improve the claim submission and management process resulting in successful reimbursement
• Track and report on departmental key performance indicators/measures as determined by revenue cycle leadership
• Research and document payor policies as they relate to the department and assist in developing procedures accordingly
• Review incoming payor bulletins to remain current on policy and reimbursement changes; communicate these changes to senior leadership
• Assist senior leadership in the development and management of the annual operating budget.
• Attend job related conference calls, meetings, and conferences
• Must be familiar with and abide by the Corporate Compliance Program and all Corporate policies, including the Privacy and Security policies
• Support PathAI Diagnostics' mission, vision, goals and management decisions.
• Perform other duties as requested by the supervisor or manager as deemed appropriate

What You Bring

• High School Diploma or equivalent experience required; Bachelor's degree preferred
• 7 year(s) of revenue cycle experience required
• 5 year(s) of experience in a leadership and people management role required
• Expert knowledge of insurance collections and reimbursement procedure for commercial and government payors
• Knowledge of Medicare inpatient and outpatient reimbursement guidelines is required
• Knowledge of billing requirements and guidelines for skilled-nursing facilities preferred
• Knowledge of correct medical billing process and methodology is required
• CPT and ICD-10 coding knowledge is preferred, certification not required
• Strong oral and written communication skills
• Must be a competent user of Excel (or equivalent spreadsheet software) and PowerPoint (or equivalent presentation software)
• Self-motivated, organized, able to multi-task in a dynamic environment
• Must have a positive internal customer service attitude and be a team player

We Want To Hear From You

At PathAI, we are looking for individuals who are team players, are willing to do the work no matter how big or small it may be, and who are passionate about everything they do. If this sounds like you, even if you may not match the job description to a tee, we encourage you to apply. You could be exactly what we're looking for.

PathAI is an equal opportunity employer, dedicated to creating a workplace that is free of harassment and discrimination. We base our employment decisions on business needs, job requirements, and qualifications — that's all. We do not discriminate based on race, gender, religion, health, personal beliefs, age, family or parental status, or any other status. We don't tolerate any kind of discrimination or bias, and we are looking for teammates who feel the same way.