Revenue Cycle Director-Lab-Post Submission

We are seeking a skilled Revenue Cycle Director(RCM) with experience inpost-submission workflows, denial resolution, and accounts receivable (AR) recovery for ahigh-complexity clinical laboratory serving clients in women’s health, toxicology, and genetics.This role ensures that claims are not only submitted correctly, but also monitored, appealed, andrecovered efficiently — driving revenue integrity and cash flow performance.Responsibilities: Review and track submitted claims to ensure timely processing and identify anydelays, denials, or underpayments. Analyze denial codes, EOBs, and remittance data to determine root causesand corrective actions. Initiate and manage appeals, reconsiderations, or corrected claims tomaximize reimbursement. Collaborate with coding and pre-submission teams to close the feedback loopand prevent recurring errors. Maintain accurate documentation and follow-up logs within the billing system orRCM platform. Communicate with payers, clearinghouses, and internal departments to resolvebilling discrepancies and verify payment statuses. Prepare regular AR aging and recovery performance reports for stakeholdersand leadership. Identify trends in payer behavior and propose process improvements to increaseclean claim rate and reduce DSO (Days Sales Outstanding).Qualifications: 2 years of experience in Director level role in medical billing, RCM, or AR follow-up (laboratory ordiagnostic experience strongly preferred). Deep understanding of EOB interpretation, denial management, and payerappeals. Working knowledge of claim adjudication, ERA/EOB reconciliation, and payerportals. Familiarity with CPT, ICD-10, and HCPCS coding, as well as payer-specificreimbursement rules. Experience using billing software, clearinghouses, and RCM dashboards fortracking and reporting. Certification (e.g., CPC, COC, CRCR) preferred but not required.Personal Skills: Strong analytical and critical-thinking abilities to assess complex claim issues. Excellent written and verbal communication, especially for payercorrespondence. High degree of accuracy and accountability. Ability to work collaboratively with cross-functional teams including clinical,operations, and finance. Persistent and resourceful with a problem-solver mindset. Self-motivated and organized with a focus on measurable resultsWork Location: In person

Salary : $100,000 - $150,000