GeneDx · 1 day ago
Senior Director, RCM Operations
United States
Full-time
Onsite
Director/Executive
$200K/yr - $220K/yr
10+ years expGeneDx is a leader in personalized health insights through genomic testing and interpretation services. The Senior Director, RCM Operations, will lead and optimize revenue cycle operations, ensuring compliance and driving operational efficiency to achieve financial performance goals.
AnalyticsArtificial Intelligence (AI)Health CareHealth DiagnosticsMachine LearningMedicalPredictive Analytics
Responsibilities
Develop and execute long-term strategies for revenue cycle optimization
Collaborate with VP Billing and Reimbursement to align operational goals with organizational objectives and financial targets
Identify potential risks to revenue based on payer policies and requirements
Direct daily operations for entire revenue cycle from prior authorization, claim submission through claim follow-up, appeals, payment posting and correspondence
Prioritize collection and appeals efforts to support revenue collections
Identify risks based on payer denials and collaborate with internal stakeholders to remove roadblocks
Prepare metrics and data analysis of successes and projects for the RCM team
Ensure timely and accurate posting of payments and routing of payer communications
Maintain adherence to HIPAA, payer guidelines, and audit requirements
Implement and monitor SOPs for compliance across all workflows
Create workflows to ensure efficient collections and accounts receivable operations
Recruit, mentor, and develop high-performing teams
Foster a culture of accountability, innovation, and continuous improvement
Contribute to overall employee success by evaluating performance on a regular basis and provide effective feedback for growth and improvement
Analyze payment and denial trends to identify improvement opportunities
Provide actionable insights and reporting to senior leadership
Drive automation and system enhancements to improve efficiency
Champion change management and adoption of new tools and processes
Qualification
Required
Bachelor's degree in healthcare administration, business, finance, or related field (Master's preferred)
Minimum 10 years of progressive experience in revenue cycle management, with at least 5 years in a senior leadership role
Deep knowledge of healthcare billing, payer remittance, and regulatory compliance
Proven track record of leading large teams and driving operational improvements
Experience with RCM technology platforms and automation tools
Benefits
Paid Time Off (PTO)
Health, Dental, Vision and Life insurance
401k Retirement Savings Plan
Employee Discounts
Voluntary benefits
Company
GeneDx
GeneDx uses artificial intelligence and machine learning to analyze patient data to provide insights to transform the practice of medicine.
1001-5000 employees
H1B Sponsorship
GeneDx has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
Funding
Current Stage
Public CompanyTotal Funding
$941MKey Investors
BlackRock Innovation Capital
2023-01-26Post Ipo Equity· $150M
2023-01-10IPO
2022-01-18Post Ipo Equity· $200M
Leadership Team
Katherine Stueland
Chief Executive Officer
Kevin Feeley
Chief Financial Officer
Recent News
2026-01-09
Company data provided by crunchbase