CNSide Diagnostics ยท 2 days ago
Director, Revenue Cycle Management
Houston, TX
Full-time
Onsite
Director/Executive
8+ years expCNSide Diagnostics, LLC, a subsidiary of Plus Therapeutics, Inc., develops and commercializes proprietary clinical diagnostic laboratory tests. The Director of Revenue Cycle Management is responsible for managing the full lifecycle of patient financial accounts, ensuring accurate billing, timely reimbursement, and effective follow-up for diagnostic services provided.
Hospital & Health Care
Hiring Manager
Mia Dundala (Rogari)
Responsibilities
Own and manage the end-to-end revenue cycle, from patient intake and eligibility verification through final payment collection
Design, implement, and continuously optimize RCM workflows, policies, and controls appropriate for a startup diagnostics environment
Establish and oversee medical coding, charge capture, and claim submission processes to ensure accuracy, compliance, and timely reimbursement
Lead denials management and appeals strategy, identifying root causes and driving corrective actions
Own Accounts Receivable performance, including aging, collections strategy, and cash forecasting
Monitor and report on key RCM KPIs (e.g., days in A/R, clean claim rate, denial rate, net collection rate)
Partner with Finance to support revenue recognition, accruals, and forecasting for diagnostic services
Build and manage relationships with external vendors (billing services, clearinghouses, patient financial assistance programs)
Ensure compliance with payer policies, Medicare/Medicaid rules, and applicable billing regulations
Support payer contracting and reimbursement strategy in partnership with Finance, Legal, and Commercial teams
Collaborate cross-functionally with Clinical Operations, Laboratory Operations, Sales, and IT to align billing processes with test ordering, accessioning, and reporting workflows
Lead and develop internal RCM staff, including hiring, training, and performance management as the organization scales
Oversee implementation and optimization of RCM systems and technology (LIS, billing platforms, payer portals)
Identify and mitigate revenue leakage risks associated with test utilization, pricing, coding, or documentation gaps
Prepare and support audits, payer reviews, and due diligence requests
Develop scalable processes to support new test launches, expanded indications, and geographic growth
Qualification
Required
Bachelor's degree in healthcare administration, Business, Finance, or a related field; advanced degree preferred
8+ years of experience in Revenue Cycle Management or healthcare finance, including leadership responsibility
Proven experience managing end-to-end RCM operations (billing, coding, collections, denials)
Strong knowledge of payer reimbursement, medical coding, and claims adjudication
Experience managing external billing and patient financial assistance vendors
Track record of cross-functional partnership with Finance, Clinical, Laboratory, and Commercial teams
Preferred
Experience in diagnostics, laboratory services, biotech, or healthcare startups strongly preferred
Demonstrated ability to build, scale, and optimize RCM processes in a high-growth environment
Company
CNSide Diagnostics
CNSide Diagnostics, LLC is a company dedicated to developing and commercializing proprietary clinical diagnostic laboratory assays.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase