PreludeDx · 1 month ago
Head of Revenue Cycle Management
Laguna Hills, CA
Full-time
Onsite
Director/Executive
$145K/yr - $190K/yr
10+ years expPreludeDx is a rapidly growing company seeking an experienced Head of Revenue Cycle Management to oversee day-to-day operations and drive strategic planning. The role involves leading teams, ensuring alignment with organizational goals, and maintaining compliance standards in a fast-paced environment.
BiotechnologyHealth CareLife SciencePharmaceutical
Responsibilities
Drive Strategic planning to deliver scalable, evolving solution to meet developing demands in Revenue Cycle Management
Lead day-to-day revenue cycle operations, overseeing the following teams: authorization, eligibility & benefit verification, billing, A/R, denials management and payment posting
Drive operational excellence and accountability through a metrics driven culture conducting daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs)
Coordinates efforts amongst cross functional teams including operations, finance, and IT to ensure alignment with RCM goals and metrics
Develops long-range strategic plans for systems and processes that support a high performing, patient-centered revenue cycle
Lead initiatives to resolve problematic trends and resolve difficult account issues as needed
Maintain appropriate internal control safeguards over A/R records and collection of cash and monitor compliance standards for providing accurate information on all system billings
Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to leadership
Drive and manage the development of performance metrics, goal setting and support the development of RCM organizational structure, including the selection, direction and ongoing development of teams fostering a positive work environment
Qualification
Required
Bachelor's degree in Business Administration, Health, Finance or related field. Extensive experience may substitute for education
Ten (10) years progressive experience in laboratory healthcare management in a Revenue Cycle or Financial Leadership role including billing and collections
Dynamic, with the capacity to successfully manage many projects and responsibilities
Team builder with excellent interpersonal skills
Company
PreludeDx
PreludeDx was founded to deliver actionable tools to manage early stage breast cancer.
11-50 employees
Funding
Current Stage
Early StageTotal Funding
$22.15MKey Investors
Evidity Health Capitalgenesiscare
2022-03-22Series Unknown· $20M
2021-07-19Corporate Round
2016-02-26Series Unknown· $2.15M
Leadership Team
Chris Emery
Vice President of Global Business Development (2025), Vice President Strategic Marketing (2024)
Pat Whitworth
Chief Medical Officer
Recent News
Company data provided by crunchbase