Position Summary
We are seeking an experienced and effective Director - Revenue Cycle to lead process improvement initiatives, RCM system optimization, and the implementation of automation throughout the RCM department. Key areas of responsibility include inter-department process improvement initiatives and project management, RCM system optimization and file maintenance, as well as data analytics. This role requires strong leadership skills, analytical abilities, extensive knowledge of healthcare billing practices and system implementations, and a commitment to process improvements.

Job Responsibilities

• Collaborate with RCM Directors to identify opportunities for process improvement initiatives, prioritize those initiatives, and execute on plans to achieve those improvements.

• Partner with RCM system provider (Xifin) to fully optimize the platform, create efficiencies for the broader RCM team, and implement automation.

• Develop and execute upon inter-departmental project and communication plans in preparation of organizational product launches and other new initiatives.

• Serve as a liaison between internal Caris IT development team and external system providers. Set proactive measures to ensure there are no interruptions to daily file transmissions and collaborate to update file parameters when required.

• Directly responsible for file maintenance activities within the RCM platform which includes Payor Maintenance, Fee Schedule entries, Consolidation rules, and other activities as assigned.

• Engage with RCM Directors to develop a training program for each functional team which will be utilized for continuing learning and new hire training.

• Manage Data Analytics group to ensure routine delivery of reporting, creation of new dashboards and scorecards, and the maintenance of existing reporting.

Required Qualifications

• Minimum of 5 years of experience in medical billing/revenue operations in an Oncology or Laboratory settings, with at least 2 years in a supervisory or managerial role.

• Experience implementing RCM systems, Xifin preferred.

• Experience leading process improvement initiatives and implementing automation.

• Strong leadership, communication, and interpersonal skills, with the ability to effectively manage a team and collaborate with internal and external stakeholders.

• Excellent analytical and problem-solving abilities, with a focus on accuracy, attention to detail, and process improvement.

• Ability to adapt to changing priorities and work effectively in a fast-paced, dynamic environment.

• Commitment to maintaining confidentiality and integrity in handling sensitive patient information.

• Familiarity with healthcare reimbursement methodologies and revenue cycle management principles.

• Proficiency in using billing software and electronic health record (EHR) systems (Xifin preferred).

Preferred Qualifications

• Bachelor's degree in healthcare administration, business administration, or a related field preferred.

Physical Demands

• Must possess ability to sit and/or stand for long periods of time.

• Must possess ability to perform repetitive motion.

• Ability to lift up to 25 pounds.

• Majority of work is performed in a desk/cubicle environment.

Training

• All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.

Other

• Willingness to work shift work and overtime is required.

• Travel Required: Rarely.

• Weekends/Evenings/Holidays: No.

Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.

This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.