Head of Denials - Remote

1w1 week ago

Revecore

US · Full-time · $180,000 – $250,000

About this role

Revecore has been at the forefront of specialized claims management for over 25 years, helping healthcare providers recover revenue to enhance patient care. As Head of Denials and Receivables, you will lead overall delivery of Denials & Receivables solutions. Establish and execute operations strategies from planning through client delivery in a collaborative culture.

Day-to-day involves providing leadership and direction to the solution delivery team while serving as a strategic thought leader in denials and RCM. Develop resource plans, contribute to solution roadmaps including AI adoption, and utilize advanced data analytics for performance tracking. Monitor KPIs, collaborate with IT, and implement process improvements to streamline operations.

Join a team powered by people and driven by technology, dedicated to clients and employees with excellent work/life balance. Benefit from Employee Resource Groups that build community and cross-departmental collaboration with sales, client success, finance, and HR. Represent the firm in the marketplace to build presence.

Grow your career with opportunities in innovation, piloting new denials management approaches, and scaling solutions for measurable outcomes. Champion a culture of innovation by identifying industry trends. Ownership of solution P&L supports organizational scaling and strategic positioning.

Requirements

Expert-level knowledge of acute care hospital provider revenue cycle operations and systems best practices
Expert-level knowledge of denial management strategies and tactics
Technical and data savvy
Operations savvy and efficiency conscious
Excellent communication and collaboration skills
Excellent critical thinking skills
Experience leading and motivating large teams
Deep understanding of the end-to-end RCM and denials business from an RCM vendor perspective

Responsibilities

Lead delivery of Denials & Receivables solutions, providing leadership, direction, and guidance to the solution delivery team
Serve as a strategic thought leader in the denials and RCM space, contributing to industry conversations and internal innovation
Develop and execute resource plans to support solution objectives
Contribute to solution roadmap including technology requirements and evaluation of AI and automation capabilities
Champion a culture of innovation by identifying trends, piloting new approaches to denials management, and scaling solutions
Utilize advanced data analytics to identify trends, track performance, and make data-driven decisions
Develop and monitor key performance indicators to ensure solution objectives are met
Develop and monitor departmental budgets and forecasts; ownership of solution P&L

Benefits

Comprehensive medical, dental, vision, and life insurance benefits from the start of employment
12 paid holidays and flexible paid time off
401(k) contributions
Employee Resource Groups that build community
Career growth opportunities
Excellent work/life balance