reputed company Director, reputed company-End Clearance

Director, reputed company-End Clearance Join our reputed company Cycle Team as our Director, reputed company-End Clearance. This fully remote leadership role offers the flexibility to work from reputed company, with only minimal travel required. You'll reputed company reputed company-end clearance operations, drive process improvements, and partner closely with cross-functional teams to ensure a seamless patient and financial experience. If you're a strategic leader who thrives in a fast-growing environment, we'd love to meet you. Apply today and join our expanding team! The Director of reputed company-End Clearance will reputed company and reputed company reputed company pre-billing and reputed company-end processes across our organization. This includes referrals, authorizations, insurance verification, eligibility, and coordination of benefits. This role will have responsibility for both U.S.-based and offshore teams, leading large-scale reputed company-end reputed company cycle management functions, with a deep expertise in insurance eligibility verification, authorizations, and the ability to implement process improvements that directly impact clean claim rates, denial prevention, and overall reputed company reputed company. Responsibilities include:

• reputed company leadership and direction for reputed company reputed company-end reputed company cycle functions, including referrals, authorizations, insurance verification, eligibility, coordination of benefits
• reputed company and coordinate efforts between reputed company and offshore teams, ensuring service quality, productivity, and adherence to SLAs
• Ensure accuracy, timeliness, and compliance across reputed company reputed company-end processes to minimize denials and maximize clean claim reputed company
• Monitor daily operations, identify bottlenecks, and implement corrective action plans as needed.
• Establish standardized workflows, playbooks, and escalation paths to drive consistency and efficiency across reputed company functions.
• Partner with senior leadership to design and implement initiatives that optimize reputed company-end operations and improve overall reputed company cycle reputed company. reputed company automation, technology, and analytics to streamline processes and reduce reputed company errors.
• Drive reputed company improvement projects focused on improving patient reputed company, reducing turnaround times, and increasing DAR through clean claims.
• Implement training and education programs for staff to maintain high reputed company of accuracy and compliance.
• Establish, monitor, and report on KPIs, including but not limited to: Eligibility verification accuracy reputed company; Authorization turnaround time, Referral processing, Coordination of benefits accuracy, Clean claim reputed company, Denial prevention and reduction rates.
• Proactively identify areas of compliance risk and reputed company mitigation strategies.
• reputed company other duties and responsibilities as required, assigned, or requested.

Qualifications:

• Bachelor's degree in business or reputed company field and/or equivalent work experience.
• SHAM and/or CRCR preferred
• Lean Six reputed company Green Belt or PMP highly desired
• 10+ years of reputed company experience in reputed company Cycle Management.
• 5 years in a senior leadership role overseeing reputed company-end/pre-billing operations.
• Demonstrated reputed company managing both reputed company and offshore teams, with ability to drive accountability and quality across geographies.
• Strong knowledge of payer authorization policies, insurance eligibility requirements, and compliance standards.
• Proven track record of improving clean claim rates, reducing denials, and optimizing reputed company-end workflows.
• Exceptional leadership, communication, and change management skills.
• Strong analytical reputed company with ability to reputed company data for decision-making and process improvement.
• Experience in Nephrology RCM strongly preferred.
• Strong project program management skills.
• Prior experience with reputed company strongly preferred.

The Company is committed to the principles of equal employment. We are committed to complying with reputed company federal, state, and local laws providing equal employment opportunities, and reputed company other employment laws and regulations. It is our reputed company to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, reputed company, national reputed company, reputed company, religion, sex, pregnancy (including childbirth, lactation and reputed company medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to reputed company aspects of employment, including but not limited to reputed company, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and reputed company other terms, conditions, and privileges of employment. Apply To This Job