Director, Revenue Cycle

About the Role Zarminali Pediatrics is building the nations leading pediatric multispecialty group, focused on supporting families to shape healthy futures for their children – from birth through adulthood – by completely transforming the way pediatric care is delivered nationwide.
We are tackling todays challenges of increased administrative burden on clinicians and a siloed approach to pediatric care through intentional design of care delivery, enhanced by leading technology and collaborative, expert care teams.
Our name, inspired by our founders daughters name – Zarmina – means something that is more precious to you than gold.
We couldnt think of anything that better represents the way parents and caregivers hold the relationship with their children as the most valuable gift, and how we at Zarminali approach care for each child with equal reverence.
We strive for a healthier future for pediatric patients and a happier future for pediatric clinicians nationwide, and we are looking for people to join us in achieving this vision.
If you are eager to join a growth stage company and be part of the early team that is shaping the foundation of both the company and the delivery of pediatric care, then this opportunity might be for you! A strategic leadership role responsible for collaboratively guiding and innovating the full spectrum of revenue operations within the practice.
This role champions a culture of empathy and operational excellence by overseeing the accounts receivable functions—including medical coding, charge entry, claims submission, payment posting, follow-up, and reimbursement management.
With a decisive focus on optimizing cash flow, the position also prioritizes meaningful relationships with patients, physicians, and partners to enhance the overall experience and outcomes for all stakeholders.
SALARY: $105,000 - $120,000, based on experience.
LOCATION: Fully remote, within the United States.
Key Responsibilities Provide leadership and oversight for the full revenue cycle, including patient registration, insurance verification, coding, claims processing, payment posting, denial management, and collections.
Develop and implement strategies to optimize revenue, reduce days in A/R, and improve clean claims rate.
Monitor key performance indicators (KPIs) and generate monthly revenue cycle reports for executive leadership.
Analyze trends affecting charges, coding, collection and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
Analyze reports and perform audits to determine areas of improvement and determine appropriate plan of action.
Provide advice and assistance to senior management in the planning, implementation, and evaluation of modifications to existing operations, systems, and procedures.
Ensure compliance with federal, state, and payer-specific regulations, including Medicaid, CHIP, and pediatric-specific billing guidelines.
Develop and implement policies and procedures, in accordance with federal and state regulations and company policies.
Supervise and support RCM team members including billing staff, coders, and front-desk personnel involved in the revenue cycle.
Work collaboratively with providers and clinical teams to improve documentation and coding accuracy.
Oversee payer contract management and renegotiation, with a focus on maximizing reimbursement and resolving underpayments.
Lead initiatives in technology optimization, including EHR/PM system enhancements, workflow automation and implementation, teaching and improving artificial intelligence solutions.
Serve as the primary point of contact for external billing vendors, auditors, and payer representatives.
Provide, oversee, and/or ... (Description has been truncated due to length limits)
Tags: Accounting And Consulting, Management Consulting

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