Director, Patient Financial Services – Remote, USA
Job description
- Provides guidance and tools for career development/management of team members including coaching, mentoring, performance appraisals, disciplinary actions and other employee related activities.
- Conducts one-on-one performance reviews and quarterly career development check-ins for direct reports.
- Collaborates with other departments to implement strategic goals for the company including but not limited to pricing, client profitability, automation of processes, reimbursement analysis, A/R days
- Works in partnership with other departments for education on patient billing policies and process improvements.
- Oversee the operational activities related to billing and LIMS processes, ensuring that all areas are functioning effectively to meet department goals.
- Sets, maintains, and monitors billing system configurations (including pricing, test codes, payers, modifiers, etc.) to facilitate the submission of clean claims.
- Works closely with software vendors to ensure proper system implementation and use, resolving technical issues as needed.
- Ensures system configurations are kept up to date to maintain operational integrity.
- Reconciles and collaborates with operations to ensure smooth interface between lab data and billing systems (e.g., HL7, clearinghouse, payer systems).
- Analyze billing and revenue cycle data to identify areas of improvement and develop strategies to address them.
- Develop and maintain policies and procedures related to billing and revenue cycle management.
- Collaborate with other departments, including clinical operations and finance, to ensure that billing and revenue cycle activities are aligned with overall organizational goals.
- Stays up to date with changes in billing and coding regulations and guidelines and communicates any changes to the billing and revenue cycle team.
- Other duties as assigned.
- Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes
- Must have ability to adapt to a fast paced, dynamic environment
- 8+ years’ experience in a clinical laboratory preferred, especially genetic billing
- 5+ years’ experience in revenue cycle management
- 5+ years’ experience with XiFiN software.
Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.
At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation as industry leaders by responsibly introducing cutting-edge genetic testing solutions and continually sharing what we learn with the global scientific community.
At Ambry you will be learning, challenging yourself, and having fun while collaborating with teammates through the open exchange of ideas. Our outstanding benefits program includes medical, dental, vision, FSA, paid sick leave and generous paid time off (PTO) program. You can learn more about the benefits here. Ambry Genetics is an Equal Opportunity Employer (EOE) and we maintain a drug-free work environment.
The Company believes in second chance employment. Qualified applicants with arrest or conviction history will be considered regardless of their arrest or conviction history, consistent with local laws such as Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if the Company is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. For the purpose of the above job description, “Essential Functions” are “Material Job Duties”.
Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training.
All qualified applicants will receive consideration for employment without regard to race (and traits historically associated with race, including, but not limited to hair texture and protective hairstyles such as braids, locks, and twists), color, creed, religion, sex, sexual orientation, gender identity, gender expression (including transgender status), national origin, ancestry, age, marital status or protected veteran status and will not be discriminated against on the basis of disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances. If you have a disability or special need that requires accommodation, please contact us at careers@ambrygen.com
Ambry does not accept unsolicited resumes from individual recruiters, third party recruiting agencies, outside recruiters or firms without an executed contract in place. We are not responsible for any fees related to resumes that are unsolicited or are received by Ambry. Such resumes will be deemed the sole property of Ambry and will be processed accordingly.
PRIVACY NOTICES
To review Ambry’s Privacy Notice, Click here: https://www.ambrygen.com/legal/privacy-policy
To review the California privacy notice, click here: California Privacy Notice | Ambry Genetics
To review the UKG privacy notice, click here: California Privacy Notice | UKG
Required profile
Experience
Other Skills
- Collaboration
- Adaptability
- Mentorship
- Coaching
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