Associate Director, Legacy Revenue Cycle

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Position Overview

Join our expanding team at Exact Sciences as the Associate Director of Legacy Revenue Cycle. In this vital role, you will integrate our revenue cycle operations seamlessly into the broader Exact Sciences framework, leading acquired teams and planning for transitions to other systems. You will be the key conduit for incorporating new products into our comprehensive revenue cycle and Epic system. We seek a professional with deep expertise in Epic and end-to-end revenue cycle management, who can identify new opportunities and leverage the larger revenue cycle organization to enhance teams not yet on Epic. If you are ready to make a meaningful impact and drive innovation in a growing organization, we want you on our team!

Essential Duties

include but are not limited to the following:

• Strategizes, Develops, and oversees processes and procedures for the efficient and successful flow of interdependent information between the third-party billing vendor, the receivables department and Exact Sciences’ contact center.
• Develops and executes on all processes and policies for the revenue cycle.
• Works directly with multiple cross functional order impact teams to ensure adequate remediation of issues or downstream process impacts as changes occur within the revenue cycle.
• Monitors Accounts Receivables that you are responsible for among revenue cycle department, initiates and directs appropriate escalation or corrective measures across systems and production teams, as needed.
• Ensures that customer satisfaction is achieved through courteous and effective communication, problem solving and efficient processes.
• Resolves complex patient, physician, payor and other operational issues, when applicable.
• Promotes a team-oriented environment that fosters effective collaboration within and outside of the department.
• Monitor reporting of payor and contractual configuration and payor specific claim requirements.
• Monitors RCM processes to ensure compliance with performance metrics.
• Manage directly certain vendor and payor partners to identify and resolve systematic issues.
• Ensure compliance with all Company procedures and guidelines; including, but not limited to, Code of Business Conduct and Ethics. Stay current with relevant guidelines and policies for medical billing.
• Oversee maintenance and updates regarding software vendor changes that could impact your processes.
• Manage Supervisory staff, including but not limited to organize and prioritize work, write/conduct performance reviews, train/develop, and manage work performance.
• Monitors WQs that you are responsible for and develops remediation plans for any backlogs that could occur operationally.
• Consistent demonstration of exceptional leadership qualities, including but not limited to the ability to attract and retain the best team, foster a culture of high performance, lead with integrity, humility, accountability, and courage, and set a clear vision to energize teams towards the future.
• Effectively manage, support, and guide your team, including, but not limited to delegating tasks and responsibilities, assess employee performance and provide helpful feedback and training opportunities.
• Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
• Support and comply with the company’s Quality Management System policies and procedures.
• Maintain regular and reliable attendance.
• Ability to work normal schedule of Monday through Friday during normal business hours.
• Ability to work in front of a computer screen and/or perform typing for approximately 80% of a typical working day.
• Strong analytical and forecasting skills.
• Strong organizational and problem-solving skills.
• Strong delegation and directive skills.
• Adaptable, open to change and able to work in ambiguous situations and respond to new information and unexpected circumstances.
• Strong interpersonal and teamwork skills including the ability to easily convey and influence concepts and priorities as well as ability to solicit feedback and inputs.
• Strong presentation skills with ability to convey information and adjust delivery as appropriate to the audience.
• Demonstrated ability to successfully manage multiple priorities/projects at one time and ability to handle pressure of deadlines and complex issues in an effective way.
• Ability to create and maintain logs/charts in an accurate, organized, and effective manner.
• Manages direct reporting managers and supervisors who are over a team.
• Ensures efficient accounts receivable management.
• Keeps abreast of all regulations and standards to ensure compliance with orders or directives issued by duly constituted governmental/regulatory agencies or third-party payers.
• Collaboration with various departments such as Site Operations, Accounting, Finance, Payer Relations, and RCM Operations Support.
• Relationship participant for assigned vendors.
• Participate in a leadership capacity in any revenue cycle system conversions that impact your area.
• Proficient in facilitating Ad Hoc reporting creating and analysis.
• Occasional Travel when needed to Centralized Billing Office or Facility Site.

Minimum Qualifications

• 10+ years of experience working in the medical/healthcare billing area, with strong, demonstrated knowledge of revenue cycle operations.
• 5+ years of experience in a position with responsibility leading direct reports, including leadership roles.
• 5+ years of experience working with a third-party billing service provider or revenue cycle management software.
• Thorough understanding of medical billing processes.
• Deep familiarity with payer/insurance appeals and reimbursement processes.
• Knowledge and familiarization with Medicare billing regulations and reimbursement methodologies.
• Proficient with all Microsoft products with emphasis with Microsoft Office Excel.
• Authorization to work in the United States without sponsorship.
• Demonstrated ability to perform the Essential Duties of the position with or without accommodation.
• Excellent communication skills.

Preferred Qualifications

• Bachelor’s Degree or relevant work experience.
• Leadership in accounts receivable or billing operations.
• Experience working in the insurance industry.

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Salary Range:

$135,000.00 - $216,000.00

The annual base salary shown is a national range for this position on a full-time basis and may differ by hiring location. In addition, this position is bonus eligible, and is eligible to receive company stock upon hire as well as annually.

Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits.

Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here

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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, creed, disability, gender identity, national origin, protected veteran status, race, religion, sex, sexual orientation, and any other status protected by applicable local, state, or federal law. Any applicant or employee may request to view applicable portions of the company’s affirmative action program.

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