Sr Director, Patient Billing
Sr Director, Patient Billing
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Salary Not Disclosed
1 Vacancy
Job Description
SAGA Diagnostics is an innovative multinational life sciences company at the forefront of pioneering diagnostic solutions. Our proprietary MRD testing platform helps patients oncologists clinical researchers and drug developers to confidently detect residual disease postcurative intent therapy and monitor response to therapy with unprecedented sensitivity specificity and turnaround time. Headquartered in Morrisville NC SAGA Diagnostics accomplished team comprises the industrys most seasoned liquid biopsy experts united in a shared promise to patients to detect and intercept molecular residual disease as early as possible for every patient.
We are seeking an experienced Sr Director Patient Billing to implement lead and optimize our payor/patient billing operations. This role will oversee all aspects of billing payor contract management reimbursement optimization and revenue integrity while ensuring compliance with federal and state regulations. The ideal candidate will have extensive experience working with Medicare Medicaid and commercial payors as well as managing preauthorization and appeals processes. This role will also be responsible for managing revenue cycle management systems such as XiFIN and developing a highperformance team to drive efficiency and financial performance.
Key Responsibilities
Revenue Cycle Management
Lead all aspects of revenue cycle operations including patient relations billing collections claims processing and denials management.
Oversee the implementation maintenance and optimization of revenue cycle management systems (e.g. XiFIN) to ensure streamlined operations and accurate financial reporting.
Develop and implement revenue cycle policies and procedures to enhance efficiency minimize denials and maximize reimbursements while maintaining compliance with applicable laws and regulations.
Monitor key performance indicators (KPIs) to assess revenue cycle performance and implement corrective actions as needed.
Payor Relations & Contracting
Establish and maintain strong relationships with government and commercial payors to optimize reimbursement rates and contract terms.
Contribute to negotiations and contract management with payors ensuring compliance with regulatory and operational requirements.
Stay informed of evolving payor policies and reimbursement trends proactively adjusting strategies to align with industry changes.
PreAuthorization & Appeals Management
Oversee and improve preauthorization workflows to ensure timely approvals and minimize delays in reimbursement.
Develop and manage an efficient appeals process to challenge incorrect denials and recover lost revenue.
Collaborate with internal teams to ensure proper documentation and compliance with payor requirements.
Leadership & Team Development
Build and mentor a highperforming revenue cycle management team fostering a culture of accountability and excellence.
Provide leadership and professional development opportunities to enhance team skills and industry knowledge.
Work crossfunctionally with finance compliance operations and clinical teams to support organizational goals.
Requirements
Qualifications & Experience
Bachelors degree in healthcare administration finance business or a related field (Masters degree preferred).
Minimum 10 years of experience in revenue cycle management billing and payor relations within a diagnostic or healthcare setting.
Expertise in working with Medicare Medicaid and commercial insurance payors.
Extensive knowledge of preauthorization and appeals processes.
Strong proficiency in revenue cycle management systems such as XiFIN.
Demonstrated ability to negotiate contracts and manage relationships with payors.
Proven leadership skills with experience in building and developing highperformance teams.
Indepth knowledge of healthcare regulations reimbursement methodologies and industry trends.
Excellent analytical problemsolving and communication skills.
Benefits
Competitive Compensation and company wide benefits plan
Opportunities for career advancement and professional development.
A collaborative and innovative work environment dedicated to improving oncology outcomes.
SAGA Diagnostics is an equal opportunity employer fully committed to achieving a diverse and inclusive workplace that embraces and encourages applicants of every background. The companys policy regarding equal employment opportunity means that all decisions regarding recruitment hiring benefits wage and salary administration scheduling disciplinary action and termination will be made without unlawful discrimination on the basis of sex gender race color age national origin religion disability medical condition genetic information marital status sexual orientation gender identity or expression citizenship status pregnancy or maternity veteran status or any other status protected by applicable federal state or local law. If you require reasonable accommodation in completing an application interviewing or otherwise participating in the employee selection process please direct your inquiries to SAGA Diagnostics is a participant in the EVerify program learn more about the program and review our required disclosureshereandhere.
Required Experience:
Director
Employment Type
Full-Time
