Lab Services

Serve as the primary revenue cycle liaison and strategic business partner to laboratory leadership, pathology providers, and specialized service line stakeholders.
Provide leadership and oversight of the laboratory and specialized service line accounts receivable follow-up team, ensuring timely resolution of outstanding claims and optimization of collections performance.
Develop, lead, and mentor the laboratory revenue cycle team while establishing performance expectations, accountability measures, and professional development opportunities.
Develop, monitor, and present KPI reporting to laboratory leadership, including Days in AR, denial trends, cash collections, reimbursement performance, turnaround times, and other key operational metrics.
Lead revenue cycle integration efforts for laboratory acquisitions, practice onboarding, and system conversions, including transitions from legacy EHR and billing platforms.
Partner with Revenue Cycle Leadership, Information Technology, Compliance, Finance, and Clinical Operations to identify and resolve operational issues impacting reimbursement, patient satisfaction, and overall financial performance.
Identify opportunities to improve operational workflows, reduce revenue leakage, and standardize laboratory revenue cycle processes across the organization.
Monitor payer performance and reimbursement trends and implement corrective action plans to improve financial outcomes.

Data Analytics & Performance Improvement

Use data analytics to identify trends, risks, and opportunities related to revenue capture and reimbursement
Lead performance improvement initiatives that enhance charge capture accuracy and operational efficiency
Utilize data analytics to identify trends, reimbursement risks, denial patterns, and opportunities to improve laboratory revenue cycle performance.
Develop executive-level dashboards and KPI reporting that provide actionable insights for laboratory leadership and executive stakeholders.
Lead performance improvement initiatives that improve AR productivity, reimbursement outcomes, denial resolution, and operational efficiency.
Analyze revenue cycle metrics and recommend strategic process improvements that support organizational growth and scalability.

Collaboration & Clinical Partnership

Collaborate with physicians, laboratory leadership, practice operations, Compliance, Finance, Information Technology, and Revenue Cycle leaders to improve documentation, charging practices, reimbursement, and operational effectiveness.
Support organizational growth through standardization of laboratory revenue cycle processes and best practices.
Serve as the subject matter expert for laboratory revenue cycle operations, reimbursement methodologies, coding support, and financial performance.
Build collaborative partnerships across departments to resolve complex revenue cycle issues and support enterprise initiatives affecting laboratory and specialized service lines.

Leadership & Team Development

Lead, mentor, and develop a high-performing laboratory revenue cycle team focused on operational excellence and customer service.
Foster a culture of accountability, collaboration, continuous improvement, and professional growth.
Support workforce planning, succession planning, performance management, and employee development initiatives.
Lead organizational change efforts related to process improvements, technology implementations, and revenue cycle optimization initiatives.

Minimum of 8 years of progressive Revenue Cycle Management experience within healthcare.
Minimum of 5 years of leadership experience managing revenue cycle teams.
Minimum of 3 years of experience in a large pathology laboratory setting
Significant experience supporting pathology, laboratory medicine, or other specialized healthcare service lines.
Demonstrated success leading laboratory accounts receivable operations, denial resolution, reimbursement follow-up, payer escalations, and collections performance.
Experience leading revenue cycle optimization initiatives within a multi-site healthcare organization.
Proven ability to lead large-scale operational improvement and system implementation projects.

Technical Knowledge

Advanced knowledge of laboratory accounts receivable processes, reimbursement methodologies, payer requirements, denial management, and collections strategies.
Experience with XiFin Practice Management strongly preferred.
Experience with ModMed or comparable electronic health record and practice management systems preferred.
Working knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and laboratory billing regulations.
Advanced Microsoft Excel and reporting capabilities.

Leadership Competencies

Benefits of joining Qualderm Partners:

Competitive Pay – Attractive compensation to reward your hard work
Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
Exclusive Employee Discounts – Save on products and services with special discounts just for you
Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team

Director, Accounts Receivable – Laboratory & Specialized Services

Key skills