Senior Director, Revenue Recovery

🕒 Junho 24

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Ensemble Health Partners

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

💼 Consultoria

🛡️ Seguros

📦 Logística

💰 Private Equity Round em 2022-03

Consulting • Insurance • Logistics

A Ensemble Health Partners é uma das principais fornecedoras de serviços de gestão do ciclo de receita (RCM) para organizações de saúde. Eles oferecem uma solução RCM completa que ajuda hospitais, sistemas de saúde e grupos de médicos afiliados a otimizar seus ciclos de receita, reduzir recusas e pagamentos incorretos, e melhorar as experiências dos pacientes usando uma combinação de gestão especializada e tecnologia avançada. A Ensemble Health Partners utiliza operadores certificados e inteligência artificial para entregar resultados consistentes, melhorar as cobranças e apoiar o crescimento futuro dos provedores de saúde. Eles são reconhecidos por suas parcerias robustas com clientes e pelo compromisso em proporcionar aumento confiável de receita e economia de custos para seus clientes.

Descrição

• Lead enterprise revenue recovery strategy across denials management, A/R follow-up, appeals, and underpayment resolution • Develop and execute initiatives to reduce write-offs, improve overturn rates, and accelerate cash collections • Identify and recover revenue from previously written-off or underpaid claims through targeted audits and recovery efforts • Establish and monitor key KPIs including A/R aging, denial rates, recovery yield, and cash acceleration metrics • Drive root cause analysis across denial trends and implement enterprise-wide prevention strategies • Partner closely with Coding, Clinical, Billing, Compliance, and Payer Strategy teams to reduce revenue leakage and improve claim accuracy • Oversee escalation management for complex payer disputes, high-value accounts, and systemic recovery barriers • Lead standardization of workflows, policies, and recovery strategies across multiple clients or regions • Provide executive reporting and insights to senior leadership, including financial impact, trends, and optimization opportunities • Build and develop high-performing recovery and A/R teams, fostering accountability and continuous improvement

🎯 Requisitos

• Bachelor’s degree required; Master’s degree preferred (Healthcare Administration, Business, or related field) • 10+ years of progressive leadership experience in revenue cycle, with deep expertise in A/R, denials, and revenue recovery • Proven success in improving cash collections, denial overturn rates, and revenue recovery outcomes • Strong knowledge of payer strategies, reimbursement methodologies, and regulatory requirements • Experience leading large-scale, multi-site or multi-client revenue cycle operations • Demonstrated ability to use analytics and reporting to drive operational and financial performance improvements • Executive-level communication and stakeholder management skills.

🏖️ Benefícios

• Health insurance • Retirement plans • Paid time off • Professional development opportunities