Head of Revenue Cycle Management

Job not on LinkedIn

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $165k - $175k / year

⏰ Full Time

🔴 Lead

👻 Ghost score 8%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CUC

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2021

📡 Telecommunications

🔧 Hardware

🤝 B2B

Telecommunications • Hardware • B2B

CUC is a New Cairo–based provider of IP telephony and unified communications products and solutions for small and medium businesses. CUC offers VoIP PBX systems, IP phones, VoIP gateways (FXO/FXS/E1/PRI), SIP speakers and intercoms, conferencing (audio/video) solutions, call-center headsets, and passive/active networking products, plus a cloud remote-connect service for remote access. The company appears to act as a reseller/distributor and systems supplier for business communication and networking needs.

📋 Description

• Design, implement, and continuously improve end-to-end RCM workflows across specialty platforms • Define and monitor KPIs including First Pass Rate, Net Collection Rate, Denial Rate, Days in A/R, Clean Claim Rate, and Prior Auth approval rates • Evaluate and manage third-party billing vendors, define SLAs, and determine in-source/outsource strategy • Build and lead the internal RCM team by hiring, training, and developing billing staff, coders, and AR specialists • Report revenue cycle performance to the Director of Finance and C-Suite with recommendations • Oversee specialized OBL, Vascular/IR, and Podiatry billing, coding, supplies capture, fee splits, and payer requirements • Lead payer contract negotiations and maintain the payer contract library • Oversee prior authorization, patient eligibility verification, charge posting, payment posting, AR appeals, and complex billing disputes • Ensure compliance with HIPAA, CMS Conditions for Coverage, OIG guidelines, Medicare and Medicaid regulations, and commercial payer policies • Maintain billing policies, conduct internal audits, and monitor legislative changes affecting reimbursement • Evaluate and optimize PM systems, EHR integrations, clearinghouses, and AI-enabled claims adjudication tools • Develop dashboards and reporting infrastructure, automate billing tasks, and use analytics to address denials, underpayments, and revenue leakage

🎯 Requirements

• 7+ years in Healthcare RCM leadership • Direct experience with OBL (Office-Based Lab) or ASC (Ambulatory Surgery Center) billing is highly preferred • Deep understanding of Podiatry, Vascular/interventional radiology coding and medical necessity requirements • Advanced proficiency in Excel/BI tools • Ability to tell the story behind the numbers to the executive board • Bachelor’s degree in Healthcare Administration, Finance, or related field • MBA or MHA is a plus • CPC, COC, or CHFP preferred