Head of Denials

🔥 0 minutes ago

🏈 Alabama, Connecticut, +26 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🔴 Lead

👻 Ghost score 12%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Revecore

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Revecore is a healthcare revenue recovery company that combines proprietary AI, claims intelligence, workflow automation, and clinical, legal, and reimbursement expertise to identify and recover missed revenue for hospitals and health systems. Their ReClaim™ platform and network intelligence use machine-learning models and payor rule engines trained on hundreds of millions of claims to automate decisioning, prioritize recoveries, manage complex claims (VA, auto accidents, workers' compensation, Medicaid), denials management, underpayment recovery, and accounts receivable acceleration. Revecore operates HIPAA-compliant, SOC 2-certified infrastructure and serves over 1,300 hospitals, emphasizing outcomes like increased reimbursement, faster reimbursement, and high denial overturn rates.

📋 Description

• Lead delivery of Denials & Receivables solutions and provide leadership, direction, and guidance to the solution delivery team • Serve as a strategic thought leader in denials and revenue cycle management • Contribute to industry conversations, internal innovation, and competitive positioning • Develop and execute resource and workforce plans • Contribute to the solution roadmap, including technology and resource requirements • Evaluate and adopt AI and automation capabilities • Champion innovation by identifying industry trends, piloting new denials-management approaches, and scaling measurable solutions • Use advanced data analytics to identify trends, track performance, and make data-driven decisions • Develop and monitor KPIs, production management metrics, and core metrics • Collaborate with information technology on development objectives • Identify and implement process improvements • Ensure adherence to industry regulations and compliance requirements • Collaborate with sales, client success, finance, and human resources • Develop and monitor departmental budgets and forecasts; own solution P&L • Represent Revecore in the marketplace to build the brand and support new business development • Perform other duties as assigned

🎯 Requirements

• Minimum 10 years’ back-end revenue cycle operations experience with a focus on hospital acute care clients • Previous executive leadership experience in an RCM vendor environment, both onshore and offshore, including India and the Philippines • Expert-level knowledge of acute care hospital provider revenue cycle operations and systems best practices • Expert-level knowledge of denial management strategies and tactics • Executive-level written and verbal communication skills, with ability to present to C-suite and board-level audiences • Demonstrated experience leveraging AI solutions to improve denials outcomes, workflow efficiency, or predictive analytics • Demonstrated history of innovation in denials management or broader RCM operations, including process redesign, technology adoption, or new service models • Technical proficiency and ability to manage large data sets • Strong data analytics abilities and ability to translate complex data into actionable operational and strategic insights • Proven workforce planning capabilities, including forecasting, capacity modeling, and talent strategy • Strong understanding of financial metrics and business performance • Ability to operate at strategic and tactical levels • Advanced proficiency in Microsoft Excel and working knowledge of MS Office Suite • Quiet, distraction-free home work environment • Secure home internet connection with speeds greater than 20 Mbps download and 10 Mbps upload • Must reside in the United States in an approved state listed in the posting • Eligibility to work in the United States • Successful completion of a background check

🏖️ Benefits

• Work-from-home arrangement • Quiet, distraction-free home workspace • Secure home internet connection requirement • Affirmative Action/Equal Opportunity workplace • Interview recording/transcription consent alternatives • Employment contingent on background check and employment verification