Director, Revenue Cycle Operations

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🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $150k - $200k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

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Tempus AI

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2015

🏥 Healthcare

🧬 Biotechnology

🤖 Artificial Intelligence

Healthcare • Biotechnology • Artificial Intelligence

Tempus AI is an advanced healthcare technology company that specializes in precision medicine through the use of AI and genomic profiling. The company provides innovative solutions across various medical fields, including oncology, cardiology, neurology, and psychiatry. Tempus enables healthcare providers to make informed treatment decisions by integrating real-world data, clinical trial matching, and algorithmic testing to improve patient outcomes and accelerate drug development.

📋 Description

• Serve as the principal revenue cycle liaison to the Tempus AI Diagnostics business unit • Translate business priorities into operational plans and performance expectations • Advise business leaders on revenue cycle implications of new tests, payor requirements, client arrangements, pricing, coverage policies, and operational changes • Lead cross-functional governance, performance management, risk management, prioritization, and issue resolution • Direct daily diagnostic laboratory revenue cycle operations across intake, eligibility, authorization, charge capture, coding, claims, payment posting, denials, appeals, patient billing, collections, and reporting • Establish and improve revenue cycle KPIs, including clean claim rate, denial rate, accounts receivable days, cash collections, net collection rate, authorization turnaround time, and patient balance outcomes • Identify operational leakage, denials, delayed reimbursement, and billing defects; lead corrective actions • Ensure operational controls, documentation, escalation paths, and audit readiness • Partner with internal teams and vendors to optimize workflows and service-level performance • Manage and improve Quadax workflows, work queues, claims and remittance processes, reporting, and exception handling • Oversee Quadax tools and data for claims management, denial prevention, payment reconciliation, and reporting • Define requirements, prioritize enhancements, validate changes, and manage implementation impacts • Develop standards for Quadax data quality, workflow configuration, user adoption, reporting accuracy, and issue resolution • Apply diagnostic laboratory billing and reimbursement expertise, including CPT/HCPCS, ICD-10, medical necessity, payor edits, coverage requirements, claim rules, and appeals • Monitor reimbursement trends and regulatory or payor-policy changes • Support operational launches of new diagnostic offerings through revenue-cycle readiness, process, system, control, and training planning • Lead, coach, and develop revenue cycle staff and/or vendor partners • Establish service-level agreements, performance reviews, and escalation mechanisms for external partners • Lead complex operational change initiatives through implementation, adoption, measurement, and refinement • Create executive-ready reporting and communicate performance, risks, decisions, and recommendations to senior stakeholders

🎯 Requirements

• Bachelor’s degree in business, healthcare administration, finance, or a related field; equivalent relevant experience may be considered • 10+ years of progressive revenue cycle operations experience, including substantial experience in diagnostic laboratory, molecular diagnostics, genetic testing, pathology, or a closely related laboratory environment • 5+ years leading teams, programs, or major operational functions at a manager, senior manager, director, or equivalent level • Direct, hands-on operational experience with Quadax, including workflow management, claims and remittance processes, reporting, issue resolution, and/or system optimization • Deep understanding of the end-to-end diagnostic laboratory revenue cycle • Demonstrated expertise in laboratory reimbursement requirements, payor policies, medical necessity, coding, billing edits, and denial prevention • Proven ability to use operational and financial data to identify performance gaps, prioritize action, and deliver measurable improvements • Experience leading cross-functional initiatives involving business, operational, technical, financial, and compliance stakeholders • Strong executive communication, relationship-building, problem-solving, and change-management skills • Preferred: Master’s degree in healthcare administration, business administration, finance, or a related discipline • Preferred: Experience supporting high-complexity, molecular, genomic, oncology, or AI-enabled diagnostic testing • Preferred: Experience managing third-party revenue cycle vendors and defining service-level agreements and performance metrics • Preferred: Familiarity with laboratory information systems, electronic health record integrations, clearinghouses, and revenue cycle analytics tools • Preferred: Lean, Six Sigma, project management, or other process-improvement certification

🏖️ Benefits

• Incentive compensation may be available • Restricted stock units may be available • Medical and other benefits depending on the position • Remote work arrangement in Illinois

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