About The Position

The Assistant Director of Revenue Cycle Management – Network Billing leads charge capture, coding, and billing teams across Inception Fertility’s multi-state clinic network. The role ensures services are accurately coded, billed on time, and paid correctly, including insurance claims, self-pay fertility packages, telehealth visits, and surgical procedures. Reporting to the Director of Revenue Cycle, the Assistant Director also supports accounts receivable recovery, denial prevention, and network-wide process standardization, and serves as acting leader when the Director is absent. The position is based in Houston, Texas, or Franklin, Tennessee, and requires routine travel to network clinics, the corporate office, and required meetings and conferences. The role partners with clinic leaders, physicians, Finance, IT, and EMR and practice management vendors to improve systems and address complex billing issues.

Requirements

  • High school diploma or equivalent.
  • Certified coder credential, such as an AAPC certification.
  • At least 5 years of medical billing experience in a clinic or physician practice setting.
  • At least 5 years of experience leading large, remote, multi-site teams.
  • Deep knowledge of CPT and HCPCS code sets, including modifiers, bundling and unbundling, diagnosis assignment, E/M codes, lab codes, and ASC HCPCS codes.
  • Familiarity with claim edits, clearinghouses, and billing and EMR platforms used in clinic and physician practice settings.
  • Clear, patient, and professional communication with physicians, clinic leaders, vendors, payers, and patients.
  • Ability to travel routinely to network clinics, the corporate office, and required meetings and conferences.

Nice To Haves

  • Bachelor’s degree in business, accounting, healthcare administration, or a related field; an equivalent combination of education and healthcare billing and receivables experience is also acceptable.
  • Professional or clinic billing and ambulatory surgery center (ASC) experience.
  • Experience with accounts receivable management, cash posting, and denial management, ideally in a centralized revenue cycle for a multi-site clinic organization.
  • Experience with eIVF and billing system implementations or conversions.
  • Fertility practice experience, including fertility-related CPT codes, milestone charge capture, and self-pay package pricing.

Responsibilities

  • Lead charge entry, coding, and billing teams across clinics and the central revenue cycle department, organizing work and ensuring deadlines are met.
  • Ensure encounters are coded and charged accurately and compliantly before claims are submitted.
  • Establish and maintain daily charge reconciliation and month-end close routines at every clinic.
  • Investigate coding-related denials, identify root causes, and improve processes to prevent recurrence.
  • Conduct quarterly coding and charge entry audits and maintain workflows as payer rules and regulations change.
  • Analyze charge trends across regions, identify gaps, share effective practices, and standardize best practices across the network.
  • Partner with clinic leaders, physicians, Finance, IT, and EMR and practice management vendors to improve systems and resolve complex billing issues, including patient charge concerns.
  • Support accounts receivable recovery, KPI tracking, and leadership reporting.
  • Serve as a super user for billing platforms.
  • Act as the leader when the Director of Revenue Cycle is absent.

Benefits

  • Medical, dental, and vision plans for full-time employees.
  • Complimentary basic life insurance.
  • Employee Assistance Program.
  • Long-term disability insurance.
  • Fertility benefits, adoption assistance, and surrogacy support.
  • Paid maternity, paternity, and partner leave.
  • 18 days of annual PTO.
  • 11 paid holidays, including one floating holiday.
  • 401(k) plan with a company match and full vesting after 2 years.
  • Company-funded Lifestyle Spending Account.
  • Employer contributions to an HSA for eligible employees.
  • Employee Referral Program.
  • Continuing education reimbursement.
  • Dedicated time off for professional development.
  • Additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance.
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