Director, Accounts Receivable, Laboratory & Specialized Services

QualDerm Partners

About The Position

The Director, Accounts Receivable, Laboratory & Specialized Services provides strategic and operational leadership for the laboratory and specialized service line accounts receivable (AR) function. This role is responsible for optimizing AR follow-up processes, resolving complex reimbursement issues, improving collections performance, reducing aging receivables, and driving operational excellence through KPI management, data analytics, and process improvement. As the primary accounts receivable partner to laboratory leadership and pathology providers, the Director develops and executes strategies to improve reimbursement outcomes, reduce outstanding AR, minimize revenue leakage related to unresolved claims, and enhance operational efficiency. This role collaborates closely with Revenue Cycle Leadership, Finance, Information Technology, Compliance, and other RCM leaders to streamline AR workflows, leverage data-driven insights, support system implementations, and improve financial performance across laboratory and specialized service lines. The Director serves as the subject matter expert for laboratory and specialized service line accounts receivable operations, providing strategic leadership through performance analytics, KPI reporting, process optimization, and continuous improvement initiatives that strengthen collections performance and support the long-term success of QualDerm's laboratory and specialized service lines.

Requirements

Minimum of 8 years of progressive Revenue Cycle Management experience within healthcare.
Minimum of 5 years of leadership experience managing revenue cycle teams.
Minimum of 3 years of experience in a large pathology laboratory setting
Significant experience supporting pathology, laboratory medicine, or other specialized healthcare service lines.
Demonstrated success leading laboratory accounts receivable operations, denial resolution, reimbursement follow-up, payer escalations, and collections performance.
Experience leading revenue cycle optimization initiatives within a multi-site healthcare organization.
Proven ability to lead large-scale operational improvement and system implementation projects.
Advanced knowledge of laboratory accounts receivable processes, reimbursement methodologies, payer requirements, denial management, and collections strategies.
Experience with XiFin Practice Management strongly preferred.
Experience with ModMed or comparable electronic health record and practice management systems preferred.
Working knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and laboratory billing regulations.
Advanced Microsoft Excel and reporting capabilities.
Strategic leadership and executive presence.
Financial and operational acumen.
Strong analytical and problem-solving skills.
Change management and process improvement expertise.
Exceptional communication and relationship-building skills.
Ability to influence cross-functional stakeholders and executive leadership.
Strong organizational and project management skills.

Responsibilities

Serve as the primary revenue cycle liaison and strategic business partner to laboratory leadership, pathology providers, and specialized service line stakeholders.
Provide leadership and oversight of the laboratory and specialized service line accounts receivable follow-up team, ensuring timely resolution of outstanding claims and optimization of collections performance.
Develop, lead, and mentor the laboratory revenue cycle team while establishing performance expectations, accountability measures, and professional development opportunities.
Develop, monitor, and present KPI reporting to laboratory leadership, including Days in AR, denial trends, cash collections, reimbursement performance, turnaround times, and other key operational metrics.
Lead revenue cycle integration efforts for laboratory acquisitions, practice onboarding, and system conversions, including transitions from legacy EHR and billing platforms.
Partner with Revenue Cycle Leadership, Information Technology, Compliance, Finance, and Clinical Operations to identify and resolve operational issues impacting reimbursement, patient satisfaction, and overall financial performance.
Identify opportunities to improve operational workflows, reduce revenue leakage, and standardize laboratory revenue cycle processes across the organization.
Monitor payer performance and reimbursement trends and implement corrective action plans to improve financial outcomes.
Use data analytics to identify trends, risks, and opportunities related to revenue capture and reimbursement.
Lead performance improvement initiatives that enhance charge capture accuracy and operational efficiency.
Utilize data analytics to identify trends, reimbursement risks, denial patterns, and opportunities to improve laboratory revenue cycle performance.
Develop executive-level dashboards and KPI reporting that provide actionable insights for laboratory leadership and executive stakeholders.
Lead performance improvement initiatives that improve AR productivity, reimbursement outcomes, denial resolution, and operational efficiency.
Analyze revenue cycle metrics and recommend strategic process improvements that support organizational growth and scalability.
Collaborate with physicians, laboratory leadership, practice operations, Compliance, Finance, Information Technology, and Revenue Cycle leaders to improve documentation, charging practices, reimbursement, and operational effectiveness.
Support organizational growth through standardization of laboratory revenue cycle processes and best practices.
Serve as the subject matter expert for laboratory revenue cycle operations, reimbursement methodologies, coding support, and financial performance.
Build collaborative partnerships across departments to resolve complex revenue cycle issues and support enterprise initiatives affecting laboratory and specialized service lines.
Lead, mentor, and develop a high-performing laboratory revenue cycle team focused on operational excellence and customer service.
Foster a culture of accountability, collaboration, continuous improvement, and professional growth.
Support workforce planning, succession planning, performance management, and employee development initiatives.
Lead organizational change efforts related to process improvements, technology implementations, and revenue cycle optimization initiatives.

Benefits

Competitive Pay – Attractive compensation to reward your hard work
Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
Exclusive Employee Discounts – Save on products and services with special discounts just for you
Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team