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AD/Director - Revenue Lifecycle Management

Chicago, IL 60607

Posted: 04/18/2025 Employment Type: Direct Hire/Perm Job Category: Other Job Number: 618894 Pay Rate: 160,000 Is job remote?: No Country: United States

Job Description

The Role
Our Client is seeking a Revenue Cycle Manager (RCM) (Manager, AD, Director level based on experience) who excels at working with people from diverse backgrounds and thrives on connecting and collaborating across multiple teams. 
This role will lead the establishment of the RCM function and then go on to leads a revenue cycle team within the billing department that handles claim submissions, payment posting, and denials & appeals and manages staff activities (outsourced and internal) through daily supervision while overseeing the functional areas across the revenue cycle. 

Qualifications
  • Bachelor's Degree is required
  • Minimum of 5 years of RCM experience in healthcare. Laboratory setting is strongly preferred.
  • Extensive knowledge of reimbursement, billing, coding, and compliance regulations is required.
  • Experience with managing teams, including supervision of staff that process claims submissions, payment posting, and/or denials & appeals management.
  • Experience managing outsourced RCM vendors preferred
  • Strong problem-solving skills and ability to resolve complex inquiries across multiple databases.
  • Confidence and professionalism in handling interactions via calls, email, or messaging.
  • Ability to engage in complex analysis and discuss with upper management.
  • Strong interpersonal skills.
  • Strong organizational skills and attention to detail.

Responsibilities
  • Manage the entire process from insurance verification to final collection.
  • Coordinate and manage outsourced RCM resources while the company is scaling and help to build out an internal team over time. 
  • Liaison with internal departments to promote ongoing communication and collaboration on cross-functional projects related to submission and denials of claims.
  • Partner with the Senior Vice President of Market Access to perform: Provider Credentialing and Enrollment with government and commercial payers, Payer Contract Administration, and Payer Analytics
  • Partner with company Controller to analyze reimbursement from all sources, including carrier reimbursement exception reporting, follow-up, pending claims analysis, and denial management.
  • Responsible for the Timely, accurate submission of all claims for service to the responsible payer.

Personal Characteristics
  • Mission driven to serve patients and those who care for them in a caring and compassionate manner
  • Highly driven, thrives in a meritocratic environment
  • Team oriented
  • High ethical standards

The staffing industry has seen an increase in people falsely representing themselves as recruiters to gather personal information from job seekers. For your safety, do not provide sensitive data to anyone you have not spoken with thoroughly and never provide banking information during the application process. Candidate safety is a top priority at Planet Pharma.

Planet Pharma is an equal opportunity employer. It is our practice not to discriminate against any employee or applicant based on any criteria, condition or basis protected by laws or regulations in the locations where we do business. All qualified applicants are encouraged to apply. We celebrate diversity and are committed to providing an environment of mutual respect. We believe that diversity, equity and inclusion enable us to better meet our mission and values while serving our clients across the globe. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter, or contact us, so that we can discuss the appropriate alternatives available.

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About Chicago, IL

Unlock your potential in the bustling job market around Chicago, Illinois! Dive into a world of endless possibilities and growth opportunities in the Windy City and its vibrant suburbs. From iconic landmarks like the Willis Tower and Navy Pier to the world-class cuisine of deep-dish pizza and Chicago-style hot dogs, this area is rich in culture and charm. Immerse yourself in the thriving arts scene at the Art Institute of Chicago or enjoy a night out at the renowned Second City comedy club. With top-notch theaters, professional sports teams like the Cubs and the Bears, and lush green spaces like Millennium Park, Chicago offers an unbeatable lifestyle for career-driven individuals. Explore our job listings today and discover why Chicago is the perfect place to kickstart your career journey!

Although this hasn't been an issue at Planet Pharma, the staffing industry has seen an increase in people falsely representing themselves as recruiters to gather personal information from job seekers. For your safety, do not provide sensitive data to anyone you have not spoken with thoroughly and never provide banking information during the application process. Candidate safety is a top priority at Planet Pharma.