Responsibilities

The Billing Strategy Lead, Denials & Appeals will lead strategic initiatives related to denials and appeals, with an emphasis on transitioning offshore billing operations in-house and standing up new billing workflows or teams. They will act as a subject matter expert in revenue cycle and healthcare reimbursement, particularly in backend functions such as appeals, denials, and claims workflows. The role involves driving collaboration across multiple teams, managing and auditing vendors, supporting vendor transition planning, and implementing new billing technologies or processes. They will translate data into operational insights through the use of dashboards, reporting, and Business Intelligence tools, and utilize project planning and tracking tools to ensure accountability and deliver status updates. Furthermore, the position requires organizing and leading cross-functional meetings, providing high-quality documentation and communications, and balancing hands-on management with strategic planning to meet evolving business demands.