Director, Patient Financial Services – Remote, USA

Compensation: $140,000-$,155,000 per year. You are eligible to a Short-Term Incentive Plan with the target at 20% of your annual earnings, terms and conditions apply.   Director, Patient Financial Services – Remote, USA    The Director of Operations for Patient Financial Services (PFS) is a senior leadership role responsible for overseeing and optimizing the operational functions of the department. This includes managing all activities within billing software and Laboratory Information Management Systems (LIMS) processes, ensuring system configurations are aligned with business goals, and driving efficiency across departments.   Essential Functions  

• Provides guidance and tools for career development/management of team members including coaching, mentoring, performance appraisals, disciplinary actions and other employee related activities.
• Conducts one-on-one performance reviews and quarterly career development check-ins for direct reports.
• Collaborates with other departments to implement strategic goals for the company including but not limited to pricing, client profitability, automation of processes, reimbursement analysis, A/R days
• Works in partnership with other departments for education on patient billing policies and process improvements.
• Oversee the operational activities related to billing and LIMS processes, ensuring that all areas are functioning effectively to meet department goals.
• Sets, maintains, and monitors billing system configurations (including pricing, test codes, payers, modifiers, etc.) to facilitate the submission of clean claims.
• Works closely with software vendors to ensure proper system implementation and use, resolving technical issues as needed.
• Ensures system configurations are kept up to date to maintain operational integrity.
• Reconciles and collaborates with operations to ensure smooth interface between lab data and billing systems (e.g., HL7, clearinghouse, payer systems).
• Analyze billing and revenue cycle data to identify areas of improvement and develop strategies to address them.
• Develop and maintain policies and procedures related to billing and revenue cycle management.
• Collaborate with other departments, including clinical operations and finance, to ensure that billing and revenue cycle activities are aligned with overall organizational goals.
• Stays up to date with changes in billing and coding regulations and guidelines and communicates any changes to the billing and revenue cycle team.
• Other duties as assigned.

Qualifications  

• Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes
• Must have ability to adapt to a fast paced, dynamic environment
• 8+ years’ experience in a clinical laboratory preferred, especially genetic billing
• 5+ years’ experience in revenue cycle management
• 5+ years’ experience with XiFiN software.

  About Us:

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation as industry leaders by responsibly introducing cutting-edge genetic testing solutions and continually sharing what we learn with the global scientific community.

At Ambry you will be learning, challenging yourself, and having fun while collaborating with teammates through the open exchange of ideas.  Our outstanding benefits program includes medical, dental, vision, FSA, paid sick leave and generous paid time off (PTO) program. You can learn more about the benefits here. Ambry Genetics is an Equal Opportunity Employer (EOE) and we maintain a drug-free work environment.

The Company believes in second chance employment.  Qualified applicants with arrest or conviction history will be considered regardless of their arrest or conviction history, consistent with local laws such as Los Angeles County Fair Chance Ordinance and the California Fair C