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Associate Director, Billing Operations & Reimbursement
HelixSan Diego, United StatesRemotefull_timeVerifiedPosted 4 Apr 2025
💰 $224,000/yr($164,000/yr – $224,000/yr)
About the role
You + HelixHelix is a place where innovators and doers gather in order to drive significant progress in population genomics. We have come together to work at the intersection of clinical care, research, and genomics. If you’re excited by the idea of making a meaningful impact and joining a team where we pride ourselves on driving innovation through fostering an environment with an emphasis on empowering one another to grow, Helix might be the place for you!
Helix + The WorldHelix is the leading population genomics company. Helix enables health systems, public health organizations and life science companies to accelerate the integration of genomic data into patient care and public health decision making.We are continuing to scale our world-class team to support our dedication to empowering every person to improve their life through DNA.
Helix + TransparencyAt Helix, we value transparency. You will find the expected compensation, interview process, what to anticipate during onboarding, and your first 90 days listed in the job description for all Helix roles.
What is special about this role?With Helix's growing network of health system partners and, innovative Sequence Once, Query Often™ model, and proprietary clinico-genomic dataset, we have a unique opportunity to revolutionize our revenue cycle and billing processes. As the Associate Director of Billing Operations & Reimbursement at Helix, you will be a critical operational leader responsible for defining and implementing strategies to optimize billing processes and build highly efficient, AI-driven billing operations. Your primary focus will be on optimizing our end-to-end billing processes through automation and intelligent solutions, while also overseeing foundational market access activities. We are looking for a highly analytical and KPI-driven individual who can lead a lean and effective team, leveraging technology to maximize efficiency.
As an Associate Director, Billing Operations & Reimbursement you will:Strategic Planning and Development
About you:
Helix + The WorldHelix is the leading population genomics company. Helix enables health systems, public health organizations and life science companies to accelerate the integration of genomic data into patient care and public health decision making.We are continuing to scale our world-class team to support our dedication to empowering every person to improve their life through DNA.
Helix + TransparencyAt Helix, we value transparency. You will find the expected compensation, interview process, what to anticipate during onboarding, and your first 90 days listed in the job description for all Helix roles.
What is special about this role?With Helix's growing network of health system partners and, innovative Sequence Once, Query Often™ model, and proprietary clinico-genomic dataset, we have a unique opportunity to revolutionize our revenue cycle and billing processes. As the Associate Director of Billing Operations & Reimbursement at Helix, you will be a critical operational leader responsible for defining and implementing strategies to optimize billing processes and build highly efficient, AI-driven billing operations. Your primary focus will be on optimizing our end-to-end billing processes through automation and intelligent solutions, while also overseeing foundational market access activities. We are looking for a highly analytical and KPI-driven individual who can lead a lean and effective team, leveraging technology to maximize efficiency.
As an Associate Director, Billing Operations & Reimbursement you will:Strategic Planning and Development
- Develop and execute an AI-first strategy to optimize end-to-end billing processes, leveraging automation and predictive analytics across the entire billing workflow – from upstream processes (benefits investigations, prior authorizations) through to payment posting
- Develop and implement comprehensive billing and coding strategies designed to optimize reimbursement for Helix's testing services
- Establish and track key performance indicators (KPIs) across all steps of the billing process, proactively identifying areas for improvement and implementing data-driven solutions.
- Oversee day-to-day billing operations, ensuring efficiency and accuracy through automated workflows and intelligent systems
- Identify, evaluate, and implement technology solutions, with a strong emphasis on AI and automation, to continuously enhance billing efficiency, accuracy, and scalability
- Stay up-to-date with changes in billing regulations, payer policies, and industry trends
- Develop and maintain clear and concise billing policies and procedures, ensuring consistency and compliance across the organization
- Collaborate with cross-functional teams (e.g., Product, Legal, Medical Affairs, Finance) to define and set up appropriate policies and processes to ensure accurate and timely billing and to proactively address any reimbursement-related issues
- Support payer relations, including maintaining relationships with key payers, understanding their policies, and resolving routine issues
- Manage relationships with third-party billing vendors, ensuring alignment with our AI-first strategy and performance expectations
- Support externally facing teams (sales, partner success, medical affairs) by proactively identifying and resolving reimbursement related issues that could impact customer relationships
About you:
- Mission-oriented, with a deep passion for improving people's lives through DNA
- At least 10 years of progressive experience in revenue cycle management and billing operations, with a strong preference for experience in genetics
- Proven track record of significantly improving revenue cycle performance and optimizing billing processes through the strategic implementation of technology and automation
- In-depth expertise in medical billing, coding, and reimbursement practices, ideally within molecular diagnostics, coupled
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