Associate Director, Cash Posting & Correspondence

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com.

Summary 

The Associate Director, Cash Posting and Correspondence plays a critical leadership role in overseeing the accurate and timely posting of payments and handling of payer correspondence for a high-volume genetic testing laboratory. This position ensures the integrity of financial data, supports denial resolution efforts, and drives process improvements across cash application workflows. The ideal candidate has deep expertise in laboratory billing, payer remittance processing, and correspondence management, with a strong understanding of genetic testing reimbursement.

Job Responsibilities

• Lead and manage the cash posting and correspondence teams, ensuring accuracy, timeliness, and compliance with internal and external standards.
• Oversee daily operations related to payment posting, including electronic remittance advice (ERA), manual payments, and adjustments.
• Monitor and resolve discrepancies in payment postings, including underpayments, overpayments, and misapplied funds.
• Ensure proper handling and routing of payer correspondence, including denial letters, requests for additional information, and audit notifications.
• Collaborate with denials and follow-up teams to support resolution of payment issues and improve reimbursement outcomes.
• Develop and maintain SOPs for cash posting and correspondence workflows, ensuring alignment with industry best practices.
• Analyze cash posting metrics and correspondence trends to identify areas for improvement and report findings to senior leadership.
• Support system enhancements and automation initiatives to improve efficiency and reduce manual work.
• Ensure compliance with HIPAA, payer guidelines, and internal audit requirements.

 People Manager

• Yes
• Lead and manage the Cash Posting and Correspondence teams, ensuring daily operations are executed with accuracy, timeliness, and compliance.
• Serve as the primary point of contact for direct reports, conducting regular check-ins to address concerns, monitor performance, and provide coaching.
• Oversee staffing levels and scheduling to ensure adequate coverage for high-volume remittance and correspondence workflows.
• Set clear performance goals and expectations for team members, aligned with revenue cycle KPIs such as posting turnaround time, discrepancy resolution rate, and correspondence response time.
• Develop and maintain SOPs for cash posting and correspondence workflows, ensuring alignment with industry best practices and internal audit requirements.
• Support automation initiatives and system enhancements to reduce manual work and improve efficiency.
• Ensure compliance with HIPAA, payer guidelines, and internal policies.

 Education, Experience, and Skills

• Bachelor’s degree in Healthcare Administration, Accounting, Business, or related field or commensurate experience.
• 5–10 years of experience in medical billing, cash posting, and payer correspondence, preferably in a laboratory or genetic testing environment.
• Strong understanding of remittance processing, EOB/ERA interpretation, and reconciliation practices.
• Proven leadership experience with the ability to manage and develop high-performing teams.
• Excellent attention to detail, analytical skills, and problem-solving abilities.
• Proficiency in billing systems, clearinghouses, and financial reporting tools.
•  

Certificates, Licenses, Registrations

• N/A

Physical Demands

• Ability to sit for long periods of time.
• Computer work including email, data analytics and online meetings.

Work Environment

• Remote position.
• Standard work hours are Monday through Friday, 9 AM to 5 PM EST
• Potential travel for in-person meetings.

#LI-REMOTE

Pay Transparency, Budgeted Range$130,000—$145,000 USD

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