Head of Denials

Our Company:  

Start your next chapter at Revecore! For over 25 years, we’ve been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further.  

 

As part of our team, you’ll be rewarded with: 

• Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment 
• 12 paid holidays and flexible paid time off    
• 401(k) contributions   
• Employee Resource Groups that build community  
• Career growth opportunities   
• An excellent work/life balance 

Location: Remote – USA  

 

As Revecore’s Head of Denials and Receivables, you will: 

Primarily be responsible for the overall delivery of the Denials & Receivables solutions.  Establish and execute operations strategies for solutions beginning with planning and through client delivery. The successful candidate will have the following: Expert-level knowledge of acute care hospital provider revenue cycle operations and systems best practices; expert-level knowledge of denial management strategies and tactics; technical and data savvy; operations savvy and efficiency conscious; excellent communication and collaboration skills; excellent critical thinking skills; experience leading and motivating large teams; deep understanding of the end-to-end RCM and denials business from an RCM vendor perspective; ability to leverage AI-driven tools and technologies to enhance solution delivery

 

The Role:  

• Lead delivery of Denials & Receivables solutions, including provide leadership, direction, and guidance to solution delivery team
• Serve as a strategic thought leader in the denials and RCM space, contributing to industry conversations, internal innovation, and competitive positioning
• Develop and execute resource plan to support solution objectives
• Contribute to solution roadmap including technology and resource requirements, including evaluation and adoption of AI and automation capabilities 
• Champion a culture of innovation within the team by identifying emerging industry trends, piloting new approaches to denials management, and scaling solutions that deliver measurable outcomes
• Utilizes advanced data analytics to identify trends, track performance, and make data-driven decisions
• Develop and monitor key performance indicators to ensure solution objectives are met. Production Management, Core Metrics, KPIs driven.
• Collaborate with information technology to achieve development objectives 
• Identify and implement process improvements to streamline operations
• Develop and execute workforce planning and resource strategies to support solution objectives and organizational scaling
• Ensure adherence to industry regulations and compliance requirements 
• Collaborates with other internal departments, such as sales, client success, finance, and human resources to achieve business objectives 
• Develop and monitor departmental budgets and forecasts; ownership of solution P&L 
• Represent firm in the marketplace to build brand and new business development 
• Performs other duties as assigned  

You’ll be successful if you have: 

• Minimum 10 years’ back-end revenue cycle operations experience with a focus on hospital acute care clients
• Previous executive leadership experience from an RCM vendor environment, both onshore and offshore (i.e. India and Philippines)
• Executive-level communication skills, both written and verbal, with demonstrated ability to present to C-suite and board-level audiences
• Demonstrated experience leveraging AI solutions to improve denials outcomes, workflow efficiency, or predictive analytics. Demonstrated history of bringing innovative solutions or approaches to denials management or broader RCM operations, including process redesign, technology adoption, or new service models