Position Overview
Job Summary:
The Insurance & RCM Director is responsible for the strategic and operational management of all relationships, contracts, and agreements with medical insurance companies. This role aims to maximize revenue, expand the center’s payer network, and optimize the Revenue Cycle Management (RCM) process. The director will oversee medical approvals, claims, and rejection, while analyzing rejection root causes (medical or technical) to maximize acceptance rates and drive annual revenue growth in alignment with the Center’s financial goals.
Key Responsibilities:
Contract Management & Strategic Partnerships:
- Policy Review & Optimization: Regularly review and evaluate current insurance policies to protect the Center’s financial interests and secure optimal reimbursement rates.
- Network Expansion: Identify, negotiate, review and establish new contracts a...