Director, Payer Relations (Revenue Cycle Management)

RGH Enterprises, LLC(26 days ago)

RemoteFull TimeDirector$105,600 - $178,750Revenue Cycle Management (Payer Relations)

About this role

The Director, Payer Relations (RCM) is a senior leader responsible for enterprise-wide payer escalation, denial prevention, and payer rule governance to protect revenue and improve cash performance across Medicare, Medicaid, Medicare Advantage, and Commercial payers. The role provides strategic and operational oversight of payer advisors, denials teams, and payer rules advisors, and serves as the senior escalation authority for complex payer issues. This position ensures payer contract terms and requirements are accurately operationalized across systems and workflows to minimize reimbursement risk.

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Required Skills

Payer Escalations
Denial Prevention
Payer Governance
Revenue Cycle
Contract Negotiation
Stakeholder Management
Data Analytics
Regulatory Knowledge
Leadership

About RGH Enterprises, LLC

rghproducts.com

RGH Products is a locally owned office supply company based in Baltimore, specializing in the remanufacturing of toner cartridges. With over 30 years of experience, RGH is committed to providing high-quality, sustainable printing solutions for its customers while positively impacting the local community. The company aims to deliver exceptional service and environmentally friendly products to meet the needs of businesses in the Baltimore area.

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