Role Description The Director, Accounts Receivable, Laboratory & Specialized Services provides strategic and operational leadership for the laboratory and specialized service line accounts receivable (AR) function. This role is responsible for: - Optimizing AR follow-up processes - Resolving complex reimbursement issues - Improving collections performance - Reducing aging receivables - Driving operational excellence through KPI management, data analytics, and process improvement As the primary accounts receivable partner to laboratory leadership and pathology providers, the Director develops and executes strategies to: - Improve reimbursement outcomes - Reduce outstanding AR - Minimize revenue leakage related to unresolved claims - Enhance operational efficiency This role collaborates closely with Revenue Cycle Leadership, Finance, Information Technology, Compliance, and other RCM leaders to: - Streamline AR workflows - Leverage data-driven insights - Support system implementations - Improve financial performance across laboratory and specialized service lines The Director serves as the subject matter expert for laboratory and specialized service line accounts receivable operations, providing strategic leadership through: - Performance analytics - KPI reporting - Process optimization - Continuous improvement initiatives Qualifications - Minimum of 8 years of progressive Revenue Cycle Management experience within healthcare - Minimum of 5 years of leadership experience managing revenue cycle teams - Minimum of 3 years of experience in a large pathology laboratory setting - Significant experience supporting pathology, laboratory medicine, or other specialized healthcare service lines - Demonstrated success leading laboratory accounts receivable operations, denial resolution, reimbursement follow-up, payer escalations, and collections performance - Experience leading revenue cycle optimization initiatives within a multi-site healthcare organization - Proven ability to lead large-scale operational improvement and system implementation projects Requirements - Advanced knowledge of laboratory accounts receivable processes, reimbursement methodologies, payer requirements, denial management, and collections strategies - Experience with XiFin Practice Management strongly preferred - Experience with ModMed or comparable electronic health record and practice management systems preferred - Working knowledge of CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and laboratory billing regulations - Advanced Microsoft Excel and reporting capabilities Leadership Competencies - Strategic leadership and executive presence - Financial and operational acumen - Strong analytical and problem-solving skills - Change management and process improvement expertise - Exceptional communication and relationship-building skills - Ability to influence cross-functional stakeholders and executive leadership - Strong organizational and project management skills Benefits - Competitive Pay – Attractive compensation to reward your hard work - Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered - Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting - Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year - Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans - Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances - Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security - Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges - Exclusive Employee Discounts – Save on products and services with special discounts just for you - Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team Company Description QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States on a full-time basis.

• Investigate, appeal, and resolve denied or rejected claims by insurance payors. • Work with insurance companies to clarify discrepancies and ensure proper reimbursement. • Review and assess Explanation of Benefits (EOBs) at the claim level to determine issues. • Determine root cause of any billing related or claim submission issues to prevent recurrence. • Make corrections to claims based on denials and rebill utilizing standardized process and procedures. • Follow up with unresolved claims through system resources, clearinghouse, payer portal or call to the payor, when necessary. • Assess whether an appeal is required for a claim denial. • Track appeals to ensure timely payment and resolution. • Spot recurring patterns in denials and report them to management for further analysis and action. • Effectively communicate both verbally and in writing with team members, payors, patients, and other relevant parties. • Keep up to date with internal processes, industry standards, and government regulations relevant to denial management to ensure compliance and best practices.

• Enter monthly invoices, debit notes, and credit notes into accounting system • Process deposits against the appropriate customers and accounts • Balance deposits in the accounting system • Follow systems of checks and balances • Allocate broker commissions for payment • Answer internal and external customer calls • Update customer-related information in accounting system • Identify and resolve problems in timely manner • Follow up on delinquent accounts and own accountability for open items • Collect and post claim payments against monthly invoices in accounting system • Enter and process monthly fee claims for ancillary product offerings via claim system • Process advanced accounting entries, such as reclasses, debits & credits

Role Description Responsible for administering the billing to secondary and tertiary payers in alignment with all regulations and hospital policies. Research and respond to inquiries/complaints related to the billing process resolving all elements for processing. - Processes claims and edits via assigned work queues to ensure third parties have received the information in a timely and accurate fashion. - Research, make necessary corrections and update accounts ensuring accurate billing. - Remains current on payer plan changes, updates and website in determining benefit eligibility. - Review and resolve assigned charge review edits. - Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Qualifications - High School Diploma/GED - 2 years healthcare revenue cycle experience or related experience - Knowledge of healthcare terminology - Knowledge of State and Federal healthcare billing guidelines - Demonstrated proficiency in mathematics Requirements - Bachelor’s Degree or Master’s Degree - Experience working with EPIC - Experience in telecommuting - Knowledge of IDC-10 and CPT coding Physical Demands - Lift and carry 25 lbs. - Frequent sitting/standing - Frequent keyboard use - Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Benefits - Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits. - Access to tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service. - All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.