Insurance Director

Join a USA Today Top 100 Workplace & Best in KLAS Team!

Insurance Director

Pay: $95K Annually| Schedule: Monday–Friday, 8am–5pm EST |Location: Remote

Work Where Excellence is Recognized

At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day.

Your Role: Essential, Rewarding, Impactful

To meet the victory conditions established for each client project by implementing strategies to maximize efficiency and monitor production within the physician billing insurance follow-up department, ensuring the highest level of customer service is provided to all clients. The Director of Insurance – Physician is responsible for ensuring professional fee accounts are worked in a timely manner with quality insurance follow-up activity across all major payer classes. Project goals are set and expected to be reached on a monthly basis.

What You'll Do:

• Encourage a healthy work culture and environment by modeling positive, creative, and customer-focused characteristics.
• Lead a team of insurance collectors, supervisors, and managers responsible for delivering industry-leading physician billing results to multiple clients.
• Inspire high employee engagement and dedication to facilitate great client service.
• Leverage Epic professional billing modules (Resolute PB, Claims, Remittance, Work Queues) to monitor account status, identify trends, and drive follow-up activity.
• Generate, analyze, and present comprehensive reports on claim status, denial trends, and financial performance to the executive team.
• Develop strategies to optimize financial performance and minimize denials.
• Serve as the primary liaison between the insurance follow-up department and external stakeholders, including insurance carriers.
• Handle high-level escalated inquiries and complaints.
• Conduct regular performance evaluations and provide strategic guidance.
• Identify, design, and implement process improvements to enhance operational efficiency.
• Leverage advanced technologies and best practices in revenue cycle management.
• Achieve revenue goals for 6 of 12 months the 1st year of employment and 8 months of the 12 remaining years of employment.
• Align departmental strategies with organizational goals and objectives.
• Work cooperatively with others and demonstrate professional, ethical, respectful, and courteous behavior when interacting with others.
• Performs other related duties as assigned.

What We're Looking For:

• Bachelor’s Degree preferred but will consider an associate degree with adequate experience and training.
• Minimum of 10 years of physician billing insurance follow-up experience preferred.
• Extensive professional fee/physician revenue cycle experience required, including knowledge of E&M coding, CPT/HCPCS, modifier usage, and physician billing payer rules.
• Minimum of 5 years in a management role leading billing and insurance follow-up agents in a physician billing environment.
• Proficiency with Epic Resolute Professional Billing, including Work Queues, Claims, Charge Review, and reporting/dashboard tools.
• Knowledge of Microsoft Office Suite (Excel, Outlook, PowerPoint, and Word).
• Results-oriented with a strong analytical mindset.
• Ability to coach/train others on physician billing workflows and Epic system navigation.
• Capable of interacting pleasantly and positively with others to meet customer expectations and provide follow-up with customers.
• Strong written and verbal communication skills.
• Strong work ethic.
• Ability to handle and maintain confidential information.

Why You'll Love RSi:

• Competitive pay with ample opportunities for professional growth.
• Fully remote position with a stable Monday–Friday schedule.
• Collaborative, performance-driven environment with expert leadership.
• Mission-driven work supporting essential healthcare services.
• Recognition as a nationally respected leader in healthcare revenue management.

Physical Requirements:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

What to Expect When You Apply:

Our hiring process is designed to find exceptional candidates. Once your application is received, you'll receive an invitation to complete an initial skills assessment. This step is essential: completing this assessment promptly positions you for an interview and demonstrates your commitment to excellence.

We believe in creating exceptional teams, and this process ensures that every member at RSi has the opportunity to thrive and grow.

Ready to be part of something special? Apply now and join our team!