Executive Director, Payer Denials & Revenue Recovery

Piedmont-Healthcare; Atlanta (GA); On-site; USD 180,000 - 280,000; Full time

Job summary

Piedmont Healthcare Corporate is seeking an Executive Director to lead system-wide payer denials and recovery within the Revenue Cycle organization for hospital and physician entities. The role drives strategic vision, oversight, and enterprise accountability for denial management, appeals, recoupment defense, and payer performance.

Strong leadership and deep revenue cycle expertise are essential. The incumbent will guide cross-functional teams, partner with payer organizations and regulators,

Qualifications

• 10 years of leadership experience in revenue cycle operations.
• Knowledge of the entire revenue cycle with specific expertise in: denials management, appeals operations, payer recoveries, hospital and physician billing, managed care reimbursement, contract compliance, underpayment recovery, revenue integrity, regulatory dispute resolution.
• Experience managing two or more: commercial payer disputes, government payer disputes, recoupment defense activities, IDR, payer audit responses, contract compliance initiatives, underpayment recovery programs.

Responsibilities

• Developing and executing the strategic vision for system-wide payer denials and recovery functions.
• Oversight of key operational and financial decisions pertaining to payer recovery, underpayment recovery, contract compliance, recoupment defense, dispute resolution, and denial management.
• Serve as enterprise leader for payer denials and recovery operations across hospital and physician revenue cycle operations.

Skills

Leadership

Revenue Cycle

Denials Management

Payer Relations

Process Improvement

Education

Bachelor's Degree in Business Administration

Master's Degree

Tools

Epic Revenue Cycle

Job description

Piedmont Healthcare Corporate is seeking an Executive Director to lead system-wide payer denials and recovery within the Revenue Cycle organization for hospital and physician entities. The role drives strategic vision, oversight, and enterprise accountability for denial management, appeals, recoupment defense, and payer performance.

Strong leadership and deep revenue cycle expertise are essential. The incumbent will guide cross-functional teams, partner with payer organizations and regulators,