Passionate about precision medicine and advancing the healthcare industry?
Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.
Tempus is seeking a Director, Revenue Cycle Operations to serve as the primary business unit liaison for Tempus AI Diagnostics. This leader will provide day-to-day operational oversight of the end-to-end revenue cycle, partnering closely with diagnostic laboratory operations, finance, commercial, reimbursement, technology, compliance, and external revenue-cycle partners.
The Director will ensure that revenue cycle processes are scalable, compliant, operationally effective, and aligned to the business unit’s financial and patient-access objectives. The ideal candidate brings deep diagnostic laboratory revenue cycle expertise and direct, hands-on operational experience with Quadax.
Key Responsibilities:
Business Unit Partnership & Leadership Serve as the principal revenue cycle liaison to the Tempus AI Diagnostics business unit, translating business priorities into clear operational plans and performance expectations.
Advise business leaders on revenue cycle implications of new tests, payor requirements, client arrangements, pricing, coverage policies, and operational changes.
Lead cross-functional governance and operating rhythms for revenue cycle performance, risks, priorities, and issue resolution.
Build strong working relationships across laboratory operations, billing, finance, commercial, medical affairs, compliance, legal, product, and technology teams.
Revenue Cycle Operations Direct the daily operational performance of the diagnostic laboratory revenue cycle across patient intake, eligibility and benefits verification, prior authorization support, charge capture, coding, claims submission, payment posting, denials, appeals, patient billing, collections, and reporting.
Establish, monitor, and continuously improve key performance indicators, including clean claim rate, first-pass yield, denial rate, days in accounts receivable, cash collections, net collection rate, authorization turnaround time, and patient balance outcomes.
Identify root causes of operational leakage, denials, delayed reimbursement, and billing defects; lead corrective actions through sustainable process, system, and workflow improvements.
Ensure appropriate operational controls, documentation, escalation paths, and audit readiness across the revenue cycle.
Partner with internal teams and vendors to optimize workflows, service-level performance, and accountability.
Quadax Oversight Bring direct operational expertise with Quadax to manage and improve revenue cycle workflows, work queues, claim and remittance processes, reporting, and exception handling.
Oversee the effective use of Quadax tools and data to support claims management, follow-up, denial prevention, payment reconciliation, and operational reporting.
Partner with technology, laboratory operations, and revenue-cycle stakeholders to define requirements, prioritize enhancements, validate changes, and manage implementation impacts.
Develop standards for Quadax data quality, workflow configuration, user adoption, reporting accuracy, and issue resolution.
Diagnostic Laboratory Reimbursement Expertise Apply deep knowledge of diagnostic laboratory billing and reimbursement practices, including CPT/HCPCS coding, ICD-10 diagnosis coding, medical necessity, payor edits, coverage requirements, laboratory-specific claim rules, and appeals.
Monitor reimbursement trends and regulatory or payor-policy changes that may affect Tempus AI Diagnostics revenue cycle performance.
Partner with compliance and legal stakeholders to ensure workflows and practices align with applicable…