Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy, and consent to receive emails from Rise
Jobs / Job page
Director, Billing and Reimbursement image - Rise Careers
Job details

Director, Billing and Reimbursement

Location: Remote, Hybrid, or On-Site in Boulder, Colorado, United States

About Our Company

Foresight Diagnostics is an early-stage, venture-backed molecular diagnostics company that is developing non-invasive cancer detection technologies to improve the lives of patients worldwide. Our portfolio of cell-free DNA based liquid biopsy tests are rooted in novel and proprietary methods developed at Stanford University. Our approach enables the earlier detection of smaller tumors, leading to more personalized and effective cancer treatment strategies for patients. We have deep expertise in molecular biology, bioinformatics, and Next Generation Sequencing (NGS), and maintain a dynamic, fast-paced work environment with significant opportunities for high-impact contribution and rapid professional growth. Foresight Diagnostics is headquartered in Boulder, Colorado.

About The Role

The Director, Billing & Reimbursement will lead the company’s diagnostic billing operations, ensuring efficient revenue cycle processes, compliance with payer policies, and optimization of reimbursement for ctDNA, minimal residual testing (MRD) testing. This position will oversee end-to-end billing operations including claims submission, denial management, payer contracting support, and revenue integrity. The ideal candidate will bring deep expertise in laboratory billing, coding, and payer relations within the molecular diagnostics or oncology testing space.

What You Will Do

Billing Operations & Revenue Cycle Management

  • Oversee and manage all aspects of the billing process, including claims submission, coding, payment posting, and accounts receivable.

  • Develop and implement best practices to maximize clean claim rates, reduce denials, and improve collection timelines.

  • Ensure compliance with all regulatory requirements, including Medicare, Medicaid, and commercial payer billing policies.

  • Optimize billing workflows, technology systems, and automation to improve efficiency and reduce errors.

Payer Relations & Reimbursement Optimization

  • Collaborate with payers ensure proper coding, coverage, and reimbursement for MRD diagnostics.

  • Support the Foresight market access team during contract negotiations with commercial payers and government programs to improve reimbursement rates and minimize claim denials.

  • Monitor changes in payer policies and advocate for favorable reimbursement policies for MRD testing.

Compliance & Regulatory Adherence

  • Ensure billing practices align with state and federal regulations, including CMS guidelines, HIPAA, and fraud prevention laws.

  • Work closely with legal, compliance, and finance teams to mitigate billing risks and maintain accurate documentation.

  • Lead internal billing audits and support external payer audits or reviews.

Team Leadership & Cross-Functional Collaboration

  • Manage third party revenue cycle managers, ensuring performance to contract and driving successful billing outcomes.

  • Manage and develop a high-performing billing team, including billing specialists, coders, and claims resolution staff.

  • Partner with finance, market access, sales, and lab operations teams to ensure seamless revenue cycle operations.

  • Provide training and ongoing education on billing policies and best practices for internal teams.

What You Will Bring

  • Bachelor’s degree in healthcare administration, finance, business, or a related field (MBA or CPC certification preferred).

  • Minimum of 7-10 years in laboratory billing, revenue cycle management, or payer contracting, with at least 3 years in a leadership role.

  • Deep knowledge of molecular diagnostics billing, CPT coding, Medicare and commercial payer requirements, and prior authorization processes.

  • Experience with laboratory information systems (LIS), electronic health record (EHR) billing, and revenue cycle management software.

  • Strong analytical, problem-solving, and leadership skills.

  • Ability to work cross-functionally and communicate complex billing matters effectively.

Compensation and Benefits

This role is hiring at an annual salary of $193,375 - $218,500 and is eligible for equity offerings. Foresight offers benefits including paid vacation, sick time, and parental leave (if applicable), alongside medical, dental, vision, life, disability coverage, flexible spending accounts, and a 401k with company match. 

The application deadline for this position is April 30, 2025. 

You will be working on interesting problems with extremely high impact. We promote the professional development of our employees and will encourage upward mobility within the company for high performing employees. Foresight Diagnostics is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Average salary estimate

$205937.5 / YEARLY (est.)
min
max
$193375K
$218500K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

Similar Jobs

Join Foresight Diagnostics as a Program Manager, Operations and help lead cutting-edge cancer detection technology initiatives in a dynamic environment.

Photo of the Rise User
Demco Hybrid Madison, Wisconsin, United States
Posted 12 days ago

Demco seeks an Accounts Receivable Specialist to enhance our team, focusing on customer assistance and efficient AR management.

Photo of the Rise User
Posted 11 days ago
Inclusive & Diverse
Mission Driven
Collaboration over Competition
Growth & Learning
Medical Insurance
Dental Insurance
Vision Insurance
Learning & Development
Paid Time-Off
Sabbatical
WFH Reimbursements
Flex-Friendly

As a Senior Accountant at Newsela, you'll streamline accounting operations and drive improvements in financial reporting and compliance.

Photo of the Rise User

Seeking a Senior Project Accounting Specialist to enhance billing processes for Bounteous x Accolite, a leader in digital transformation consultancy.

Photo of the Rise User
Instabase Hybrid New York, United States
Posted 4 days ago

Become a pivotal part of Instabase as a hands-on Accounting Manager, driving efficiency and innovation in a fast-paced AI startup.

Photo of the Rise User

Join FanDuel Sports Network as a Director of Accounts Receivable, leading a high-performing team in a dynamic environment focused on local sports media.

Photo of the Rise User
Posted 11 days ago

As a Graduate Trainee at QAD, you’ll gain hands-on experience in accounting while working in a supportive and collaborative environment.

Photo of the Rise User
Pico Remote New York, United States
Posted 10 days ago

Join Pico as a Revenue Accountant and be a vital part of their financial operations in a dynamic global environment.

Photo of the Rise User
CoreTrust Purchasing Group Remote Nashville, Indiana, United States
Posted 8 days ago

Join CoreTrust as a Senior Revenue Accountant, where you'll play a key role in transforming procurement processes while managing revenue operations.

Join Seabrook Island Club as an Accounts Payable Specialist, where your skills will help manage financial disbursements in a vibrant hospitality environment.

We are looking for a detail-oriented Product Cancellation Specialist to support our accounting efforts at Edwards Auto Group.

Photo of the Rise User
Posted 7 days ago

Become a valued member of Evonik as an Accounts Receivable Analyst and shape innovative solutions for a sustainable future.

Photo of the Rise User
Posted 3 days ago
Inclusive & Diverse
Rise from Within
Mission Driven
Diversity of Opinions
Work/Life Harmony
Take Risks
Collaboration over Competition
Growth & Learning
Transparent & Candid
Customer-Centric
Social Impact Driven
Rapid Growth
Passion for Exploration
Dare to be Different
Reward & Recognition
Friends Outside of Work
Medical Insurance
Dental Insurance
Vision Insurance
Mental Health Resources
Life insurance
Disability Insurance
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Conferences Stipend
Bias Training
Employee Resource Groups
401K Matching
Paternity Leave
Maternity Leave
Some Meals Provided
Social Gatherings

Join Google as a Special Projects Accounting Lead to oversee accounting processes and influence financial decisions for Cloud product initiatives.

Photo of the Rise User
StubHub Hybrid New York, United States
Posted 3 days ago

Join StubHub as an Intercompany Accounting Manager and help shape the future of live events through precise accounting leadership.

MATCH
Calculating your matching score...
FUNDING
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
HQ LOCATION
No info
EMPLOYMENT TYPE
Full-time, hybrid
DATE POSTED
March 13, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!
LATEST ACTIVITY
Photo of the Rise User
Someone from OH, Dayton just viewed Plant Engineer I - HVAC at Pfizer
Photo of the Rise User
Someone from OH, Dayton just viewed Entry Level Industrial Engineer at Boeing
Photo of the Rise User
Someone from OH, Dayton just viewed Manufacturing Engineer Intern at Marvin
Photo of the Rise User
Someone from OH, Dayton just viewed Assessment Engineering Intern at Learning A-Z
C
Someone from OH, Dayton just viewed Project Engineer at CRB
Photo of the Rise User
Someone from OH, Dayton just viewed Manufacturing Engineer III at Agile Space Industries