The cost of reworking denied claims is draining healthcare organizations, yet many billing leaders struggle to secure the executive buy-in needed to fix the root causes. True revenue cycle transformation requires more than managing staff—it requires managing up. Drawing directly from successful real-world executive pitches, this session provides a leadership blueprint for presenting high-impact revenue cycle ideas directly to the CEO and C-suite. We will explore how to translate back-office billing friction (such as payment posting lag, appeal writer bottlenecks, and coder silos) into the strategic, financial language that executives care about. Leaders will learn how to structure a business case that shifts an organization from a reactive "denial management" mindset to an efficient "denial engineering" model, complete with cross-functional feedback loops and robust internal auditing workflows.