Corporate Director of Revenue Cycle

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

 

Responsibilities

The Corporate Director or Revenue Cycle is responsible for analyzing various areas across the Revenue Cycle spectrum:

1) Patient Access, including preregistration, insurance verification, point-of-service collections, financial counseling, and registration.

2) Denial Management: identifies, trends, and assists in the remediation of denial trends, including coordination with other departments as required.

3) Billing/Collections: analyze, through large datasets, unusual billing/collection trends and identify opportunities for process improvement and reimbursement optimization. 

 

The Director will maintain a good working relationship with all facilities in their region to ensure clear communication.  The Revenue Cycle Director is the liaison between the Corporate office and the regional business offices and hospital C-suites, providing any support needed.

 

#LI-DNI

Qualifications

Required qualifications:

Bachelor’s Degree in Business Administration, Accounting, or related field

At least 7 years of Hospital Revenue Cycle Management 

Previous experience in a multi-hospital health system

Working knowledge of the Revenue Cycle spectrum: Patient Access, Coding, DNFB, billing, collections

Experience using billing systems (e.g., EPIC and/or Meditech)

Advanced computer skills required (advanced Excel, working knowledge of SQL a plus)

Excellent communication and interpersonal skills

Strong analytical skills

Strong knowledge of health plan requirements

Preferred qualifications:

Experience with Change Healthcare products (Relay)

Experience navigating 3M coding products

 

 

 

 

Pay Transparency

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $126,921.60 to $190,382.40 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf