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Prime Healthcare

Director Revenue Cycle

Prime Healthcare, Texas, New Jersey, United States

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Prime Healthcare

is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen 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! The

Revenue Cycle Director

is responsible for planning, organizing and influencing department activities and delivery of Business services while maintaining continuous quality improvement. The Director maintains operation within budgetary parameters. Effectively interacts with patients, significant others and other health team members, while maintaining standard of professional business service. This role is accountable to the Vice President for the day-to-day management of personnel, including staffing, timekeeping, employee evaluations, counseling interviewing and selection of staff within established guidelines. Responsibilities : Patient Access:

including preregistration, insurance verification, point-of-service collections, financial counseling, registration, self-pay to Medicaid and other programs approval and conversion Billing/Collections : analyze, through large datasets, unusual billing/collection trends and identify opportunities for process improvement and reimbursement optimization. Complex Claims Management : identifies, trends, and owns portfolios of complex claims, including Third party claims, TDRG, Zero Balance, and assists in the remediation of denial trends, including coordination with other departments as required. Patient Liability Collections : including programs to drive up patient liability collections – Early out, Bad Debt, primary, secondary and tertiary placements as needed, Drive Digital transformation and patient education and payment behavior Qualifications: Bachelor Degree in Business, Healthcare, or related experience Large Hospital System related experience preferably managing several hospitals across several states EPIC, SSI, Relay, ePremis, Assurance technical skills Seniority level

Seniority level Director Employment type

Employment type Full-time Job function

Job function Accounting/Auditing, Analyst, and Information Technology Industries Hospitals and Health Care, Hospitals, and Public Health Referrals increase your chances of interviewing at Prime Healthcare by 2x Inferred from the description for this job

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