PROMEDIX® HEALTH
Controller - MEDICAL BILLER - Healthcare Revenue Cycle | CPA Preferred
PROMEDIX® HEALTH, Irvine, California, United States, 92713
Controller – MEDICAL BILLER – Healthcare Revenue Cycle | CPA Preferred
In‑Office | Newport Beach, CA
ProMedix Health is seeking an experienced controller with healthcare accounting and revenue‑cycle expertise to lead financial operations across our rapidly expanding multi‑state telehealth organization. This is a hands‑on, high‑visibility leadership role working directly with the CFO and CEO.
Responsibilities
Lead full‑cycle accounting, month‑end close, reconciliations, and financial reporting.
Oversee Medicare, Medicare Advantage, commercial, and cash‑pay revenue recognition.
Manage medical billing and revenue‑cycle financial oversight.
Analyze claims, denials, A/R, collections, and reimbursement trends.
Support audits, compliance readiness, and regulatory reporting.
Build executive dashboards and KPIs.
Partner with clinical ops, compliance, and engineering to resolve billing and documentation issues.
Medical Billing & Revenue Cycle Management
Oversee end‑to‑end medical billing operations, including charge capture, claim submission, payment posting, adjustments, denials, and appeals.
Ensure accurate billing and reimbursement for Medicare and other payers, including CPT codes such as 99457, 99458, 99490, 99439, 99492–99494, and related services.
Monitor billing workflows to ensure claims are submitted accurately, timely, and in compliance with payer and regulatory requirements.
Manage denial trends, root‑cause analysis, and corrective action plans to maximize collections and reduce AR days.
Reconcile billed charges to payments received and identify variances promptly.
Controller & Financial Oversight
Serve as controller‑level owner for revenue recognition related to medical billing activities.
Oversee and reconcile accounts receivable, deferred revenue, accruals, and cash collections tied to clinical services.
Lead month‑end and quarter‑end close processes related to billing, revenue, and AR.
Ensure accurate financial reporting in accordance with GAAP and internal accounting policies.
Maintain strong internal controls over billing, collections, and revenue recognition.
Financial Reporting & Analysis
Prepare and review financial reports related to revenue, collections, aging, write‑offs, and payer performance.
Provide executive‑level reporting and insights on revenue trends, reimbursement rates, billing efficiency, and financial risks.
Partner with leadership to forecast revenue, cash flow, and billing capacity.
Support audits, payer reviews, and compliance inquiries related to billing and financial records.
Compliance & Risk Management
Ensure compliance with CMS regulations, Medicare billing rules, payer contracts, and internal policies.
Maintain audit‑ready documentation for billing, revenue recognition, and financial reporting.
Collaborate with compliance, clinical, and operations teams to address billing risks and regulatory changes.
Implement and enforce SOPs for billing, documentation, reconciliation, and financial controls.
Systems, Process Improvement & Leadership
Own and optimize billing systems, EHRs, clearinghouses, and accounting platforms (e.g., Canvas, Athena, Tellescope, QuickBooks, NetSuite).
Improve billing workflows through automation, standardization, and performance tracking.
Develop KPIs and dashboards for billing productivity, reimbursement performance, and financial accuracy.
Train and mentor billing and finance staff; provide leadership and accountability across the revenue‑cycle function.
Act as a key cross‑functional partner to clinical, operations, and executive leadership.
What We Are Looking For
Bachelor’s in Accounting or Finance (CPA strongly preferred).
5+ years of progressive healthcare accounting experience.
Strong understanding of Medicare reimbursement and RCM workflows.
Working knowledge of CPT, HCPCS, and ICD‑10.
Experience with audits, denials management, and compliance validation.
Exceptional analytical skills and executive communication ability.
Telehealth, RPM, CCM, Medicare Advantage, and multi‑state experience are a strong plus.
Work Environment
Full‑time, in‑office role only (not remote or hybrid).
Fast‑growth, mission‑driven healthcare organization.
Occasional travel for audits and leadership meetings.
Compensation & Benefits
Highly competitive base salary based on healthcare finance expertise.
Full benefits package.
Long‑term career growth with executive exposure.
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ProMedix Health is seeking an experienced controller with healthcare accounting and revenue‑cycle expertise to lead financial operations across our rapidly expanding multi‑state telehealth organization. This is a hands‑on, high‑visibility leadership role working directly with the CFO and CEO.
Responsibilities
Lead full‑cycle accounting, month‑end close, reconciliations, and financial reporting.
Oversee Medicare, Medicare Advantage, commercial, and cash‑pay revenue recognition.
Manage medical billing and revenue‑cycle financial oversight.
Analyze claims, denials, A/R, collections, and reimbursement trends.
Support audits, compliance readiness, and regulatory reporting.
Build executive dashboards and KPIs.
Partner with clinical ops, compliance, and engineering to resolve billing and documentation issues.
Medical Billing & Revenue Cycle Management
Oversee end‑to‑end medical billing operations, including charge capture, claim submission, payment posting, adjustments, denials, and appeals.
Ensure accurate billing and reimbursement for Medicare and other payers, including CPT codes such as 99457, 99458, 99490, 99439, 99492–99494, and related services.
Monitor billing workflows to ensure claims are submitted accurately, timely, and in compliance with payer and regulatory requirements.
Manage denial trends, root‑cause analysis, and corrective action plans to maximize collections and reduce AR days.
Reconcile billed charges to payments received and identify variances promptly.
Controller & Financial Oversight
Serve as controller‑level owner for revenue recognition related to medical billing activities.
Oversee and reconcile accounts receivable, deferred revenue, accruals, and cash collections tied to clinical services.
Lead month‑end and quarter‑end close processes related to billing, revenue, and AR.
Ensure accurate financial reporting in accordance with GAAP and internal accounting policies.
Maintain strong internal controls over billing, collections, and revenue recognition.
Financial Reporting & Analysis
Prepare and review financial reports related to revenue, collections, aging, write‑offs, and payer performance.
Provide executive‑level reporting and insights on revenue trends, reimbursement rates, billing efficiency, and financial risks.
Partner with leadership to forecast revenue, cash flow, and billing capacity.
Support audits, payer reviews, and compliance inquiries related to billing and financial records.
Compliance & Risk Management
Ensure compliance with CMS regulations, Medicare billing rules, payer contracts, and internal policies.
Maintain audit‑ready documentation for billing, revenue recognition, and financial reporting.
Collaborate with compliance, clinical, and operations teams to address billing risks and regulatory changes.
Implement and enforce SOPs for billing, documentation, reconciliation, and financial controls.
Systems, Process Improvement & Leadership
Own and optimize billing systems, EHRs, clearinghouses, and accounting platforms (e.g., Canvas, Athena, Tellescope, QuickBooks, NetSuite).
Improve billing workflows through automation, standardization, and performance tracking.
Develop KPIs and dashboards for billing productivity, reimbursement performance, and financial accuracy.
Train and mentor billing and finance staff; provide leadership and accountability across the revenue‑cycle function.
Act as a key cross‑functional partner to clinical, operations, and executive leadership.
What We Are Looking For
Bachelor’s in Accounting or Finance (CPA strongly preferred).
5+ years of progressive healthcare accounting experience.
Strong understanding of Medicare reimbursement and RCM workflows.
Working knowledge of CPT, HCPCS, and ICD‑10.
Experience with audits, denials management, and compliance validation.
Exceptional analytical skills and executive communication ability.
Telehealth, RPM, CCM, Medicare Advantage, and multi‑state experience are a strong plus.
Work Environment
Full‑time, in‑office role only (not remote or hybrid).
Fast‑growth, mission‑driven healthcare organization.
Occasional travel for audits and leadership meetings.
Compensation & Benefits
Highly competitive base salary based on healthcare finance expertise.
Full benefits package.
Long‑term career growth with executive exposure.
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