Corporate Director of Revenue Cycle in Ontario, CA at Prime Healthcare

Date Posted: 10/20/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    3300 East Guasti Road
    Ontario, CA
  • Job Type:
  • Experience:
    At least 7 year(s)
  • Date Posted:
    10/20/2020

Job Description

Responsibilities The Revenue Cycle Director 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.

 

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Education and Work Experience
  1. At least 7 years of Hospital Revenue Cycle Management – Required
  2. Previous experience in a multi-hospital health system – Required
  3. Experience using billing systems (e.g., EPIC and/or Meditech) – Required
  4. Experience with Change Healthcare products (Relay) preferred.
  5. Experience navigating 3M coding products preferred.
  6. Working knowledge of the Revenue Cycle spectrum: Patient Access, Coding, DNFB, billing, collections
  7. Excellent communication and interpersonal skills
  8. Strong analytical skills required
  9. Advanced computer skills required (advanced Excel, working knowledge of SQL a plus)
  10. Strong knowledge of health plan requirements
  11. Bachelor’s Degree in Business Administration, Accounting, or related field required.
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