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Regional Director, Patient Financial Services
2 months ago
Prime Healthcare and Prime Healthcare Foundation comprise an award-winning health system operating 44 hospitals in 14 states. Fourteen of Prime’s hospitals are not-for-profit members of Prime Healthcare Foundation. Prime is one of the nation's leading healthcare service providers, with nearly 45,000 employees and affiliated physicians dedicated to providing the highest quality healthcare. Each of our hospitals serves the unique needs of their communities while providing exceptional care with the strength and support of Prime Healthcare.
Job Summary:
The Director PFS Outsourcing and Strategic Initiatives is responsible for the implementation and management of the Outsourcing Vendor Management Program which will align and supplement existing Vendor Management policies and practices. The Director PFS Outsourcing and Strategic Initiatives is responsible for managing risk, value, and performance of outsourcing vendor relationships as well as developing and implementing PFS improvement initiatives to maximize value for the organization. The Director is responsible for analyzing end-to-end revenue cycle, specifically:
- Patient Access: including preregistration, insurance verification, point-of-service collections, financial counseling, and registration.
- Denial Management: identifies, trends, and assists in the remediation of denial trends, including coordination with other departments as required.
- Billing/Collections: analyze, through large datasets, unusual billing/collection trends and identify opportunities for process improvement and reimbursement optimization
Qualifications:
- Bachelor's degree (B.A.); a minimum of 8-10 years related experience and/or training; or equivalent combination of education and experience.
- Five (5) years of experience with acute hospital/ facility revenue cycle setting.
- Working knowledge of the Revenue Cycle spectrum: Patient Access, Coding, DNFB, Billing, Collections
- In-depth working knowledge and experience with EPIC
