Clinical Revenue Optimization Specialist

4 days ago


Des Moines, Iowa, United States Primary Health Care Inc Full time

We are seeking a highly skilled Clinical Revenue Optimization Specialist to join our team at Primary Health Care Inc. As a key member of our leadership team, you will be responsible for analyzing and optimizing clinical revenue streams, ensuring compliance with regulatory requirements and maximizing cash flow.

Job Summary

The Clinical Revenue Optimization Specialist will serve as the primary lead for PHC's clinical revenue optimization efforts, working closely with the Patient Services Director to drive revenue growth and improve operational efficiency. This is an excellent opportunity for a seasoned professional to take on a leadership role and make a significant impact on our organization.

About Primary Health Care Inc.

Primary Health Care Inc is a dynamic healthcare organization committed to providing high-quality patient care and services. We pride ourselves on our commitment to excellence, innovation, and teamwork. Our employees enjoy a collaborative work environment, opportunities for professional growth and development, and a comprehensive benefits package.

Key Responsibilities:

  • Analyze clinical revenue data and metrics to identify trends and areas for improvement
  • Develop and implement strategies to optimize clinical revenue streams, including optimizing billing and collections processes
  • Collaborate with cross-functional teams to ensure compliance with regulatory requirements and industry best practices
  • Lead and manage the internal clinical revenue team, providing guidance and support to ensure successful implementation of clinical revenue optimization initiatives
  • Develop and track Key Performance Indicators (KPIs) to measure clinical revenue performance and success

Requirements:

  • Minimum 5 years' experience in a healthcare revenue cycle position, with a minimum of 2 years in a leadership or supervisory role
  • Proven track record of improving clinical revenue performance and reducing denial rates
  • Strong analytical and problem-solving skills, with the ability to analyze complex financial data and develop effective solutions
  • Excellent communication and interpersonal skills, with the ability to collaborate with diverse stakeholders, including patients, providers, and payers
  • Bachelor's degree in health information management, business administration, or a related field

Salary:

The estimated salary range for this position is $80,000 - $100,000 annually, based on qualifications and experience. Additionally, candidates may be eligible for bonuses and other forms of compensation.

Benefits:

  • Comprehensive medical, dental, and vision insurance plans
  • Generous paid time off policy, including vacation, sick leave, and holidays
  • 401(k) retirement savings plan with company match
  • Tuition reimbursement program and continuing education opportunities
  • Flexible spending accounts and employee assistance program


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