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Corporate Director, Billing Optimization

Prime Healthcare Management Inc

Farmers Branch, TX
11 days ago

Job Description

Join Prime Healthcare as the Corporate Director of Billing Optimization, where you'll lead the Enterprise Billing Program, driving optimization across Revenue Cycle Management. Collaborate with leaders to enhance billing operations and achieve key performance indicators while managing a dynamic team.

Key Responsibilities

  • Manage and implement the Enterprise Billing Program
  • Partner with revenue cycle and business office leaders
  • Execute goals for key performance indicators (KPI) relating to billing operations
  • Lead improvement efforts and provide issue resolution
  • Develop and implement standard operating procedures (SOP)
  • Participate in go-live implementations and ensure successful transitions
  • Provide effective communication and stakeholder management

Required Qualifications

  • Bachelor's degree (B.A.)
  • 8-10 years related experience or equivalent education
  • 5 years experience in acute hospital/facility revenue cycle
  • Experience in Supervisory/Management capacity in Billing Integrity and Revenue Integrity
  • Experience implementing clearing houses and EPIC program in large hospital settings
  • Strong communication and relationship management skills
  • Analytical and problem-solving skills

Preferred Qualifications

  • Proficiency with IT hospital revenue cycle tools like CHC / Relay Assurance, EPIC, Meditech
  • Advanced knowledge of bridge routine files, CCI edits, 835, EFT, ERA, claim error trends
  • Basic navigation of Meditech and EPIC systems