Corporate Director PFS Outsourcing Strategic Initiatives
Corporate Director PFS Outsourcing Strategic Initiatives
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Prime Healthcare is an awardwinning health system headquartered in Ontario California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nations leading health systems with nearly 50000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation a 501(c)3 notforprofit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: Corporate Director PFS Outsourcing and Strategic Initiatives is responsible for the implementation and management of the Strategic Rightsourcing Program actively owning the operating portfolio under the Outsourcing program across Revenue Cycle Management for all Prime Healthcare. The Corporate Director 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 candidate will align and supplement existing Vendor Management policies and practices. The role requires the director to be able to manage multiple programs and projects and action items concurrently to drive performance across the enterprise. The Director may be responsible for analyzing endtoend revenue cycle and knowledgeable around the following:
- Patient Access: including preregistration insurance verification pointofservice collections financial counseling registration selfpay to Medicaid and other programs approval and conversion
- Billing/Collections: analyze through large datasets unusual billing/collection trends and identify opportunities for process improvement and reimbursement optimization.
- Complex Claims Management: identifies trends and owns portfolios of complex claims including Third party claims TDRG Zero Balance and assists in the remediation of denial trends including coordination with other departments as required.
- Patient Liability Collections: including programs to drive up patient liability collections Early out Bad Debt primary secondary and tertiary placements as needed Drive Digital transformation and patient education and payment behavior
#LIBM2
Qualifications
EDUCATION EXPERIENCE TRAINING
Required Qualifications
- Bachelors degree (B.A./B.S.; a minimum of 810 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
- Indepth working knowledge and experience with EPIC and Clearing houses (preferably)
- Prior experience creating and implementing enterprise controls and oversight for outsourcing vendor relationships.
- Ability to review and negotiate vendor agreements and scopes of work to ensure alignment with business needs and strategy.
- Strong communication and relationship management skills.
- Ability to form collaborative working relationships.
- Strong analytical and problem solving skills. Ability to review weekly monthly metrics leading and lagging KPIs and own action plans
- Ability to envision and execute; process and policy changes change in corporate culture alignment between enterprise strategy and individual business channel needs.
Preferred qualifications:
- EPIC: basic navigation of systems as a minimum
- Experience with Change Healthcare products (Relay Assurance)
- Ability to work with large data sets extremely comfortable with Excel and its functions (basic and advanced)
- Proficiency in excel powerpoint and other Microsoft products
- Working knowledge of SQL and ability to run basic functions
Required Experience:
Director
Employment Type
Full-Time
