Revenue Cycle Manager Job at PrismHR, Murray, UT

SnB6RU1OU0JOdVZwNjB4bXl3VnpUaENnQkE9PQ==
  • PrismHR
  • Murray, UT

Job Description

About us

We are a rapidly growing healthcare platform dedicated to enhancing patient outcomes and optimizing healthcare operations. We support podiatry clinics by managing business operations, allowing providers to focus solely on delivering exceptional patient care. Through strategic acquisitions and operational improvements, we are expanding our network and leveraging a data-driven approach to growth. Our mission is to provide accessible, high-quality care while driving sustainable expansion and operational excellence across our clinics.

Position Summary

The Director of Revenue Cycle Management (RCM) will lead and oversee the entire revenue cycle process, ensuring efficient billing, coding, collections, and payer relations. This individual will manage both domestic and international RCM teams, as well as our third-party EHR/RCM provider, to drive best practices, maximize reimbursements, and improve operational efficiencies. The Director will work closely with leadership, finance, and clinic operations teams to ensure seamless revenue cycle performance while maintaining compliance with all regulatory standards.

  • Essential Duties and Responsibilities RCM Leadership: Develop and implement a comprehensive revenue cycle strategy aligned with our financial and operational goals.
  • Billing & Coding Oversight: Manage billing and coding operations, ensuring compliance with regulatory guidelines and optimizing reimbursement processes.
  • Vendor & Partner Management: Act as the primary liaison with our third-party EHR/RCM provider, ensuring effective collaboration, issue resolution, and continuous improvement in system functionality.
  • International Team Management: Oversee and coordinate the efforts of international billing and coding teams, ensuring efficiency, accuracy, and adherence to best practices.
  • Revenue Optimization: Identify opportunities for revenue cycle improvements, including streamlining workflows, reducing denials, and enhancing collection processes.
  • Compliance & Risk Management: Ensure all revenue cycle operations comply with federal and state regulations, payer requirements, and industry standards.
  • Data-Driven Decision Making: Utilize key performance indicators (KPIs) and reporting tools to track revenue cycle performance, identify trends, and implement corrective actions.
  • Cross-Department Collaboration: Work closely with clinic administrators, finance teams, and leadership to ensure a seamless revenue cycle and address operational challenges.

Knowledge, Skills and Abilities

  • Proven ability to analyze financial and operational data to drive performance improvements.
  • Excellent leadership, communication, and problem-solving skills.
  • Strong knowledge of regulatory compliance, including HIPAA, CMS, and payer policies.
  • Proficiency in EHR/RCM systems (AdvancedMD experience a plus).

Education & Experience

  • Bachelor's degree in healthcare administration, Business, Finance, or a related field
  • Minimum of 7-10 years of experience in revenue cycle management, preferably in multi-location or specialty healthcare settings.
  • Strong knowledge of medical billing, coding (CPT, ICD-10), payer contracts, and reimbursement methodologies.
  • Experience managing third-party RCM vendors and international billing teams.

Job Tags

Similar Jobs

One Cargo

Class A CDL Driver Job at One Cargo

 ...BURTON Excited to Offer a Position for Class A CDL Drivers Our trucking company offers: Dedicated lanes and...  ...-$3,400* per week including safe driving bonuses) Lease Operators: 13% Dispatch Fee (Lease to Purchase Programs available) Owner Operators: 13% Dispatch... 

HB Travels

Remote Travel Coordinator Job at HB Travels

 ...Do you have a passion for travel and love helping others plan unforgettable experiences? Were looking for a RemoteTravel Coordinator to create seamless, customized travel arrangements for leisure and corporate clients around the worldall from the convenience of your... 

CSI Companies

Travel and Expense Coordinator Job at CSI Companies

 ...Travel and Expense Coordinator The Travel and Expense Coordinator is responsible for coordinating all aspects of travel and expense reimbursements...  ..., including Excel, Word, and Outlook. Experience with corporate travel and expense program administration is highly... 

Supplemental Health Care

LPN / LVN - School Nurse - $48 per hour - Urgently Hiring Job at Supplemental Health Care

 ...Supplemental Health Care is seeking a LPN / LVN School Nurse for a local contract job in Chelmsford, Massachusetts. Job Description & Requirements ~ Specialty: School Nurse ~ Discipline: LPN / LVN ~ Start Date: ASAP ~ Duration: 13 weeks ~22 hours per week... 

Fred Meyer

MEAT/MEAT CUTTER Job at Fred Meyer

Perform general product preparation, clean-up and stock work in the Meat department and provide customer service. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.Based in Portland, Oregon, Fred Meyer merged with The...