Revenue Cycle Manager Job at PrismHR, Murray, UT

N0lwNFFLQ2VWNkVBeFBvUzJzMDNqeXVLZFE9PQ==
  • 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

blueStone Solutions Group

EPIC Project Manager Job at blueStone Solutions Group

EPIC Project ManagerAre you a seasoned EPIC Project Manager in search of the perfect company to grow and establish your career? Look no further!Our client, a leading healthcare company, is seeking an experienced EPIC Project Manager to join their dynamic and expanding... 

Trinity Consultants

Piping Designer Job at Trinity Consultants

 ...in Drafting and design from an accredited college or university preferred Minimum of 5 years Refinery/ Petrochemical design experience required Minimum of 5 years experience utilizing AutoCAD Ability to utilize AutoCAD Plant 3D Software or CADWorx equivalent... 

LanceSoft

Travel Pharmacist - COVID19 - $2,646 per week Job at LanceSoft

 ...Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms... 

GovX

Junior Software Engineer Job at GovX

As a Junior Software Engineer, you will work closely with senior engineers, product managers, and the technical lead to create, maintain, troubleshoot and test web applications. This position will initially be a hybrid position that will include both development and QA... 

Avis Budget Group

Rental Sales Agent - PT Job at Avis Budget Group

 ...authorized to work in the United States ~ This position requires regular, on-site presence and cannot be performed remotely ~6 months real estate or retail sales experience in a fast-paced environment is a bonus! Who We Are: Here at Avis Budget Group, you will be...