Prime Healthcare and Prime Healthcare Foundation comprise an award-winning health system operating 44 hospitals in 14 states. Fourteen of Prime’s hospitals are not-for-profit members of Prime Healthcare Foundation. Prime is one of the nation's leading healthcare service providers, with nearly 45,000 employees and affiliated physicians dedicated to providing the highest quality healthcare. Each of our hospitals serves the unique needs of their communities while providing exceptional care with the strength and support of Prime Healthcare.
Job Summary:
The Director of Implementation & Billing Optimization will partner with revenue cycle and business office leaders across all levels of the organization to execute goals and plans of reach / exceeding key performance indicators (KPI) relating to billing operations, which include but are not limited to: 837 files, billing edits, clean claim rate standards, billing errors and trends, as well as claim rejections and trends. Through inter-professional collaboration, the Director will lead improvement efforts through execution of business objectives and strategic initiatives set forth by the organization. The Director will provide issue resolution, develop and implement standard operating procedures (SOP) when needed, participate in go-live implementations to ensure successful transition, as well as provide effective communication and stakeholder management at all times. The Director is accountable to the VP of Outsourcing and Strategic Initiatives for timely reports and updates relating to key initiatives, delivering successfully on timelines, as well as effective management of staff and delivery of appropriate productivity and quality parameters if the Director has direct reports.
Qualifications: