Revenue Cycle Manager Job at PrismHR, Murray, UT

TEEzSmJheVNsWno0MlBabXFkd3RKVDdsRHc9PQ==
  • 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

Comfort Keepers #581

Travel CNA Job at Comfort Keepers #581

Comfort Keepers is now hiring a travel CNA. We are a senior home care company. You will travel to client homes to provided one on one care (ADLs and light housekeeping.) This position is only open to staff who have outstanding attendance required and are able to work in... 

Gilead Sciences, Inc.

Associate Director, Regulatory Affairs CMC (Foster City) Job at Gilead Sciences, Inc.

 ...Associate Director, Regulatory Affairs CMC Job Description We are seeking an Associate Director, Regulatory Affairs CMC candidate to sit at our Foster City, CA site. Responsibilities: The CMC Regulatory Affairs Associate Director at Gilead is responsible for... 

Amazon

Area Manager 2026 Texas Job at Amazon

 ...This is a full-time, entry level position located within one of Amazons fulfillment centers, sort centers, delivery stations or...  ...floor conversations are common as a supply chain leader. As an Area Manager, you will be responsible for engaging, leading and developing... 

PACWEST Security Services

Security Guards Job at PACWEST Security Services

 ...Job Description Job Description IMMEDIATE OPENINGS!!! Come by...Start Today! Weekly Payroll Join our team! Now hiring security officers @ PACWEST Security Services... Positions available, come in and apply. Don't miss out on an awesome opportunity. Walk in are... 

ACS Consultancy Services

WebEOC Administrator (.NET, JavaScript, ArcGIS - Emergency Operations, Juvare V10/NexUs) Job at ACS Consultancy Services

 ...Job Title : WebEOC Administrator (.NET, JavaScript, ArcGIS Emergency Operations, Juvare V10/NexUs) Location : Atlanta GA (Hybrid) We are currently seeking candidates who meet the following qualification Key Responsibilities WebEOC Administration...