Director, Revenue Cycle Operations – Improvement

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🕒 Outubro 13

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

⚙️ Operações

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PromptCare

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1983

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A PromptCare é uma fornecedora líder de terapias respiratórias, de infusão e farmacêuticas especializadas em casa, focadas no tratamento de condições de saúde complexas e crônicas. Eles oferecem cuidados domiciliares personalizados em todo o país, planos personalizados e suporte abrangente para melhorar a qualidade de vida dos pacientes. Com uma equipe de terapeutas respiratórios especializados, enfermeiros, nutricionistas e farmacêuticos, a PromptCare proporciona transições de cuidados sem interrupções e trabalha em estreita colaboração com hospitais e especialistas para oferecer planos de tratamento customizados, gerenciar os processos de seguro e educar os pacientes e suas famílias.

Descrição

• Partner with Revenue Cycle and Operations leadership to lead the order-to-cash transformation agenda • Drive measurable improvements in bad debt, cost of collections, denial rates, held A/R, A/R aging, DSO, and asset recovery • Lead two direct-report functions and collaborate across Intake, Resupply, and Field Operations • Serve as a tactical project leader for targeted recovery initiatives and a strategic change agent for sustainable continuous improvement • Own and drive performance improvements across bad debt, cash-to-gross revenue, denial rate, held A/R, A/R aging, DSO, write-offs, revenue integrity, cost of collections, and asset recovery/capex efficiency • Build and sequence a portfolio of order-to-cash transformation initiatives • Directly lead the Brightree System Configuration function, ensuring price tables, payer configuration, and system rules are accurate and aligned with contract and coding requirements • Partner with Managed Care policy and configuration teams to translate payer policy, contract, reimbursement, and regulatory updates into Brightree configuration and documentation • Identify and correct system-driven causes of revenue leakage and denials • Directly lead the RCM Projects team through the Manager, RCM Projects and domestic/global resources • Execute worklist-driven cleanup initiatives across stops, held claims, denial management, billing, cash posting, and payer changes • Scope, prioritize, and drive bulk-resolution recovery projects such as rental stop management cleanup and bulk CMN/PAR recovery • Serve as a standing member of the Denials Committee and identify denial/write-off root causes • Lead bulk denial-resolution projects and improve denial workflow and claim prioritization based on propensity-to-pay • Establish and lead the Ops-RCM collaboration model across Field Operations, Intake, Resupply, and Revenue Cycle • Partner with IT on bots, automation, technology programs, and new tools that improve revenue cycle performance • Partner with Brightree Data Services on related initiatives • Build management systems and metrics; coach RCM managers on business-review discipline covering A/R aging, write-offs, backlog, productivity, adjustments, paid-not-posted cash, and unfunded remits • Establish consistent reporting cadences and standards for early visibility into emerging issues • Assess and strengthen revenue cycle processes including cash posting, credit balances, lockbox correspondence, audit and appeals, and rental stop management • Incubate underdeveloped capabilities such as Asset Recovery until they reach a mature, sustainable state

🎯 Requisitos

• Bachelor's degree in healthcare administration, business, finance, or a related field; MBA or advanced degree a plus • 8+ years of progressive revenue cycle, healthcare finance, or operations leadership experience • Demonstrated ownership of bad debt, DSO, denial rate, or cost-of-collections outcomes • DME/HME and complex respiratory or enteral experience strongly preferred • Demonstrated success leading transformation or process-improvement initiatives at scale • Direct people leadership and cross-functional influence without direct authority • Hands-on experience with Brightree or a comparable HME/DME billing and order management system, including system configuration and price table governance • Track record building or maturing management systems and metrics disciplines within a revenue cycle or shared-services organization • Strong analytical skills, including mining claims, denials, and write-off data to identify root causes and bulk-resolution opportunities • Experience partnering with IT/automation teams on bots, workflow automation, or new technology implementation within a revenue cycle context • Experience managing global and/or offshore resourcing models for revenue cycle operations • Familiarity with asset recovery/equipment recovery processes in a home medical equipment environment • Experience contributing to a denials committee or similar cross-functional governance body • Strong change management and stakeholder engagement skills across field operations and corporate functions • Six Sigma, Lean, PMP, or other process-improvement/project-management certification a plus • Ability to meet the stated physical demands, including standing, walking, bending, kneeling, stooping, crouching, crawling, twisting, climbing, maneuvering in small areas, and frequently lifting or moving 20 pounds or more

🏖️ Benefícios

• Comprehensive Medical, Dental, and Vision Package • 401(k) Plan with Company Match • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays • Standard life insurance coverage with optional enhancements • Employee Assistance Program: Free counseling and coaching sessions • Emotional Well-being and Work-Life Balance Resources • Company-paid Short & Long-Term Disability with optional supplements • Accidental Death and Dismemberment Insurance • FSA and HSA: Manage healthcare expenses • Commuter Spending Programs • Volunteer and Engagement Opportunities • Employee Referral Bonuses • Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans

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