Director, Revenue Cycle Operations – Improvement

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

⚙️ Operations

👻 Ghost score 10%

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PromptCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1983

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

PromptCare is a leading provider of in-home respiratory, infusion, and specialty pharmaceutical therapies, focused on treating complex and chronic health conditions. They offer tailored, nationwide in-home care, personalized plans, and comprehensive support to improve patients' quality of life. With a team of expert respiratory therapists, nurses, dietitians, and pharmacists, PromptCare provides seamless care transitions and works closely with hospitals and specialists to deliver customized treatment plans, manage insurance processes, and educate patients and their families.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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