Director of Revenue Cycle Management

About PRM Management Pelvic Rehabilitation Medicine is a physician-lead specialty health care organization whose purpose is to provide evidence-based, individualized treatment services for those suffering with chronic pelvic pain.

Approximately 15-25% of men and women suffer from pelvic discomfort.

In the US chronic pelvic pain effects 28 million women and is projected to grow to 43.6 million by 2050 according to the NICHD.

Currently, chronic pelvic pain accounts for 20% of gynecology visits.

Pelvic Rehabilitation Medicine has positioned itself at the center of the pelvic pain ecosystem.

We are nationally recognized experts dedicated to reducing the number of people suffering from this affliction.

Pelvic Rehabilitation Medicine was formed in 2017 and is headquartered in West Palm Beach, Florida.

Since its inception PRM has experienced rapid growth and routinely attracts patients from across the US and internationally.

Pelvic Rehabilitation Medicine’s fast-paced success has lead to expansion into multiple cities across the country, bringing physiatry care to those suffering from chronic pelvic pain.

Current markets include NYC, New Jersey, Long Island, Washington DC, Miami, Detroit, Houston, Dallas, Chicago and Atlanta.

Planned expansion is set for: Nashville, Tampa, and Indianapolis.

About the Director of RCM Opportunity Due to PRM’s rapid growth, the Director of Revenue Cycle Management is a newly created role.

We have recently internalized the RCM process and have increased our billing staff from 2 to 6 with additional postings still open.

As the department grows, we seek a candidate who can provide leadership in the development of objectives, policies, and procedures affecting billing and collections.

This includes hiring, developing, tracking, and managing direct reports and their staff.

The Director of RCM monitors the performance of the department by reporting on key performance metrics consistent with industry standards.

Reports to: CFO Direct Reports : Billing Manager and Surgical/Behavioral Health Biller plus additional team of 6.

Corporate Office: West Palm Beach, FL Responsibilities
· Responsible for all revenue cycle processes with focus on improving receivables and reducing bad debt expense.

This includes developing, revising, and enforcing policies, goals, and best practices to effectively manage the company receivables.

Ensure that departments, functions, and teams are operating in compliance with payer requirements, patient expectations, as well as the company’s policies and procedures.

Key participant in cross-functional and interdepartmental teams involving process improvement initiatives and projects for the organization.

Respond effectively to management’s request for specific and/or special revenue cycle projects.

Coordinate timely month end close process and financial reporting related to revenue cycle process and information technology.

Will report and assist the CFO to implement strategic growth plans.

Ensure company is in compliance with all applicable healthcare billing rules & regulations.

Understand the organization’s goals and be able to identify and engage relevant stakeholders to remove barriers.

Assist in the reporting to assure accurate and complete data and use that information to shape RCM outcomes.

Develop an in-depth working knowledge of practice management systems.

Qualifications: Ability and comfort working within a data driven environment and being held accountable for performance standards.

Working knowledge of all facets of insurance claim filing requirements and regulations.

Strong operational and financial management skills, including ability to analyze and resolve issues.

Thorough knowledge of the impact revenue cycle has on operating performance.

Strong communication skills and ability to establish effective working relationships with key internal and external customers.

Leadership skills to motivate cross department performance.

Requirements: 8-10 years of experience in finance and/or operations.

5 years in an RCM leadership role within a healthcare system.

Bachelor’s degree.

Preferably in Accounting/Finance, Operations, or Healthcare Administration.

Experience with EHR/PM systems.

Knowledge of eClinicalWorks is a plus.

Expert in charge posting, claim processing, and payment collections.

2 years of experience and thorough knowledge of an exclusively Out-of-Network practice is strongly preferred.

Experience with specialty surgical practices as well as surgical facilities.

Highly organized with excellent communication skills.

Proficient in MS Office.

Benefits : Health, Vision and Dental Insurance Life Insurance 401k Paid holiday and PTO FSA Commuters Benefit Program Supportive and appreciative culture

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