What are the responsibilities and job description for the Revenue Cycle Director, Critical Access Hospitals position at Prime Healthcare?
Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 55 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Responsibilities
The Revenue Cycle Director provides comprehensive leadership and oversight of end-to-end revenue cycle operations within a Critical Access Hospital (CAH) setting. This role partners closely with ancillary departments, HIM, and Case Management to ensure accurate documentation, timely coding, and effective management of DNFB to support revenue integrity and compliance. The Director actively monitors key performance indicators, including DNFB, AR days, and denial trends, implementing process improvements to optimize cash flow in a lean-resource environment.
The Revenue Cycle Director serves as a key liaison between hospital operations, affiliated rural health clinics, and the Central Business Office (CBO), ensuring clear communication, alignment of workflows, and efficient end-to-end revenue cycle performance. This leader fosters collaborative relationships with physicians, clinical teams, and administrative departments to support accurate charge capture, compliant billing, and an exceptional patient financial experience.
The Director is responsible for maintaining compliance with CMS, state, and payer regulations, while driving operational efficiency, accountability, and service excellence across all revenue cycle functions within the organization.
Please note: this role is required to be physically based at a Prime facility within Texas or Maine. Remote is not offerred.
Qualifications
Required qualifications :
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 55 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Responsibilities
The Revenue Cycle Director provides comprehensive leadership and oversight of end-to-end revenue cycle operations within a Critical Access Hospital (CAH) setting. This role partners closely with ancillary departments, HIM, and Case Management to ensure accurate documentation, timely coding, and effective management of DNFB to support revenue integrity and compliance. The Director actively monitors key performance indicators, including DNFB, AR days, and denial trends, implementing process improvements to optimize cash flow in a lean-resource environment.
The Revenue Cycle Director serves as a key liaison between hospital operations, affiliated rural health clinics, and the Central Business Office (CBO), ensuring clear communication, alignment of workflows, and efficient end-to-end revenue cycle performance. This leader fosters collaborative relationships with physicians, clinical teams, and administrative departments to support accurate charge capture, compliant billing, and an exceptional patient financial experience.
The Director is responsible for maintaining compliance with CMS, state, and payer regulations, while driving operational efficiency, accountability, and service excellence across all revenue cycle functions within the organization.
Please note: this role is required to be physically based at a Prime facility within Texas or Maine. Remote is not offerred.
Qualifications
Required qualifications :
- Bachelor Degree in Business Administration, Accounting, or related field, or ten (10) years of relevant experience revenue cycle management.
- Five (5) years of experience leading end-to-end revenue cycle management for critical access hospitals (CAH); ideally within a multi-state multi-facility capacity.
- Strong knowledge of cost-based reimbursement, and all other CAH-specific reimbursement nuances.
- Excellent communication and interpersonal skills.
- Strong analytical skills.
- Advanced computer skills required
- Strong knowledge of health plan requirements
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf