Job Description

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Director of Revenue Analysis (DRA) is the key point of contact for revenue cycle, and are partnered and co-located with the respective CFO and/or finance leadership for each hospital entity.  The DRA is the conduit for communication and resolution of any revenue cycle issues.  They are also responsible for ensuring that all A/R is valued appropriately prior to each month end, as well as researching and resolving questions about expected reimbursement, bad debt reserves, and exceptions.

• Responsible for the analysis of bad debt and items/trends that significantly impact net revenue.
• Work with hospital leadership on revenue cycle issues.  Work with hospital departments to resolve revenue cycle issues (e.g., orders, charging, Patient Access, DNFB, disputes, etc.).
• Support/Coordinate/Monitor the following:  Department Head meetings, Chart Audit meet Compliance Committees, Charge Master review/updates, pass through invoice retrieval, Complex (e.g., ‘High $” or “At-Risk”) in-house patient meetings, Hospital Revenue Cycle Implementation Initiatives, Internal/External Audit Assistance, Engaging Legal for Collection Issues.
• Responsible for the review/adjudication of Revenue Reclasses, Non-Contractual Adjustments, Refunds, Charity Applications and Professional Courtesy Discounts.

Minimum Education: BA/BS in Business, Health Administration or related degree preferred.

Minimum Experience: Eight or more (8+ ) years in A/R Management and/or Managed Care contracting and analysis as well as experience directing a multi-facility business office.

Req. Certification/Licensure: None.

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

• Company 401K
• Medical, dental, vision insurance
• Paid time-off
• Life insurance

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm