Patient Financial Services Manager

Patient Financial Service Manager

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen 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 key objective and purpose of this role is to transfer managerial skills to oversee and manage the large and essential Patient Financial Service division of our large network of hospitals and medical groups. The Patient Financial Service Manager provides critical managerial leadership to ensure consistency and adherence to standardized procedures across multiple facilities' business offices. The role encompasses a wide spectrum of responsibilities, which include overseeing the complex appeal process with California Department of Managed Health Care (DMHC-CA), Legal Claim Set Review process, No Surprise Act (NSA) process, Employee Retirement Income Security Act (ERISA) process, and other Federal, State, external appeal processes, and acting as an essential facilitator for the integration of new critical processes. This role also involves hiring team members and managing the team to execute the strategies and processes the Manager will design and direct their implementation.

Qualifications:

Required qualifications:

• Bachelor's Degree
• Strong understanding of U.S. healthcare regulations, including DMHC, NSA, ERISA, and other federal and state appeal processes.
• Proven ability to lead and manage cross-functional teams in different geographical locations.
• Excellent strategic planning and project management skills.
• Proficient in developing and implementing process improvements.
• Strong leadership and decision-making capabilities.

Preferred qualifications:

• Experience working with international teams.
• Certification in project management or healthcare management.
• Proficiency in healthcare, financial software and tools.
• Strong communication and interpersonal skills.
• Ability to navigate and comply with complex regulatory environments.

Employment Status: 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.