Revenue Cycle Director, Critical Access Hospitals

About the Role

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 over 3.0 million 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.

This role is physically based at a Prime facility within Texas or Maine; remote work is not offered.

Responsibilities

• Provide comprehensive leadership and oversight of end-to-end revenue cycle operations within a Critical Access Hospital (CAH) setting.
• Partner 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.
• Monitor key performance indicators, including DNFB, AR days, and denial trends, implementing process improvements to optimize cash flow in a lean-resource environment.
• Serve as a key liaison between hospital operations, affiliated rural health clinics, and the Central Business Office (CBO) to ensure clear communication, alignment of workflows, and efficient end-to-end revenue cycle performance.
• Foster collaborative relationships with physicians, clinical teams, and administrative departments to support accurate charge capture, compliant billing, and an exceptional patient financial experience.
• Maintain compliance with CMS, state, and payer regulations while driving operational efficiency, accountability, and service excellence across all revenue cycle functions.

Requirements

• Bachelor’s Degree in Business Administration, Accounting, or related field, or ten (10) years of relevant experience in 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.
• Strong knowledge of health plan requirements.

Schedule

• Full Time
• Day Shift