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Prime Healthcare Services

Corporate Director, Billing Optimization

Company : Prime Healthcare Services

Location : Farmers Branch, TX, 75234

Job Type : Full Time

Date Posted : 10 January 2026

Overview

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 Corporate Director of Billing Optimization is responsible for the strategy, management and implementation of the Enterprise Billing Program, actively owning the portfolio across Revenue Cycle Management and drive optimization and improved metrics across the clearing houses. The Director will partner with revenue cycle and business office leaders across all levels of the organization to execute goals and plans of reach / exceeding key performance indicators (KPI) relating to billing operations, which include but are not limited to: 837 files, billing edits, clean claim rate standards, billing errors and trends, as well as claim rejections and trends. Through strategy development, aligning the annual initiatives and collaboration, the Director will lead improvement efforts through execution of business objectives and strategic initiatives. The Director will provide issue resolution, develop and implement standard operating procedures (SOP) when needed, participate in go-live implementations to ensure successful transition, as well as provide effective communication and stakeholder management at all times. The Director is accountable to the VP of Outsourcing and Strategic Initiatives for timely reports and updates relating to key initiatives, delivering successfully on timelines, as well as effective management of staff and delivery of appropriate productivity and quality parameters if the Director has direct reports.

#LI-BM2

Qualifications

  • Bachelor's degree (B.A.); a minimum of 8-10 years related experience and/or training; or equivalent combination of education and experience.
  • Five (5) years of experience with acute hospital/ facility revenue cycle setting.
  • Prior working experience within Supervisory/ Management capacity, specifically with Billing Integrity, Revenue Integrity, and Billing Process, includes managing the billing for all payors, includes managing bridge routines.
  • Prior experience in implementing clearing houses and preferably rollout of EPIC program in a large hospital setting.
  • Ability to envision and execute; process and policy changes, change in corporate culture, alignment between enterprise strategy and individual business channel needs.
  • Proven ability to effectively interact with key stakeholders, hospital leadership and other team members, while maintaining standard of professional business service
  • Strong communication and relationship management skills.
  • Ability to form collaborative working relationships.
  • Strong analytical and problem-solving skills. Ability to review weekly, monthly metrics – leading and lagging KPIs and own action plans. Proven ability to make logical correlations between data points to determine if analysis is accurate.
  • Ability to envision and execute; process and policy changes, change in corporate culture, alignment between enterprise strategy and individual business channel needs.
  • Preferred qualifications:

  • Proficiency with IT hospital revenue cycle tools like CHC / Relay Assurance (also known as ePremis, now part of Optum), EPIC, Meditech.
  • Advanced knowledge and management of bridge routine files – writing and modifying, CCI edits, 835, EFT, ERA, and claim error trends across multiple payor base and across states.
  • Meditech and EPIC: basic navigation of systems as a minimum.
  • 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. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

     

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    Frequently asked questions

    This role steers enterprise-wide billing strategies to enhance revenue cycle accuracy and efficiency. By analyzing billing trends and clearing house data, the director implements policies that reduce claim errors and rejections, directly improving financial outcomes and operational KPIs across hospital networks.

    Expertise in managing multi-state billing operations, proficiency with tools like Epic and Meditech, and experience in optimizing 837 file processing and bridge routines set this role apart. Strong stakeholder collaboration and data-driven problem solving are critical for success in this leadership position.

    Professionals often progress to executive roles such as VP of Revenue Cycle or Chief Revenue Officer. Mastery in cross-functional billing leadership and enterprise strategy execution opens doors to broader healthcare finance and operational leadership opportunities.

    Certifications like Certified Revenue Cycle Executive (CRCE) and credentials related to Epic systems are highly valued locally. They demonstrate advanced knowledge in billing integrity and revenue optimization, aligning well with the region’s competitive healthcare industry standards.

    Given the presence of numerous healthcare providers and outpatient facilities in the Dallas-Fort Worth metroplex, demand for experienced billing directors is strong but competitive. Candidates with acute hospital revenue cycle expertise and tech proficiency have an edge.

    Market data suggests a median annual salary ranging between $130,000 to $160,000, depending on experience and company size. Bonuses and benefits often complement base pay for senior billing management roles in this region.

    Prime Healthcare emphasizes collaboration and data-driven decision making. The director must align billing strategies with enterprise goals, navigating change management and fostering strong relationships with hospital leadership to drive continuous improvement.

    The director leads implementation efforts for clearing house systems and Epic rollouts, ensuring smooth transitions and operational excellence. Leveraging tools like Relay Assurance and Meditech supports real-time analytics and billing accuracy across multiple locations.

    Balancing varied payor requirements, addressing claim rejection trends, and coordinating cross-departmental teams are common hurdles. The role demands agile problem-solving to maintain clean claim rates and meet evolving regulatory standards.

    Effective dialogue ensures alignment of billing initiatives with organizational priorities. The director acts as a bridge, translating complex data insights into actionable strategies that hospital leadership can support, enhancing overall revenue integrity.

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