Apricus Health Hiring for Finance systems & Reporting Manager Job at Scottsdale, AZ Full Time

Apricus Health

We are Committed to

Care Your Way

Apricus Health provides our communities a direct one-on-one relationship with healthcare providers and care navigators who are accessible from any location to diagnose and treat a wide range of medical conditions.

Apricus Health aligns with primary care, and specialist providers, by working to improve health outcomes and significantly lower costs for patients and payers. Health outcomes may be improved by shifting the focus from reactive, episodic care to a continuous care relationship, population health strategies such as preventive and chronic care, optimizing specialty care referral channels, and care management.

The Company is physician owned and lead organization with multiple MD’s on the leadership team along with executives from the Insurance industry. Apricus has raised $20M in a Series A transaction with Virgo Investment Group, a private equity firm and is currently working on a Series B transaction.

Apricus Medical Group currently operates more than a dozen primary care and specialty practices throughout the state of Arizona with more than 50 providers. Apricus Medical group is growing rapidly through acquisition and organic growth in the markets we serve.

The Company operates an Independent Practice Association (IPA) that currently includes more than 800 participating affiliate providers. Affiliate provider groups are joining our network every day.

The Company is in the process of building out an ancillary network that includes or will include ambulatory surgery centers, imaging centers, micro hospitals, hospice, and urgent care centers.

The Company improves patient outcomes with health navigators and performance health monitoring technologies and through proprietary connected care technology from Akos MD, a sister company.

Apricus Health Network is one of 53 firms selected by the Center for Medicare and Medicaid (CMS, part of the US Government) to participate as a Direct Contracting Entity (DCE) to lower Medicare expenses and improve health outcomes for enrolled patients.

The Company operates a Management Services Organization (MSO) delivering services to these organizations.

Apricus Health is currently looking for a Director of Revenue Cycle to help us transform the way care is delivered and how patients are served.

About the Job

• The Director, Revenue Cycle (DRC) will report to the Enterprise CFO (Dave Clark)

• The DRC will lead a team (initially 11) consisting of billers, collectors, payment processors, and auditors. Initially, some of these resources are centralized and some are imbedded in our practices. This will require influencing without authority

• The DRC will drive standard processes that achieve world-class financial results for billings, collections, and payment processing. This will include timely charge entry / capture, billing / claims submission, and payment posting

• The DRC will improve operational performance through contractual allowance contract rate load into EMR, utilization of automation for EFT / ERA, etc.

• The DRC and team will work with practice managers to ensure closure of encounters by providers in a timely manner

• The DRC will drive operational excellence and accountability through a metrics driven culture. Conduct daily, weekly, monthly, quarterly and annual analysis of Key Performance Indicators (KPIs) and escalate area of focus to team members, practice managers and / or director of Medical Group

• The DRC will conduct denial analysis, implement denial reduction initiatives, and reduce overall denials (i.e. increase first submission success rate)

• The DRC will partner with the Chief Compliance Officer to ensure compliant billing activities

• The DRC will partner with the Controller to ensure control and to drive transparency for billing, revenue adjustment, and Order to Cash processes

• The DRC will assist with audits and other financial and system related activities partnering with the Controller

• The DRC will work with coders to implement a complete Clinical Documentation Improvement (CDI) program with direct and timely provider feedback

• The DRC will drive a structured integration process for newly acquired or new practices

About You

• You have unwavering integrity

• You have an inherent curiosity and growth mindset

• You communicate effectively and positively at all levels of the organization. Your

• communication style is open and respectful

• You are accountable for results and drive a performance-based culture of accountability for your

• team and the business partners you serve

• You have experience partnering and influencing at all levels of the organization

• You have significant financial operations leadership experience

• You have significant acquisition and integration experience

• You have significant prior healthcare experience

• MBA and / or CPA preferred

Job Type: Full-time

Pay: $75,000.00 – $100,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Physical Setting:

• Office

Schedule:

• 8 hour shift

Work Location:

• One location

Work Remotely:

• No