Manager Revenue Cycle- Acute Healthcare

Manager Revenue Cycle- Acute Healthcare

Position: Department Manager Revenue Integrity

Location: Longview, Texas  

Shift:    Mon-Fri Days ( No weekends) Full time Office Based.

This position is responsible for providing direction and focus on the revenue cycle process.

The incumbent will work collaboratively with regional leadership and management to identify and implement best practices, improve information system infrastructure, share knowledge to enhance the service and technical quality as well as overall outcomes in the revenue cycle process

Requirements:

Bachelors Degree Preferred, Associates Degree Required

Revenue Cycle experience in a hospital required

Revenue Cycle experience required

Management experience required

Epic experience preferred

Epic certification experience preferred

Responsibilities

• Oversee staff to ensure regional revenue integrity functions, including charge capture, denials management, unbilled claims, and

maintenance of charge master

• Perform revenue integrity audits for departments

• Provide support to departments to assist with appropriate charge capture and reconciliation

• Assure reports are run as scheduled, reports are distributed, and report inquiries are handled

• Reports included Unbilled claims, B/AR rejections, PFS Agency, and Denials Recap details/summary

Maintain the Charge Master, in collaboration with Health designees, also in a manner that is compliant with insurance

requirements and government regulations

• Lead regional denials management team(s), in order to analyze claims' denials and implement correction action plans

• Collaborate with PFS on denials' reviews

• Communicates regularly with dept.

• directors and responds promptly to inquiries, concerns and problems as pertains to the charge master

• Communicates with all dept.

• directors as new regulations and/or operational changes occur; maintains a positive dialogue and collaborative working

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