AddressReporting to the Director, Revenue Integrity, the Manager, Revenue Integrity, is responsible for the facilitation of improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. Revenue Integrity (RI) is a distinct function that drives proactive charge capture opportunity identification and realization and improves collaboration across the organization. In addition to revenue enhancement, RI also serves to provide focus toward revenue protection and maintenance. The Manager, Revenue Integrity, role in the Revenue Integrity Model is to manage the HFHS Revenue Performance Improvement methodology. This methodology includes management of revenue reconciliation, charge capture assessments and interventions/implementation of opportunities.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor's Degree in Business Administration, Healthcare Administration or Nursing.
- Five (5) years clinical operations experience.
- Significant project management experience and outstanding analytical, communication and interpersonal skills.
- Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management and staff.
- Ability to develop strong working and collaborative relationships with physician leaders in clinical and academic settings.
- Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other third party billing rules/coverage.
- Excellent analytical, motivational and critical thinking skills.
- Ability to manage large, complex, simultaneous assignments with potentially conflicting priorities and deadlines.
- Proven project management skills.
- Sound decision making skills.
- Strong diplomacy and collaboration skills.
- Strong knowledge of Microsoft Office, particularly Excel.
- Strong, growing base of analytical/technical, facilitative and process improvement knowledge.
- Expertise in data base and project management applications a plus.
CERTIFICATIONS/LICENSURES REQUIRED:
- Clinical specialty preferred; coding certification preferred.
