Manager, Revenue Integrity

This role is crucial for maintaining our organization's financial health and mitigating financial risks.

Responsibilities:

• Oversee and improve revenue cycle processes to ensure timely and accurate billing.
• Comply with healthcare regulations and standards, including monitoring coding, documentation, and charge capture accuracy.
• Collaborate with relevant departments to develop and update fee schedules that reflect our pricing strategy and compliance with regulations.
• Maintain data integrity in revenue cycle reporting and analyze financial data to identify discrepancies, trends, and areas for improvement.
• Implement best practices and process improvements to enhance efficiency and effectiveness.
• Work closely with various stakeholders such as third-party billing business partners and Clinical Operations to ensure a seamless revenue cycle process.
• Assist Clinical Operations in onboarding newly acquired provider groups and proactively analyze individual providers to identify areas of improvement.
• Coordinate ongoing training efforts for providers and staff on revenue integrity topics.
• Monitor key performance indicators related to the performance of the revenue cycle to ensure targets are met and identify areas needing attention.
• Lead regular meetings with relevant departments and business partners to track progress towards performance opportunities identified and provide executive level progress/status reports.
• Minimum of 5 years of experience in a related role
• Strong understanding of Accounts Receivable (AR), Auditing, Billing Functions, Claim Administration, and Clinical Trial Operations
• Exceptional leadership and managerial skills
• Excellent communication and interpersonal skills
• Strong analytical and problem-solving capabilities
• Ability to work in a fast-paced, high-pressure environment
• Bachelor's degree in Finance, Accounting, or related field is preferred
• Proven track record in maintaining the integrity of revenue management systems
• Ability to ensure compliance with industry regulations and organizational policies
• Proficient in using Microsoft Office Suite and other related software
• Excellent organizational skills, with an ability to prioritize tasks and handle numerous assignments simultaneously
• Strong attention to detail and high level of accuracy in work output.