LincolnRecruiter Since 2001
the smart solution for Lincoln jobs

Revenue Integrity Manager

Company: Protouch Staffing
Location: Lincoln
Posted on: March 26, 2020

Job Description:

Revenue Integrity Manager -----At least three years of Healthcare Finance or Accounts Receivable Management experience. -- Day Shift - Monday through Friday Location - Lincoln, NE -- GENERAL SUMMARY: The Revenue Integrity Manager will facilitate improvement in the overall quality, completeness and accuracy of the Revenue process. Reporting directly to the Revenue Cycle Director, this individual will work independently and be responsible for reviewing and analyzing information to identify trending and root-cause for billing and reporting issues. Develop and implement action plans for addressing and resolving all billing/charging issues. Will facilitate staffing and reporting changes to improve net revenue and reduction in denials. Provide support, education and guidance to Clinical and Administrative departments to maximize appropriate revenue for the Healthcare System. -- PRINCIPAL JOB FUNCTIONS: -- 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Responsible for Reporting in the Revenue Integrity Area a. Establish and monitor revenue related Key Performance Indicators (KPI), metric goals, and reporting for the Revenue Integrity functions for the organization -- -- -- -- -- -- -- b. Establish and monitor leadership approved aggregate revenue reporting and department level reporting across the organization, inclusive of baseline data/trends c. Establish and maintain department level revenue reconciliation reports and tools d. Monitor department owned charge review work queue volumes 3. *Revenue Integrity Workshops a. Establish Revenue Integrity Workshops, roles & responsibilities, mission, purpose, and charter in preparation for the Epic Go-Live and for new revenue producing managers within the organization -- b. Serve as a lead with department heads and other hospital personal and executives for the purpose of information gathering to enhance revenue integrity opportunities -- -- -- -- -- -- -- -- -- -- c. Lead regular post-live Revenue Integrity Workgroup meetings with department leads, establishing a culture of accountably at the department level -- -- -- d. Openly communicate issues and opportunities to appropriate 4.*Department Revenue Reconciliation a. Work to ensure departments have the tools and reports needed to reconcile their revenue as well as identify training and educational opportunities -- b. Assist in the development of standardized tools, resources and policies and procedures -- -- -- -- -- -- 5. *Management of the Revenue Integrity Team a. Analyzes revenue impact associated with various projects to determine priority and value -- -- -- b. Supervises the activities of the Revenue Integrity team, and ensures quality output on assignments c. Provides regular status updates to Revenue Cycle leadership, and communicates relevant concerns and issues to the department as a whole as needed -- -- -- -- -- d. Develop individual action plans for Revenue Integrity Associates improvement -- -- -- -- -- -- -- e. Conduct interim and annual reviews for Revenue Integrity Associates f. Manage Revenue Integrity resources and track department risks and mitigation progress -- -- -- -- -- -- -- -- -- -- -- -- -- g. Maintain up-to-date knowledge of regulatory changes impacting charging practices -- -- h. Act as a resource to Revenue Integrity Associates for complex questions, complicated cases, and compliance information 6. *Chargemaster a. Will manage and assure a compliant chargemaster. b. Work with Department Directors on developing new charges and pricing. c. Revise and update the chargemaster when need arises 7. Compliance a. Responsible to assure that billing is audited yearly to review compliance b. Work with Legal to develop yearly audit plan and help implement 8. *Denials a. In conjunction with the Senior Director of the Revenue Cycle, Lead the bi-monthly denials committee b. Assure the denials committee is working towards avoidance on all avoidable denials throughout the Medical Center c. Manage the Denials team to assure that denials inventory is worked and write-offs comply with the current policy and procedure. 9. Performs other related projects and duties as assigned. -- (Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed. -- REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: -- 1. Ability to be highly organized with strong analytical skills. 2. Skill in excellent communication and interpersonal skills. 3. Skill in coaching and educating peers and department directors. 4. Knowledge of computer hardware equipment and software applications relevant to work functions. 5. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, ancillary departments and volunteers. 6. Ability to prioritize work demands and work with minimal supervision. 7. Ability to communicate effectively both verbally and in writing. 8. Ability to maintain confidentiality relevant to sensitive information and HIPPA guidelines. 9. Ability to meet high standards for work accuracy and productivity. 10. Ability to maintain flexibility and prioritizes daily responsibilities. 11. Knowledge of charge master components (CPT codes, HCPCs, Revenue Codes, G/L and Cost centers. 12. Knowledge of inpatient, outpatient and clinical billing requirements. 13. Knowledge of coding guidelines and CMS reimbursement methodologies. 14. Skill in Epic Resolute Hospital Billing. 15. Knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information. 16. Knowledge of Inpatient Prospective Payment System (IPPS), Coding Regulations and documentation requirements. -- EDUCATION AND EXPERIENCE: Bachelor's degree in Business or related field required. Minimum five years health care with at least three years of Healthcare Finance or Accounts Receivable Management experience. Experience as Revenue Integrity Manager preferred. AAPC or AHIMA certification preferred and clinical nursing experience preferred. -- OTHER CREDENTIALS / CERTIFICATIONS: None -- PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) -- (DOT) - Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. -- Salary DOE Range $28.19-$42.74

Keywords: Protouch Staffing, Lincoln , Revenue Integrity Manager, Executive , Lincoln, Nebraska

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Assistant Manager - Village Pointe - Omaha
Description: Coach is a leading design house of modern luxury accessories and lifestyle collections, with a long-standing reputation built on quality craftsmanship. Defined by a free-spirited, all-American attitude, (more...)
Company: Coach
Location: Omaha
Posted on: 04/9/2020

Regional Manager
Description: MIDWEST REGIONAL MANAGER OMAHA, NE National Home Remodeling Leader is seeking qualified candidates to manage our operations in the Midwest The position is based in Omaha with business booming in a 5 state (more...)
Company: K-Designers
Location: Omaha
Posted on: 04/9/2020

Accounting Manager/Supervisor
Description: Are you wanting to make a big difference Assist with a conversion and manage a department Accountemps is looking for an Accounting Manager. This positionsis a temporary to full-time opportunity. Get (more...)
Company: Accountemps
Location: Council Bluffs
Posted on: 04/9/2020

Description: Store Managers at Dollar Tree are responsible for the following: ul li Managing the profitable operation of a retail store with emphasis on recruiting, hiring, training and developing store associates (more...)
Company: Dollar Tree
Location: Omaha
Posted on: 04/9/2020

VP, Actuarial, Individual - Annuity Products
Description: Job Title: br br VP, Actuarial, Individual - Annuity Products br br Location: br br Ameritas Life-Lincoln-NELK2 br br Area of Interest: br br Actuarial br br Full-Time/Part Time: (more...)
Company: Ameritas Life Insurance Corp
Location: Lincoln
Posted on: 04/9/2020

Project Manager
Description: Our client is seeking one experienced Project Manager to work in the Information Systems and Technology Project Management Office PMO . The Project Manager will facilitate project initiation, planning, (more...)
Company: eSystems, Inc.
Location: Lincoln
Posted on: 04/9/2020

Shift Supervisor Management Trainee
Description: Job DescriptionThe Shift Supervisor Trainee role is an entry-level, short-term role that prepares an employee to perform a higher-level supervisory role, such as Operations Supervisor or Shift Supervisor. (more...)
Company: CVS Health
Location: Lincoln
Posted on: 04/9/2020

Commercial Sales Manager
Description: SUMMARY: -- The Commercial Sales Manager is responsible for driving the commercial sales within their AutoZone location. The CSM develops and maintains positive relationships with commercial customers (more...)
Company: AutoZone
Location: Omaha
Posted on: 04/9/2020

Assistant Store Manager
Description: Job Description Store number: 591 Shopping center: West Grayhawk Street address: 14941 Evans PlazaTitle:-------------------------------------- Assistant Store Manager Reports To:-------------- General (more...)
Company: Shoe Carnival
Location: Omaha
Posted on: 04/9/2020

Treasury Manager
Description: Initiating a search for a Treasury Manager for a mid-to-large, multi-vertical and growing company headquartered in Omaha, NE.-- Position will be part of the corporate finance organization and responsibility (more...)
Company: C. H. Thomas Search, LLC
Location: Omaha
Posted on: 04/9/2020

Log In or Create An Account

Get the latest Nebraska jobs by following @recnetNE on Twitter!

Lincoln RSS job feeds