Manager Revenue Integrity - Revenue Integrity

Summary:

This Job is responsible for the daily management and direction of the Revenue Integrity Coordinators under the oversight of the Regional CFO and VP, of Revenue Cycle at CHRISTUS Health. This team will perform audits and reviews of departmental charge capture and reconciliation, denials management for all facilities in the region, daily reporting and coordinated work on unbilled/DNFB, departmental education on the aforementioned functions, and the identification and implementation of process improvement opportunities, in collaboration with Revenue Cycle departments and hospital operations, in order to enhance revenue potential. This role interfaces with regional and corporate leadership, PFS staff, hospital FFOs, and department leadership and associates on a regular basis. to ensure audits are done in a timely and effective manner.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Oversee staff to ensure regional revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of chargemaster.
• 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 CHRISTUS 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 pertain to the chargemaster.
• Communicates with all departments.
• directors as new regulations and/or operational changes occur; maintain a positive dialogue and collaborative working environment.

Job Requirements:

Education/Skills

• Bachelor's Degree or equivalent years of experience required.

Experience

• 0 – 2 years of supervisory/management experience preferred.

• 4 years of technical years of experience preferred.

Licenses, Registrations, or Certifications

• None required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time