Hybrid Revenue Integrity Manager

at Methodist Le Bonheur Healthcare

• Job title: Revenue Integrity Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Memphis, United States

About the role

• Revenue Cycle Manager overseeing revenue cycle processes for UT Le Bonheur Pediatric Specialists. Ensuring compliance and optimizing performance for financial operations.

Responsibilities

• Plans, organizes, develops and implements revenue cycle operations to meet UT Le Bonheur Pediatric Specialists and departmental goals and objectives
• Maintains appropriate internal controls over front end billing functions, patient registration, pre-certification, procedure authorizations, insurance verification, charge entry and coding
• Keeps abreast of all reimbursement billing procedures of third party and private insurance payers
• Manages patient registration, pre-certification, procedure authorization, coding, and charge posting, advising supervisors on the day-to-day implementation and interpretation to ensure compliance with all policies and procedures
• Provides analysis with regard to financial impact of new MH ULPS business opportunities and decisions
• Manages, and controls development and implementation of product and procedure pricing for ULPS
• Promotes the flow of information by establishing, utilizing, and maintaining effective communication systems within and outside the department
• Develops, analyzes, and reviews special projects as necessary
• Manages the process of internal and external charge/chart audit
• Designs and implements training programs to ensure that all areas are adequately trained on charge capture and reconciliation policies and procedures
• Designs process to capture lost charges missed by ULPS billing areas to ensure maximum legitimate reimbursement for the services provided
• Maintains and develops a competent, productive, and quality conscious workforce by hiring, evaluating performance, counseling, training, issuing corrective action, and recommending promotion or discharge of department personnel according to the MH value

Requirements

• Bachelor's Degree Business Administration/Management
• In lieu of Bachelor's degree, a High School diploma with four (4) years equivalent experience in business practices, accounting and finance
• Ability to understand and prepare written materials, such as management reports and memos
• Ability to communicate verbally with all levels of Associates, senior management officials, and other outside professionals
• Strong quantitative problem solving abilities
• Ability to lead and motivate individuals and groups toward the accomplishment of work and organizational goals
• Ability to organize multiple tasks and projects and maintain control of workflow
• Ability to work without close supervision or guidance and exercise independent judgment
• Ability to facilitate education/training sessions at all levels of the organization.

Benefits

• Flexible work arrangements
• Professional development opportunities