Manager Revenue Integrity
About The Position
Central Maine Healthcare (CMH) is seeking a Manager Revenue Integrity to provide operational leadership for the Revenue Integrity department. This role is crucial for contributing to the financial strength, compliance, and overall performance of Revenue Cycle operations for both hospital and physician services. The Manager will monitor and improve the quality, timeliness, completeness, and accuracy of Revenue Integrity processes, including charge master maintenance, charge compliance, payment variance analytics, and data integrity within the revenue cycle. This position requires a strong focus on data integrity, reporting of financial performance, and the impact of improvement initiatives and standard KPIs. The Manager will ensure the effectiveness of Revenue Integrity policies, practices, and technology platforms, and is responsible for setting, monitoring, and achieving net revenue/performance improvement goals.
Requirements
- Bachelor’s degree required, or five (5) years of relevant leadership experience in lieu of a Bachelor’s degree.
- Ten (10) years of experience in Finance or Revenue Cycle.
- Excellent communication and interpersonal skills
- Strong analytical skills required
- Advanced computer skills required
- Strong knowledge of health plan requirements
Responsibilities
- Charge Master Maintenance and Accuracy
- Charge Capture Completeness, Accuracy and Reconciliation
- Payment Variance Analytics, Reporting and Prevention
- Regulatory Adherence across Revenue Cycle departments and organizationally
- Provider Based Status and Facility Enrollment
- Assisting the Senior Director in building and maintaining Revenue Cycle reporting & analytics
- Financial Improvement Goal Setting, Process Improvement, Tracking and Reporting
- Data Trending
- KPI and Operational Dashboards and Reports
- Supporting Organizational Dashboards and Reports
- Vendor Management
- Revenue Informatics development and management
- Systems Support
- Quality Training
- Policies
- Professional Development
- Workflow Redesign and Enhancement
- Supporting Strategic Design of Revenue Cycle Operations
- Collaboration with Finance and Managed Care Contracting leaders to ensure optimal pricing methodology
Benefits
- Competitive compensation
- Comprehensive benefits package
- Freedom to customize benefits
- Abundant resources, programs, and voluntary options
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What This Job Offers
Job Type
Full-time
Career Level
Manager
