Manager Vendor Management - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

Capital Health (US)•Pike, NY

1d•$81,952 - $107,058

About The Position

Manages overall direction, coordination and evaluation of vendors utilized by the Revenue Cycle Departments with a focus on Hospital and Professional billing. Oversees vendor performance, productivity and meets with vendors on a regular basis. Acts as recipient of all escalated and trended vendor issues and is responsible for resolving and/or taking appropriate action on all escalated issues.

Requirements

Bachelor's degree. A high school diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree.
Four years of revenue cycle management experience and/with one year hospital revenue cycle management supervisory experience when accompanied by a Bachelor's degree.
Eight years of revenue cycle management experience and/with one year hospital revenue cycle management supervisory experience when accompanied by a high school diploma or equivalent.
Excellent analytical and interpretive skills.
Strong organizational, interpersonal, verbal and written communication skills.
Familiar with a variety of billing concepts, practices, and procedures.
Knowledge of revenue cycle management systems, proficient in Microsoft Office products.
Ability to effectively manage multiple projects simultaneously.

Nice To Haves

Experience with drafting/reviewing RFPs and reviewing/evaluating vendor proposals received in response to RFPs is preferred.

Responsibilities

Manages relationships with specific vendors and serves as organization's point of contact.
Focuses on oversight, management and continuous improvement of vendor partner performance based on established best practices and key performance indicators.
Makes suggestions to management regarding vendor selection with goal to increase productivity and create efficiencies within department.
Researches, analyzes, and evaluates vendors and recommends new vendors as needed.
Provides support to organization for problems with vendor products and services.
Reports and escalates vendor risks as appropriate.
Serves as system administrator for Revenue Cycle vendor applications.
Completes onboarding system access requests and oversight of all system users by each vendor.
Terminates access as needed.
Demonstrates ability to analyze and report vendor results in order to detect trends, identify issues and opportunities.
Provides vendors with recommendations, and when necessary, implements action plans for performance improvement.
Identifies process improvement needs within revenue cycle.
Performs due diligence reviews, completes vendor reconciliation, participates in virtual and/or on-site vendor visits, and oversees action plans to address vendor partner performance gaps and risks.
Responsible to review accounts to ensure that the vendor is timely and effectively working and notating accounts.
Strives to learn new vendor services and potential enhancements available in healthcare market and meets with existing vendors periodically to understand their service offerings.
Establishes strong partnerships with internal stakeholders to ensure effective planning and collaboration on appropriate vendor-related matters.
Ensures vendors adhere to contract terms, comply with applicable regulations, follow policies and procedures, and are accurate in their revenue cycle practices.
Reviews invoices submitted by vendors for compliance with contracted terms.
Monitors vendor spend and compares to budgeted amounts.
Tracks receipt of invoices in order to ensure all vendors submit timely and notify vendors is invoices are missing.
Conducts formal Request for Proposal (RFP) process and makes selection recommendations.
Monitors and assists with execution of exit strategy and contingency plans for vendors.
Interviews, hires and trains employees as well as plans, assigns and directs workloads; appraises performance; rewards and disciplines employees; addresses complaints and resolves problems.
Oversees training of new personnel as documented by completion of new hire competency checklists, completed ninety-day evaluations, and training program attendance.
Develops and maintains effective recruitment and retention practices in order to avoid preventable turnover.
Assists Revenue Cycle leadership with preparation of yearly departmental operating budget.
Demonstrates proactive vigilance in identifying opportunities for revenue enhancement and cost reduction.
Facilitates process standardization with vendor to promote accurate system updates.
Performs other duties as assigned; possesses willingness to adapt to changing departmental demands.

Benefits

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program