Manager Revenue Cycle Integrity
Company: Christus Health
Location: Longview
Posted on: October 9, 2021
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Job Description:
Description Summary: This position is responsible for the daily management and
direction of the Revenue Integrity Coordinators and Specialists
under the oversight of the Director 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. • 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 • 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 pertains to the chargemaster • Communicates with all dept. • directors as new regulations and/or operational changes occur;
maintains a positive dialogue and collaborative
working Requirements: Bachelors Degree Epic experience required Epic certification preferred Work Type: Full Time
Keywords: Christus Health, Longview , Manager Revenue Cycle Integrity, Other , Longview, Texas
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