Skip to content

Revenue Integrity Manager - Healthcare

Job Category:

BPO / KPO / Shared Services

Job Level:

Managerial

Open Date:

13-Feb-2020

Location:

TAGUIG CITY

Close date:

14-Mar-2020

Client Industry:

SHARED SERVICES

Job Description and Qualification:

Job Summary:

Responsible for overseeing professional staff responsible for managing, coordinating, and implementing Charge Description Master (“CDM”) and/or charge capture initiatives and processes to ensure revenue management and revenue protection for Conifer.

  • The Revenue Integrity Manager oversees professional staff responsible for managing, coordinating, and
    implementing Charge Description Master (“CDM”) and/or charge capture initiatives and processes to
    ensure revenue management and revenue protection.
  • Responsible for serving in a senior leadership capacity, have direct interaction and interface with internal and external executive level staff.
  • Facilitates CDM and/or charge capture education; ensures adherence to government/nongovernment regulatory directives; ensures appropriate levels of control are established to satisfy audit/review requirements; and facilitates revenue management communications and information flow.
  • Oversees maintenance of accurate and timely patient accounting system(s) changes/updates to sustain data integrity and to facilitate claims processing; ensures quality reviews occur to identify and minimize system errors.
  • Responsible for planning revenue management strategies as identified in data/report analyses to ensure consistency/standardization, to identify improvement opportunities, and to facilitate appropriate knowledge transfer.

Qualifications:

  • Required Experience: At least 5 years of work experience as supervisor or manager in a healthcare account
  • Experience with CDM and Charge Capture
  • Strong understanding of the Revenue Cycle such as: PA, CM, HIM, Coding, AR and Revenue Integrity interdependencies
  • Bachelor's Degree holder
  • Amendable to work in BGC
  • Willing to work in a night shift schedule

Salary:

0.00