Manager of Revenue Integrity

Overview

Manager of Revenue Integrity

Full Time-Days

Central Maine Healthcare

The Manager Revenue Integrity is responsible for operational leadership of the Revenue Integrity department. This position contributes to the financial strength, compliance and overall performance of Revenue Cycle operations by providing leadership for all Revenue Integrity functions, including hospital and physician (provider) services. The Manager also provides assistance to the Sr. Director Revenue Integrity. The Manager Revenue Integrity serves in a key role to monitor and facilitate improvement in the overall quality, timeliness, completeness, and accuracy of Revenue Integrity processes (such as charge master maintenance, charge compliance and accuracy, payment variance analytics and prevention and overall quality and accuracy of all data flowing through the revenue cycle). Data integrity and reporting of financial performance and impact of improvement initiatives and standard KPIs is required. The Manager will ensure the effectiveness of Revenue Integrity policy, practices and technology platforms. Net revenue/performance improvement goal setting, monitoring and achievement are required.

The position will provide leadership, coordination, and evaluation of Revenue Integrity and is specifically responsible for the following:

1. Charge Master Maintenance and Accuracy
2. Charge Capture Completeness, Accuracy and Reconciliation
3. Payment Variance Analytics, Reporting and Prevention
4. Regulatory Adherence across Revenue Cycle departments and organizationally
   • Provider Based Status and Facility Enrollment
5. Assisting the 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
6. Vendor Management
7. Supporting Strategic Design of Revenue Cycle Operations
8. Collaboration with Finance and Managed Care Contracting leaders to ensure optimal pricing methodology

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Three to Five years of Hospital Revenue Cycle Management - Preferred

2. Excellent communication and interpersonal skills

3. Strong analytical skills required

4. Advanced computer skills required

5. Strong knowledge of health plan requirements

6. Bachelor's Degree in Business Administration, Accounting, or related field required (effective 4/1/14 for all new hires)

Pay Transparency

Central Maine Healthcare Corporation offers competitive compensation and a reasonable compensation estimate for this role is $38.18 to $55.29 The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment Status

Full Time

Shift

Days