Penn State Health

Revenue Integrity Process Manager - Revenue Integrity Process

Penn State Health$85K — $100K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent work experience
  • CPC certification or ability to obtain within one year
  • Five years of experience in middle and back end revenue cycle activities
  • Direct interaction experience with providers and operations
  • Management-level experience in healthcare revenue cycle preferred

Responsibilities

  • Lead collaboration with clinical and operations leadership
  • Analyze and map processes to optimize revenue cycle functions
  • Educate support areas on charge capture best practices
  • Identify and mitigate risks in revenue cycle operations
  • Perform problem-solving through analytics in revenue cycle
  • Act as a point of contact for multiple departments regarding revenue cycle

Benefits

  • Immediate access to medical, dental, and vision coverage
  • Generous paid time off, personal time, and parental leave
  • Retirement plan, extended illness bank, life insurance, and identity theft protection
  • Tuition reimbursement and employee recognition program
  • Employee wellness programs and fitness discounts
Full Job Description
Location: US:PA: Hershey
Work Type: Full Time
FTE: 1.00
Shift: Day
Hours: 8:00a - 4:00p
Recruiter Contact: Garrett C. Kieffer at [email protected]

SUMMARY OF POSITION:

This position serves as the principle revenue cycle person of assigned service line. He/she supports the revenue cycle functions from start to finish by collaboration, analysis, process mapping and education with support area providers, clinical and operations leadership, and revenue cycle subgroups. This position influences all charges though charge capture process mapping, risk mitigation through education and problem solving through analytics. Collaboration occurs between RIPM and operations, clinicians, IS, compliance, finance, revenue cycle subgroups, their leadership and team members. The RIPM is viewed by the service lines/departments as the leader of the departmental revenue cycle in general and directed our focus to where it was needed to optimize charge/cash capture. This position reports to Team Manager Revenue Integrity and the Revenue Integrity Support Services Leadership.

MINIMUM QUALIFICATION(S):

  • Bachelors, or equivalent work experience
  • CPC (AAPC Certified Professional Coder) - or equivalent from another organization or able to be obtained within one (1) year of employment.
  • Five (5) years in a role involving middle and back end Revenue Cycle activities, front to end, with direct interaction with providers and operations.

PREFERRED QUALIFICATION(S):

  • Previous management level experience in a healthcare setting applicable to revenue cycle - either managing a team or project management of processes.
  • Experience in Coding, Billing Denials, Edits, Appeals, Utilization Management, Charge Capture, Compliance/Revenue Cycle Auditing.


Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

  • Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
  • Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
  • Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
  • Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
  • Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

Union: Non Bargained

About Penn State Health

Penn State Health is a multi-hospital health system serving patients and communities across central Pennsylvania. It is part of Penn State University and includes Penn State Health Milton S. Hershey Medical Center, Penn State Children's Hospital, and Penn State Cancer Institute. The health system provides a full range of medical services, including primary care, specialty care, and emergency care. Penn State Health is committed to advancing medical research and education, and is home to the Penn State College of Medicine.
Learn more about Penn State Health
Size
16,000 employees
Industry

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