Manager Revenue Integrity - Revenue

About the Role

This position is responsible for the daily management and direction of the Revenue Integrity Coordinators under the oversight of the Regional CFO and VP of Revenue Cycle at CHRISTUS Health. The team performs 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. Additionally, the role involves departmental education on these functions and identifying and implementing process improvement opportunities in collaboration with Revenue Cycle departments and hospital operations to enhance revenue potential. This role interfaces regularly with regional and corporate leadership, PFS staff, hospital FFOs, and department leadership and associates to ensure audits are conducted in a timely and effective manner.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• 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 include Unbilled claims, B/AR rejections, PFS Agency, and Denials Recap details/summary.
• Maintain the Charge Master in collaboration with CHRISTUS Health designees, ensuring compliance with insurance requirements and government regulations.
• Lead regional denials management team(s) to analyze claims denials and implement corrective action plans.
• Collaborate with PFS on denials reviews.
• Communicate regularly with department directors and respond promptly to inquiries, concerns, and problems related to the chargemaster.
• Communicate with all department directors as new regulations and/or operational changes occur; maintain a positive dialogue and collaborative working environment.

Requirements

• Bachelor's Degree or equivalent years of experience required.
• 0 – 2 years of supervisory/management experience preferred.
• 4 years of technical experience preferred.

Schedule

8 AM - 5 PM, Monday-Friday

Work Type

Full Time