Demo

Manager Revenue Integrity

PrideStaff
Jupiter, FL Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/11/2025

Immediate need for a Manager of Revenue Integrity !!

If you're ready to take your career to the next level, tackle exciting challenges, and be part of a great organization in North Palm, we'd love to hear from you! Let's work together to achieve great things and make a difference in the world of healthcare revenue management.

As the Manager Revenue Integrity , you'll play a crucial role leading and planning the revenue cycle operations.

Job Responsibilities :

  • Oversee and manage the revenue integrity function to ensure accurate and compliant billing practices
  • Develop and implement strategies to optimize revenue capture and minimize revenue leakage
  • Lead a team of 8 charge analyst, providing guidance, training, and performance management
  • Collaborate with various departments including Finance, Billing, Coding, and Clinical teams to identify and resolve revenue-related issues
  • Analyze data and generate reports to track key performance indicators and identify areas for improvement
  • Stay up-to-date with healthcare regulations, reimbursement policies, and industry best practices
  • Develop and maintain policies and procedures to ensure compliance with regulatory requirements
  • Conduct regular audits to identify potential revenue risks and opportunities
  • Implement and maintain charge capture systems and processes
  • Serve as a subject matter expert on revenue integrity issues and provide education to staff and leadership
  • Identify and implement process improvements to enhance efficiency and accuracy in revenue cycle operations
  • Participate in budget planning and forecasting activities related to revenue integrity
  • Collaborate with IT teams to ensure revenue integrity systems are functioning optimally
  • Manage special projects related to revenue enhancement and process improvement initiatives
  • Foster a culture of continuous improvement and innovation within the revenue integrity team
  • Develop and maintain strong relationships with payers and external stakeholders

Requirements :

  • Bachelor's degree in Healthcare Administration, Finance, or related field; Master's degree preferred
  • 5 years of experience in healthcare revenue cycle management, with at least 3 years in a leadership role
  • In-depth knowledge of healthcare billing, coding, and reimbursement practices
  • Strong understanding of healthcare regulations and compliance requirements
  • Excellent analytical and problem-solving skills
  • Certifications preferred (CCS, CCA, RHIT, RHIA) a must
  • Outstanding communication and interpersonal skills
  • Ability to lead and motivate teams effectively
  • Strong project management and organizational skills
  • Detail-oriented with a commitment to accuracy and quality
  • Adaptability and willingness to learn in a rapidly changing healthcare environment
  • Experience in MS Office, STAR, CERMER Power Chart and FirstNet, 3M, HPF, Experian Revenue products and others.
  • Experience with electronic health record (EHR) systems and revenue cycle management software
  • Demonstrated ability to drive process improvements and achieve measurable results
  • Strong negotiation and conflict resolution skills
  • Ability to thrive in a fast-paced, dynamic environment
  • Benefits :

  • Competitive salary commensurate with experience
  • Health, dental, and vision insurance
  • 401(k) retirement plan
  • Paid time off and holidays
  • Flexible spending accounts
  • Wellness programs and gym membership discounts
  • Recognition and rewards programs
  • Collaborative and inclusive work environment
  • PrideStaff is a leading national staffing organization, offering customized solutions in temporary, temp-to-hire and direct hire staffing. With over 80 offices across North America, we take pride in our ability to match top talent with great companies. Our mission is to consistently provide client experiences focused on what they value most.

    Compensation / Pay Rate (Up to) : $70,000.00 - $90,000.00

    Salary : $70,000 - $90,000

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