What are the responsibilities and job description for the Market Director Revenue Analysis position at Veracity Software Inc?
Memphis / Bartlett, TN
Full-time
Monitors reports for a single hospital that drive SLA/KPI. Identifies trends, and facilitates and implements solutions to ensure client satisfaction. Owns reporting and provides support to CFO.
Job Responsibilities:
Bachelor's degree
Bachelor's degree in business, health administration, or related degree
8 years in A/R management and/or managed care contracting and analysis
8 years directing a multi-facility business office
Full-time
Monitors reports for a single hospital that drive SLA/KPI. Identifies trends, and facilitates and implements solutions to ensure client satisfaction. Owns reporting and provides support to CFO.
Job Responsibilities:
- Responsible for preparation and completion of eReserve
- Responsible for analysis of eReserve and items/trends that significantly impact net revenue and completion of revenue section of month end Performance Summary
- Responsible for monitoring, analyzing, tracking and trending AR disputes
- Responsible for review and approval of manual adjustments and refunds
- Responsible for review and approval or revenue reclasses
- Review proposed Managed Care Contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized
- Assist in analyzing data to verify contract terms have been loaded correctly into MedAssets and claim properly adjudicated during and after managed care negotiations
- Monitor/review billing, AR and reconciliation for hospital specific contracts
- Work with hospital departments to resolve revenue cycle issues (e.g. orders, charging, Patient Access, DNFB, DNSP, QS, Disputes)
- Work with hospital leadership on revenue cycle issues
- Facilitate revenue cycle meetings (preparation, facilitation and follow-up)
- Support/Coordinate/Monitor the following: Leadership Meetings, Chart Audit Meetings, Compliance Meeting, Charge Master review/updates, Pass through invoice retrieval, Complex Case Review meetings, Hospital Revenue Cycle implementation initiatives such as GZ and Bad Debt initiatives, Internal/External Audit assistance, Engaging Legal for collection issues.
- Customer Service - Point of Escalation
- Serves as internal consultant for health systems revenue departments, particularly hospital departments, to see that appropriate charge collection, revenue charging, and billing techniques are performed within the various revenue departments
- Responsible for direct preparation or supervision of preparation of Charge Master for the hospitals. Establishes appropriate procedures for review and updating of charges
- Serves as internal consultant for revenue departments anticipating procedural changes to assure appropriate identification and collection of charge items within external and Tenet guidelines
- Coordinates with Case Management and Medical Records on any patient classification issues that arise
- Keeps CFO and/or Compliance Director fully apprised of any issues or concerns requiring administrative attention in the areas of compliance of financial system applications
- Demonstrates ability related to coworkers in a professional and respectful manner, in order to assure and promote culture of safety.
- Performs other duties as assigned.
Bachelor's degree
Bachelor's degree in business, health administration, or related degree
8 years in A/R management and/or managed care contracting and analysis
8 years directing a multi-facility business office
