84 applicants

Company

Tenet Healthcare · 13 hours ago

Billing Integrity Manager

United States

Full-time

Remote

Mid, Senior Level

$73K/yr - $109K/yr

7+ years exp

Maximize your interview chances

BiotechnologyHealth Care

Actively Hiring

Insider Connection @Tenet Healthcare

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Research, identify and notify key stake holders of regulatory changes

Assists business stakeholder with understanding information and supports business stakeholder in defining reporting and system enhancement needs

Review and provide feedback to managed care contracts

Review, approve as appropriate and monitor all third party edits

Develop, publish, track and report all ICE edits

Assist with compliance and CIA related matters

Develop and maintain working relationship with HCOs and RCOs ensuring billing compliance and claim integrity

Assist with the development and implementation of new billing policy ensuring the integrity of claims

Develop communications and agendas for billing manager meetings, advisory and user groups

Lead special projects as assigned by Director

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Regulatory complianceBilling systemsProject managementFinancial operationsMicrosoft ExcelMicrosoft WordMicrosoft AccessTime-management skills

Required

High School Diploma/GED (±11 years)

7-10 years business or healthcare business office experience and management experience

1-2 years experience in delivering services to internal/external clients

Excellent communication, customer service and time-management skills

Good interpersonal skills and ability to work well with other team members and customer/business stakeholders

Ability to define and document requirements for system enhancements based on business stakeholder requests

Analytical ability to create/run system queries (ACE, PBAR), as required

Extensive problem-solving and organizational skills

High level business skills and understanding of general financial operations and major A/R goals in the healthcare environment

Strives for continuous improvement through training and other learning opportunities

Detail-oriented, meticulous, and accurate in completing tasks timely

Ability to design and implement reporting from the systems necessary to collect, maintain, and analyze information

Proficient (medium to high skill level) with various desktop applications, such as Microsoft Excel, Word and/or Access

Preferred

B.S. degree in Business or Healthcare related field

Project management/facilitation training experience

Benefits

Medical, dental, vision, disability, life, and business travel insurance

Management time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.

401k with up to 6% employer match

10 paid holidays per year

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.