Revenue Integrity Director FERC Optimization Denial Preve jobs in United States
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Kaleida Health · 1 month ago

Revenue Integrity Director FERC Optimization Denial Preve

Kaleida Health is committed to advancing the health of the community and is seeking a Revenue Integrity Director of FERC Optimization & Denial Prevention. This role is responsible for overseeing revenue capture processes, reducing denials, and providing financial guidance to leadership while managing a team and ensuring effective revenue cycle operations.

FitnessHealth CareNon ProfitSports
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Overseeing the team and processes for capturing appropriate revenue/reimbursement for the services rendered and reducing or eliminating denials
Ensures the enhancement and development of processes and infrastructure for proper revenue for the organization, including oversight of FERC Optimization and Denial Prevention analytics efforts
Advises organizational leaders through interpretation of complex financial and revenue information to assist in the decision-making processes with a focus on bottom-line performance improvement through active participation as a member of the Hospital/Systems Leadership Team
Provides guidance, mentoring and management support to department managers/associates
Organizes resources, provides leadership and achieves results in a project oriented and fast-paced setting
Communicates effectively, discusses revenue and financial related matters with diverse groups, prepares oral and written reports and maintains a high level of confidentiality when required

Qualification

Revenue Cycle ManagementFinancial OperationsHealthcare IT SystemsCharge Master MaintenanceMS ExcelMS AccessMS WordMS PowerPointAnalytical SkillsLeadershipCommunication SkillsProject Management

Required

Bachelor's degree in finance, accounting, business administration or related field
7 years of experience in progressively challenging experience in healthcare provider Revenue Cycle related functions and/or Finance
5 years of Manager/leadership experience in health care, with knowledge of revenue cycle operations, financial operations, healthcare IT systems, hospital CDM management, managed care, federal and industry reimbursement regulations and payor reimbursement contracting terms
3 years of experience and proficiency with MS Excel, Access, Word and PowerPoint

Preferred

Master's degree in health information management, business administration, healthcare administration or a related field
3 years of experience and demonstrated knowledge of charge master maintenance
2 years of experience with report writing

Company

Kaleida Health

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Kaleida Health is a hospital and physician network in Western New York.

H1B Sponsorship

Kaleida Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (16)
2024 (13)
2023 (9)
2022 (9)
2021 (9)
2020 (3)

Funding

Current Stage
Late Stage
Total Funding
$26.16M
Key Investors
Exact SciencesNew York StateVital Access Provider
2023-12-07Grant
2023-05-17Grant
2023-02-15Grant· $1.16M

Leadership Team

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Don Boyd
President and CEO
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Matt Drake
Executive Vice President, Strategy & Partnerships
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Company data provided by crunchbase