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
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
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
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 StageTotal Funding
$26.16MKey Investors
Exact SciencesNew York StateVital Access Provider
2023-12-07Grant
2023-05-17Grant
2023-02-15Grant· $1.16M
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