JFK Johnson Rehabilitation Institute · 20 hours ago
MANAGER, REVENUE OPERATIONS PRACTICE SUPPORT
Hackensack, NJ
Contract
Onsite
Senior Level, Lead/Staff
10+ years expHackensack Meridian Health is committed to transforming healthcare and serving as a leader of positive change. The Manager of Revenue Operations Practice Support serves as a strategic leader and primary liaison between clinical departments and the revenue cycle operations team, focusing on optimizing revenue cycle workflows and enhancing satisfaction.
Hospital & Health Care
Responsibilities
Manages a team of Revenue Cycle Analysts to ensure all policies & procedures are followed. Oversees workflow implementations, desktop procedures & departmental policies & procedure creation & implementation
Serves as the primary liaison between clinical departments and revenue cycle operations
Responsible for identifying revenue opportunities in all aspects of the revenue cycle, creating project plans, and implementing operational and systematic solutions
Provides analysis of reporting and performance data to assist management, department administrators and chairs with key decisions
Prepares and delivers monthly presentations to clinical department heads and finance on key performance indicators
Collaborates with the denial management team to analyze AR reports identifying denial trends, reporting findings and results to identify and drive process improvement
Monitor, analyze and present key provider productivity metrics with comparisons to internal and external benchmarks
Individual will help facilitate best practice model, make recommendations, assist with developing and executing plans for standardization and improvement
Identify positive and negative revenue cycle trends to determine root causes and corrective solutions to minimize denials and enhance collection rate
Achieve proficiency in querying system for data and reports
Works closely on interface and system issues as required, improving generation of data
Develop and deploy standardized solutions and improvement plans for solving operational issues
Meet with clinical department leadership to review and discuss revenue cycle scorecards and dashboards
Represent at committees, task forces, and/or revenue cycle work groups
Manages relationships and expectations, establishing regular communication processes to keep leaders informed about projects, results, and new initiatives
Develops advanced frameworks for underpayment appeals, tracking resolution metrics, and leading payor engagement to drive improved reimbursement outcomes
Maintain current knowledge regarding reimbursement mechanisms and presents strategic updates on reimbursement and contracting issues to departments and CRO leadership
Ensures strict adherence to HIPPA, Billing Compliance and other pertinent regulations
Acts as a business partner with new business partners and joint ventures
Other duties and/or projects as assigned
Adheres to HMH Organizational competencies and standards of behavior
Qualification
Required
Bachelor's degree in Business, Healthcare Administration, Finance, or other relevant field
Minimum of 10 years of experience in healthcare receivables, health insurance claims processing, or healthcare customer service, including at least 5 years in a management role
Extensive knowledge of Federal and State regulations relating to insurance billing and follow-up
Strong leadership skills
Strong financial management skills
Excellent knowledge of information technology and management information systems and how they can be used to improve operations
Experience with EPIC Professional billing (PB)
Excellent written and verbal communication skills
Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms
Preferred
Master's degree
Experience with Epic Professional billing (PB)
Member of nationally recognized professional organization - Healthcare Financial Management Association (HFMA) a plus
HFMA Certified Healthcare Financial Professional (CHFP) or similar certification
Epic proficiency or certification
Benefits
Health, dental, vision, paid leave, tuition reimbursement, and retirement benefits
Company
JFK Johnson Rehabilitation Institute
Offering New Jersey’s most comprehensive rehabilitation services, JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, NJ, serving residents of the tristate area for more than 40 years.
10001+ employees
Funding
Current Stage
Late StageCompany data provided by crunchbase