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Hackensack Meridian Health · 2 hours ago

Manager, Revenue Operations Practice Support

Hackensack, NJ

Full-time

Onsite

Senior Level, Lead/Staff

10+ years exp

Hackensack Meridian Health is dedicated to improving patient health and fostering a collaborative culture among its employees. The Manager of Revenue Operations Practice Support serves as a strategic leader and liaison between clinical departments and the revenue cycle operations team, focusing on identifying revenue opportunities and enhancing operational efficiencies.

Assisted LivingHealth CareHealth DiagnosticsHospitalMedical

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

Healthcare AdministrationRevenue Cycle ManagementFinancial ManagementEPIC Professional BillingInformation TechnologyLeadership SkillsGoogle SuiteMicrosoft OfficeHealthcare Financial ManagementHIPAA ComplianceCommunication Skills

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