Hope Network · 15 hours ago
Revenue Integrity Manager
Grand Rapids, MI
Full-time
Onsite
Mid, Senior Level
4+ years expHope Network is seeking a Revenue Integrity Manager to enhance revenue cycle performance through effective management of revenue processes. This role involves overseeing insurance verification, patient registration, charge capture, and compliance with regulations while ensuring operational efficiencies within the department.
AssociationCommunitiesHealth CareNon ProfitReligion
Responsibilities
Responsible for enhancing insurance verification, authorizations, charge capture, coding review, time of service collections, denials, fee schedules, and contracting processes for efficiency and best practices; ensuring systems are fully functional
Actively monitors key performance metrics to improve performance of Revenue Management front end processes in collaboration with the total team
Responsible for personnel development through training, coaching and supervision to include individual and team sessions
Maintains a high level of technical knowledge and expertise regarding current and pending regulations, legislation, and/or third-party payers and the potential impacts on the billing and collections process/systems used within the Network
Participate in meetings with key management personnel to review system and collection issues
Responsible for the development of proactive relationships with internal and external contacts that will assure the various funder streams are collected in accordance with the established timeframes and guidelines of the contract including bad debts when applicable
Ensures routine and consistent metric reporting and processing requirements have been completed in a timely manner and are consistent with Network goals and objectives
Participates in departmental projects as needed and required, including the development of new programs and services
Regular and predictable attendance is an essential requirement of this position
Other duties, as assigned
Qualification
Required
Bachelor's degree in Business Administration, Finance, Health Care Administration, Health Information Management or the equivalent of four (4) years of proven success in a medical office / medical billing setting
Demonstrated knowledge and application of Medicaid, Medicare, Commercial, Auto No Fault and Community Mental Health Payers billing and reimbursement guidelines is required
Demostrated proficiency in the use of technologies: Microsoft Office, specifically in the use of Excel; insurance eligibility such as CHAMPS, Web-Denis; Availity, etc
3-5 years of previous supervisory experience
Excellent teamwork skills
Excellent communication skills both written and verbal, and internal personal skills
Strong organizational and time management skills
Well-developed analytical and problem solving skills
Demonstrated ability to work collaboratively with internal and external customers
Ability to work effectively, efficiently while being respectful of team needs/questions, while meeting tight deadlines, high volume, and multiple interruptions
Responsible to assure billing and collections services are provided in accordance with state and federal regulations, organizational policy, contractual and accreditation/compliance requirements
Preferred
Experience in EHR/EPM systems such as NextGen, athena, EPIC a plus
Company
Hope Network
Hope Network is a Christian organization empower people with disabilities or disadvantages to achieve their highest level of independence.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jaime Counterman
Chief Advancement Officer
Recent News
Crain's Detroit Business
2024-12-06
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