[Hiring] Manager, Revenue Integrity @Ensemble Health Partners

Role Description

The Manager of Revenue Integrity manages all Revenue integrity & charge capture activities and is responsible for the performance and effectiveness of the department. The Manager will be responsible for implementing short and long-term plans and objectives to ensure:

• Resolution of revenue integrity edits in Epic within set deadlines
• Compliant charge capture practices
• Claims timely filing
• Reduction of denials

Additionally, they will work with all departments within the Revenue Cycle to:

• Manage DNFB
• Coordinate efforts
• Ensure timely payments by insurance companies

They will empower staff to develop methods of process improvement, including:

• Planning
• Setting priorities
• Conducting systematic performance assessments
• Implementing improvements based on those assessments
• Maintaining achieved improvements

Set standards of behaviors and performance for the department based on the Ensemble Difference principles.

Qualifications

• Legally Required License / Certification (Ex: MD, RN, LPN, etc.) ONE CERTIFICATION PER FIELD
• Ensemble Required License / Certification (Ex: CRCR) ONE CERTIFICATION PER FIELD - CRCR through HFMA, Coding certification or equivalent or other approved job relevant certification.
• 5 to 7 Years - Overall work experience
• 3 to 5 Years - People leadership experience
• Education Level - High School Diploma, GED, or Equivalent Experience

Requirements

• Required Minimum Education - Specialty/Major: Business or Healthcare field
• Preferred Minimum Education: 4 year/ Bachelors Degree
• Minimum Years and Type of Experience: 5 or more years of experience in Revenue Integrity or Revenue Cycle Operations
• Other Knowledge, Skills and Abilities Required:
• Experience in Healthcare operations, Revenue Cycle Operations, Charge Capture, Billing

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Professional development investment, including earning a professional certification relevant to their field and tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.