Manager Revenue Integrity
Location:
Houston , Texas
Posted:
October 22, 2017
Reference:
25466-137060
JOB TITLE: Revenue Integrity Manager

GENERAL SUMMARY OF DUTIES - The Revenue Integrity Manager is responsible for the daily operations of assigned RI Analyst. This person will work directly with the staff to ensure quality and efficiency of certain elements of claims processing and charge capture. This person will work directly with the facility CFO as Revenue Integrity Department representative and serve as a key promoter of the Service Center, which strives to meet and exceed the needs of its customers. Position will support management with detailed account flow analysis and work standard review, especially as they relate to quality and production of work.

SUPERVISOR - Revenue Integrity Director

SUPERVISES - Revenue Integrity Analysts/Leads

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

• Staff and order supplies according to budget guidelines and department needs
• Assist with the processing of payroll for his/her direct reports by maintaining employee edit requests, PTO requests, etc.
• Maintain accurate attendance records for employees
• Maintain up-to-date knowledge of regulatory changes impacting charging practices
• Maintain QA statistics as needed and reports results to the Revenue Integrity Director
• Assist with or perform employee evaluations with input from Revenue Integrity Director
• Directly oversee the daily activities of the RI Analyst to ensure department standards are met
• Continually educate staff of any changes pertinent to their roles
• Track, trend, and analyze Unbilled reports and give feedback to Revenue Integrity Director regarding identified issues
• Work closely and professionally with nursing and ancillary departments in an effort to maintain a teamwork approach
• Ensure adequate staffing and problem-solving
• Schedule and assist with evaluation processes; help resolve employee concerns
• Assist Revenue Integrity Director to ensure all personnel and department policies and procedures are followed
• Openly communicates issues and opportunities to appropriate person(s)
• Supervise and maintain effectiveness of workflow and staff responsibilities
• Recommend sufficient number of qualified/competent staff
• Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
• Other duties as assigned

KNOWLEDGE, SKILLS & ABILITIES

• Organization - proactively prioritizes needs and effectively manages resources
• Communication - communicates clearly and concisely
• Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
• Interpersonal skills - able to work effectively with other employees, patients and external parties
• Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required
• Financial management - applies tools and processes to successfully manage the budget
Qualifications:
EDUCATION

• High school diploma or GED required.
• Undergraduate Degree preferred

EXPERIENCE

• Healthcare experience required
• Clinical experience preferred
• Minimum 3 years supervisory experience

CERTIFICATE/LICENSE - LPN, LVN or RN preferred

A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom

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