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Revenue Integrity Manager
Location
United States
Posted
14 days ago
Salary
0
Seniority
Senior
Job Description
Revenue Integrity Manager
CAN Community Health
• This position ensures compliance with all regulations, policies, and procedures related to medical billing. • Review systems and processes to identify potential compliance issues. • Work with appropriate departments to correct such issues. • Serve as the internal resource for billing-related questions. • Provide training related to appropriate billing. • Work with various departments to ensure billing compliance. • Implement short and long-term plans and objectives to improve billing, coding, denials/rejections, and appeal processes. • Manage and optimize the revenue cycle process, ensuring accurate and timely billing, coding, and reimbursement. • Conduct analysis of revenue data, identify trends, and generate reports to support decision-making and improve revenue capture. • Implement strategies to enhance revenue capture, reduce denials, and improve overall revenue cycle efficiency.
Job Requirements
- Bachelor’s degree in healthcare, Business, Finance, or more than 5 years equivalent healthcare experience
- Five+ years management experience in a healthcare setting.
- Strong coaching and development skills with the ability to organize activities for a productive team and lead effectively with time and project management skills.
- Ability to research projects using primary sources when appropriate, such as CMS, HRSA, AHCA, etc.
- Experience working with medical payers including Medicare, Medicaid, Commercial and third-party administrators.
- Knowledge of insurance procedures, reimbursement guidelines, and claim filing processes.
- High comfort working in a diverse environment.
- Ability to effectively communicate both written and verbally.
- Excellent Computer skills and proficiency in Microsoft Office (EXCEL, VISIO, Word, PowerPoint)
Benefits
- Competitive pay
- Generous paid PTO and Sick time
- 11 Paid Company Holidays
- Paid training and certification support
- Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%
- Tuition Reimbursement Plan
- Other voluntary plans are available to support you and your family
- Career growth opportunities in a supportive environment
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