Manager Revenue Integrity

📁
Business (Non-Clinical)
📅
242169 Requisition #

Reporting to the Director, Revenue Integrity, the Manager, Revenue Integrity, is responsible for the facilitation of improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. Revenue Integrity (RI) is a distinct function that drives proactive charge capture opportunity identification and realization and improves collaboration across the organization. In addition to revenue enhancement, RI also serves to provide focus toward revenue protection and maintenance. The Manager, Revenue Integrity, role in the Revenue Integrity Model is to manage the HFHS Revenue Performance Improvement methodology. This methodology includes management of revenue reconciliation, charge capture assessments and interventions/implementation of opportunities. 

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor's Degree in Business Administration, Healthcare Administration or Nursing.
  • Five (5) years clinical operations experience.
  • Significant project management experience and outstanding analytical, communication and interpersonal skills.
  • Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to System leadership, management and staff.
  • Ability to develop strong working and collaborative relationships with physician leaders in clinical and academic settings.
  • Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other third party billing rules/coverage.
  • Excellent analytical, motivational and critical thinking skills.
  • Ability to manage large, complex, simultaneous assignments with potentially conflicting priorities and deadlines.
  • Proven project management skills.
  • Sound decision making skills.
  • Strong diplomacy and collaboration skills.
  • Strong knowledge of Microsoft Office, particularly Excel.
  • Strong, growing base of analytical/technical, facilitative and process improvement knowledge.
  • Expertise in data base and project management applications a plus.

CERTIFICATIONS/LICENSURES REQUIRED:

  • Clinical specialty preferred; coding certification preferred.

    Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.

Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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