Manager, Revenue Integrity

Ensemble-Health-Partners; Blue Ash (OH); In loco; USD 84.000 - 110.000; Tempo pieno

Vantaggi offerti da questo lavoro

Employee development opportunities

Descrizione del lavoro

Ensemble Health Partners seeks a Manager of Revenue Integrity to lead charge capture and revenue integrity activities across client accounts. You will supervise staff, ensure compliant charging, and collaborate with departments to reduce denials and optimize DNFB.

The role emphasizes data-driven performance, coaching, and ongoing process improvements to meet budget and patient care goals. Strong healthcare revenue cycle experience is required.

Competenze

• 5+ years in Revenue Integrity or Revenue Cycle Operations.
• 3-5 years of people leadership experience.
• Preferred bachelor's degree in Business or Healthcare.
• Certification in HFMA CRCR or coding or equivalent.

Mansioni

• Lead revenue integrity activities across Ensemble clients.
• Identify trends in charge capture and educate staff.
• Interview, hire, and develop staff; manage performance.
• Prepare monthly analytics and drive process improvements.
• Collaborate with departments to meet financial goals.

Conoscenze

Revenue integrity

People leadership

Revenue cycle operations

Communication

Formazione

High School Diploma / GED

Bachelor's degree in Business or Healthcare

Strumenti

HFMA CRCR certification

Coding certification or equivalent

Descrizione del lavoro

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.The Opportunity:Job SummaryThe Manager of Revenue Integrity manages all Revenue integrity & charge capture activities, and is responsible for 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, ensure compliant charge capture practices, ensure claims timely filing, & reduce denials. Additionally, they will work with all departments within the Revenue Cycle to manage DNFB, coordinate efforts and 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 and maintaining achieved improvements. Set standards of behaviors and performance for the department based on the Ensemble Difference principles.Job FunctionsManages all revenue integrity activities performed by staff across all Ensemble clients. Staff responsibilities include resolving revenue integrity edits to send claims to insurance companies for timely payment, identify trends and issues related to charge capture practices, educate clinical staff on appropriate charge capture and revenue reconciliation processes. Working with other departments within the Revenue Cycle to ensure compliant charging and billing practices, identify trends in charge capture errors, and provide necessary education to facilitate accurate charging and billing. Attend and coordinate department weekly & monthly meetings.Responsible for interviewing, hiring, staffing, performance management and development of staff. Counsels and disciplines employees when necessary in accordance with department and/ororganizational policies. Develops and maintains the training and education program for new hire and for existing staff. Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility.Prepares monthly analytics reports as requested by management. Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.Assists in strategic planning and performs ongoing process improvement evaluation. Reviews, updates and implements policies and procedures to support the vision and goals.Employment QualificationsLegally Required License / Certification (Ex: MD, RN, LPN, etc.) ONE CERTIFICATION PER FIELDEnsemble 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 experience3 to 5 Years - People leadership experienceEducation Level - High School Diploma, GED, or Equivalent ExperienceGeneral Office Environment or Work From Home - NoOther Preferred Knowledge, Skills and Abilities• Required Minimum Education - Specialty/Major: Business or Health care field• Preferred Minimum Education: 4 year/ Bachelors Degree• Preferred Minimum Education - Specialty/Major: Business or Healthcare field• 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, BillingSalary: $84K to $110K depends on experience, skills, education, interview and other qualificationsJoin an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:Associate Benefits – We offer a 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.Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail] posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.Employment Disclaimers – Ensemble