Regional Revenue Integrity Manager – Denials & Chargemaster

CHRISTUS Health

Irving (TX)

On-site

USD 100,000 - 160,000

Full time

3 days ago
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Job summary

CHRISTUS Health in Irving, TX is seeking a Revenue Integrity Manager to lead the Revenue Integrity Coordinators and oversee charge capture, denial management, and unbilled claims. The role partners with regional leadership to ensure compliance and accurate billing across facilities.

You will supervise staff, run audits, maintain the chargemaster, and drive process improvements that enhance revenue. A Bachelor's degree and relevant experience are required.

Qualifications

  • Bachelor's degree or equivalent years of experience required.
  • 0–2 years of supervisory/management experience preferred.
  • 4 years of technical years of experience preferred.

Responsibilities

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Oversee staff to ensure regional revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of chargemaster.
  • Perform revenue integrity audits for departments.
  • Provide support to departments to assist with appropriate charge capture and reconciliation.
  • Assure reports are run as scheduled, reports are distributed, and report inquiries are handled.
  • Reports included Unbilled claims, B/AR rejections, PFS Agency, and Denials Recap details/summary.
  • Maintain the Charge Master, in collaboration with CHRISTUS Health designees, also in a manner that is compliant with insurance requirements and government regulations.
  • Lead regional denials management team(s), in order to analyze claims' denials and implement correction action plans.
  • Collaborate with PFS on denials' reviews.
  • Communicates regularly with dept.
  • directors and responds promptly to inquiries, concerns, and problems as pertain to the chargemaster.
  • Communicates with all departments.
  • directors as new regulations and/or operational changes occur; maintain a positive dialogue and collaborative working environment.

Skills

Leadership
Auditing
Denials management
Communication
Process improvement

Education

Bachelor's Degree

Tools

Charge Master System
Reporting software

Job description

CHRISTUS Health in Irving, TX is seeking a Revenue Integrity Manager to lead the Revenue Integrity Coordinators and oversee charge capture, denial management, and unbilled claims. The role partners with regional leadership to ensure compliance and accurate billing across facilities.

You will supervise staff, run audits, maintain the chargemaster, and drive process improvements that enhance revenue. A Bachelor's degree and relevant experience are required.

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