Strategic Revenue Integrity Manager - Healthcare

1200 MH-Memphis Hospitals; Poplar (MT); On-site; USD 110,000 - 135,000; Full time

Job summary

Methodist Le Bonheur Healthcare seeks a Revenue Cycle Manager to plan and implement revenue cycle processes across departments, ensuring compliance and financial impact assessment. The role emphasizes leadership in pricing, denials management, and cross-functional collaboration within a large health system.

The position involves overseeing registration, pre-certification, coding, and charge posting, while maintaining controls and driving process improvements in a high-volume environment.

Qualifications

• Bachelor's Degree in Business Administration/Management required
• High School Diploma or Equivalent preferred
• Master's Degree preferred

Responsibilities

• Plans, organizes, develops and implements revenue cycle operations to meet departmental goals.
• Maintains internal controls over front end billing functions, patient registration, pre-certification, procedure authorizations, insurance verification, charge entry and coding.
• Keeps abreast of reimbursement procedures of third party and private payers.
• Manages patient registration, pre-certification, coding and charge posting, advising supervisors on day-to-day implementation and interpretation for policy compliance.
• Provides analysis on financial impact of new business opportunities and decisions.
• Manages and develops pricing for ULPS products and procedures.
• Oversees re-certification/clinical denials management including appeals, rebilling, and verification.
• Promotes information flow through effective communication within and outside the department.

Job description

Methodist Le Bonheur Healthcare seeks a Revenue Cycle Manager to plan and implement revenue cycle processes across departments, ensuring compliance and financial impact assessment. The role emphasizes leadership in pricing, denials management, and cross-functional collaboration within a large health system.

The position involves overseeing registration, pre-certification, coding, and charge posting, while maintaining controls and driving process improvements in a high-volume environment.