Job Information
Scottish Rite for Children Revenue Integrity Manager in Dallas, Texas
Our patients are our number one priority! We're committed to giving children back their childhood!
Job Posting Title:
Revenue Integrity Manager
Location:
Dallas - Hospital
Additional Posting Details:
Monday - Friday
8 am - 4:30 pm
Job Description:
Duties/Responsibilities
This position is responsible for the daily management and direction of the Revenue Integrity function under the oversight of the CFO and VP, Revenue Cycle at SRC
This leader will perform audits and reviews of departmental charge capture and reconciliation, denials management for all campuses, daily reporting and coordinated work on unbilled/DNFB, departmental education on the aforementioned functions, and the identification and implementation of process improvement opportunities, in collaboration with Revenue Cycle and hospital and clinic operations, in order to enhance revenue potential and compliance
This role interfaces with hospital and clinic leadership, Billing and HIM staff, and department leadership and associates on a regular basis to ensure audits and corresponding action plans are done in a timely and effective manner
Ensure revenue integrity functions, including charge capture, denials management, unbilled claims, and maintenance of chargemaster
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, Denials Recap details/summary
Maintain the Charge Master in a manner that is compliant with insurance requirements and government regulations (This includes regularly searching for updates and maintaining current and previous billing requirements.)
Follow up on denials in order to analyze claims' denials and implement correction action plans with stakeholders including department leaders and physician
Communicates regularly with dept Directors and responds promptly to inquiries, concerns and problems as pertains to the chargemaster
Communicates with all dept Directors as new regulations and/or operational changes occur; maintains a positive dialogue and collaborative working environment
Other duties as assigned.
Required Skills/Abilities
Bachelor's Degree
Three or more years of experience in a hospital or clinical setting with revenue integrity audit and compliance
At Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and is an equal opportunity employer.
For questions, contact careers@tsrh.org.
Scottish Rite for Children
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