REVENUE INTEGRITY MANAGER IN FINANCE FULL-TIME DAYS 24500
REVENUE INTEGRITY MANAGER IN FINANCE FULL-TIME DAYS 24500
Bergen New Bridge Medical Center
Paramus, NJ
See who Bergen New Bridge Medical Center has hired for this role
- Review trends in third party payments, compare actual payments to managed care contract reimbursement schedules and government payer fee schedules
- Works closely with Managed Care Contracting to ensure accurate set up of contract rates in contract management system
- Effectively shares finding across the broader finance team to increase visibility and improve overall revenue integrity
- Create, prepare and distribute under and over payment reports to be shared with contract payers for timely payment enforcement.
- Communicates with all other revenue cycle departments to efficiently address gaps in workflow or missed opportunities
- Reviews and analyzes reimbursement claims and contracts to ensure compliance with regulatory requirements, payer guidelines and internal policies
- Stays updated with changes in healthcare regulations and reimbursement methodologies ensure compliance and adapt reimbursement process accordingly
- Conducts reimbursement audits and identify opportunities for process improvement and revenue optimization
- Collaborates with Clinical, Revenue Cycle, Corporate Compliance, Health Information Management, Internal Audit and other Revenue and Finance departments on revenue management initiatives.
- Provide guidance, communication and education on correct charge capture, coding and billing processes to clinical/ancillary departments and entities.
- Engages with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured.
- Assists in the resolution of pre-billing charging issues and post-payment charge related denials.
- Collaborates with other departments and software vendors to facilitate resolution of process issues and implementation of improvement changes.
- Prioritizes and manages multiple tasks and projects simultaneously.
Experience
- Bachelor’s degree in Business Management, Accounting, or related work experience.
- 5 - 7 years of hospital revenue cycle experience or healthcare data analytics experience.
- Demonstrated proficiency in the use of data analysis tools.
- Computer literacy required including working knowledge of relevant software packages such as Microsoft Office.
- An overall understanding of financial management and reporting in health care.
- An overall knowledge of the functions and activities of hospitals and medical clinics.
- Ability to participate with upper management in a decision support mode through the development of appropriate management information.
- Understanding of compliance issues and their importance and consequences.
- Knowledge and skill in using personal computers for electronic mail communications and Internet access along with internal intranet utilization.
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Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Accounting/Auditing and Finance -
Industries
Hospitals and Health Care
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