Monitors reports for a single hospital that drive SLA/KPI. Identifies trends, and facilitates and implements solutions to ensure client satisfaction. Owns reporting and provides support to Market Director Revenue Analysis, Hospital CFO and/or Market CFO.

 

Responsibilities

Responsible for analysis of eReserve and items/trends that significantly impact net revenue and completion of revenue section of month end Performance Summary

Review proposed Managed Care Contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized

Monitor/review billing, AR and reconciliation for hospital specific contracts

Support/Coordinate/Monitor the following: Leadership Meetings, Chart Audit Meetings, Compliance Meeting, Charge Master review/updates, Pass through invoice retrieval, Complex Case Review meetings, Hospital Revenue Cycle implementation initiatives such as GZ and Bad Debt initiatives, Internal/External Audit assistance, Engaging Legal for collection issues.

 Serves as internal consultant for health systems revenue departments, particularly hospital departments, to see that appropriate charge collection, revenue charging, and billing techniques are performed within the various revenue departments.

Responsible for direct preparation or supervision of preparation of Charge Master for the hospitals.  Establishes appropriate procedures for review and updating of charges.

Keeps CFO and/or Compliance Director fully apprised of any issues or concerns requiring administrative attention in the areas of compliance of financial system applications

Performs other duties as assigned.

Qualifications

Required:

Education: Bachelor’s degree

Experience: 6 years in A/R management and/or managed care contracting and analysis as well as directing a multi-facility business office

Preferred:

Education: Bachelor’s degree in business, health administration, or related degree