Job description
Overview
The Revenue Integrity Program Manager will work with clients and internal stakeholders in ensuring excellent subject matter expertise of the Revenue Integrity product lines. The RI Program Manager will consult with clients to optimize revenue integrity workflow using the Revenue Integrity suite of products. They will help support internal sales and product development teams as a subject matter expert. They should be a great communicator and able to articulate product benefits to c-suite within finance, revenue cycle or compliance. You will be a highly visible resource for our customers to ensure adoption and excellent utilization of our revenue integrity solutions.
Responsibilities
Analyze and document provider revenue cycle processes, while focusing on specific areas of concern identified by using current revenue cycle methodologies
Understand and provide best practice revenue cycle guidance and recommendations for provider revenue cycle operations
Lead small teams and projects that support overall consulting engagements
Recognize and identify revenue cycle process challenges or opportunities in a provider setting and escalate concerns timely
Work directly with provider departments, as needed
Managing customer expectations and service level agreements/timelines, ensuring that customers are kept informed.
Provide client support for all revenue Integrity applications and end users
Develop and maintain, as needed, knowledge and resources for above methodologies, client facing presentation, ROI calculator materials and regular internal education for advancing the skillset and effectiveness of the Executive Directors, internal prospecting staff (Marketing
Development Team), product campaign cadence and policy/procedure information for effective internal deal pursuit
Maintain industry and product knowledge, adapting to changes in the market/competition, participation in regional/national meetings/forums, and driving brand/deliverable awareness within territory
Complete special projects related to customer needs and support
Qualifications
Bachelors degree in health care industry, preferred.
Minimum of 6 years healthcare revenue cycle, audit denial and/or consulting experience required. Relevant industry experience may substitute previous consulting requirement
5+ years of experience working with revenue cycle vendors.
Understanding of process mapping and workflow redesign preferred. Lean management experience preferred.
Experience with healthcare information systems (HIS), EPIC, Cerner strongly preferred.
Experience with third-party payors, denials management, and claims processing preferred
Outstanding problem-solving and analytical skills
Develop and maintain, as needed, knowledge and resources for above methodologies, client facing presentation, ROI calculator materials and regular internal education for advancing the skillset and effectiveness of the Executive Directors, internal prospecting staff (Marketing
Development Team), product campaign cadence and policy/procedure information for effective internal deal pursuit
Support RFP’s, Large/Multi-product deals, cross departmental collaboration to achieve objectives
Maintain industry and product knowledge, adapting to changes in the market/competition, participation in regional/national meetings/forums, and driving brand/deliverable awareness within territory
Proven ability to work independently, meet deadlines, and prioritize multiple tasks in a fast-paced dynamic setting
Strong customer service orientation
Positive attitude, professional demeanor, and a strong work ethic
Excellent communicator (written and oral)
Proficient with Microsoft Office, especially Word, Excel, and Outlook
Willingness to travel up to 25% for client engagements
Total CompensationBase pay is one element of the total compensation package. Eligible employees may also receive an annual cash bonus and have access to a comprehensive benefits offering, including medical, dental, vision, life insurance, and a 401(k) plan.
Salary Range It is not typical for an individual to be hired at or near the top of the range. Individual pay may be influenced by factors such as skills, qualifications, experience, licensure, certifications, geographic location, and internal equity.
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Pay Range
USD $85,000.00 - USD $115,000.00 /Yr.Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.