Revenue Integrity Manager - Rancho La Costa, United States - Advanced Diabetes Supply

Description

About Our Company

Advanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don't just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you've been looking for.

POSITION SUMMARY

The Revenue Integrity Manager plays a crucial role in ensuring the accuracy and completeness of our financial records. This individual will oversee transactional level details, including volumes and reimbursement rates, to guarantee proper accounting and reflection in monthly financial results. The Revenue Integrity Manager will collaborate with various departments to implement best practices and optimize the quality of the revenue cycle processes.

ESSENTIAL FUNCTIONS

• Manages a complex process around revenue calculations, ensuring accuracy and compliance with organizational standards and regulatory requirements.
• Analyzes transactional data related to healthcare services, including shipped volumes, procedures codes, and reimbursement rates.
• Identifies discrepancies, errors, or irregularities in transactional records and takes corrective actions as necessary.
• Ensures correct adherence to write off and adjustments reason codes.
• Collaborates with the finance team to accurately reflect transactional details in monthly financial reports.
• Leads revenue recognition processes as part of month end close to ensure compliance with accounting principles and organizational policies.
• Prepares and presents detailed reports on revenue trends, variances, and performance metrics to senior management.
• Develops and implements strategies to enhance revenue cycle reporting efficiency and effectiveness.
• Conducts regular audits and assessments of revenue integrity processes, identifying areas for improvement and implementing solutions.
• Provides training and support to staff members on revenue integrity best practices and compliance requirements.
• Collaborates with billing, coding, compliance, and operational teams to streamline revenue cycle operations and resolve billing discrepancies.
• Promotes a team-oriented work environment by encouraging & demonstrating cooperation, collaboration, and co-ownership of processes.
• Fosters a team-oriented work environment by encouraging the building & maintenance of constructive work relationships.
• Keep an open-door policy and communicate with Supervisors and Team Leaders to understand the department's performance and identify areas that need additional support.
• Serves as a subject matter expert on revenue integrity matters, providing guidance and support to internal stakeholders.
• Embraces and exemplifies ADS core values:
• We put our people first.
• We serve our members with passion.
• We take ownership.
• We pursue excellence.
• We never stop growing.

OTHER RESPONSIBILITIES

• May perform any additional responsibilities or special projects as required.
• May provide cross-functional support as business needs demand.
• Duties and responsibilities may be subject to change based upon the needs of the department.

• Bachelors in Finance or related field
• Training and experience resulting in advanced familiarity with the standard concepts, practices, and procedures related to the accounting or FP&A function.
• 5+ years accounting / audit experience (sr auditor / manager level) or 3-5+ years in relevant FP&A experience
• Advanced knowledge of GAAP and accounting principles, practices, standards, laws, and regulations.
• Intermediate level of MS Office proficiency
• Advanced proficiency with Excel

EXPECTED COMPETENCIES

• Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.
• Proactive identification of challenges, and solution-oriented approach to problem solving.
• Service-orientation and aptitude to utilize proper listening skills.
• Ability to extract and summarize high volume data from a data warehouse.
• Effective analytical skills: able to use inductive and deductive reasoning to anticipate outcomes.
• Self-directed accountability and reliability
• Effective communication, and interpersonal skills, with the ability to influence and collaborate effectively with cross-functional teams.
• Able to manage and prioritize multiple tasks/projects, work autonomously, and meet deadlines.
• Able to work well in a team environment that promotes inclusiveness and communication among team members.
• Communication using both verbal and written English proficiency.
• Cultural competence

PHYSICAL DEMANDS

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.

While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk, and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Equal Opportunity Statement

Advanced Diabetes Supply provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training

Pay range and Compensation Package

Salary ranges may vary depending on location. The general hiring range for this position is $95,000 - $115,000 yearly salary. Actual compensation depends on education, experience and relevant skills.

Benefits for the full time employees include

• Health, Dental & Vision options
• FSA and HSA plan with Employer Contribution
• Employer paid EAP
• 401k with 4% Company Match
• Discretionary Profit Sharing Plan
• Tuition Reimbursement
• Paid Time Off (PTO) Including 8 Paid Holidays and a Birthday Holiday
• In-house Training Programs
• A fun culture in a fast-growing organization

PM21

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