Senior Manager of Revenue Cycle Informatics - Juneau, United States - South East Alaska Regional Health Consortium

Description

Pay Range:$ $56.13

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities of the Job

• Oversees management of consortium charge service function. Develops, plans, and executes on system pricing strategy including recommendations for annual price increase to System Director of Finance and CFO.
• Oversees management of consortium denials management function including administration of the denials reporting application and development and distribution of reports to front line management to identify opportunities for workflow improvements to minimize denials.
• Partners with other revenue cycle functions on execution of SEARHC's response to regulatory compliance requirements (e.g. price transparency, good faith estimates, etc).
• Oversees execution of consortium charge reconciliation processes.
• Partners with operational leadership on new service design to ensure EHRs are optimized to support charge capture goals.
• Develops and maintains policies and procedures to support execution of responsibilities outlined above.
• Provides the necessary support and leadership to achieve organizational goals and objectives including days in AR, discharged not final coded, discharged not final billed, clean claim rate, denial rate, etc.

• Other related duties as assigned.

• This position requires supervisory responsibilities.

• Bachelor's degree - required
• Seven or more years' experience working in the U.S. healthcare industry may be used to substitute the Bachelor's Degree requirement.

• Five or more years' experience utilizing health information technology programs, devices, and hardware to data to inform program development, implementation, and policy with at least three years of clinical informatics or revenue cycle informatics work experience.

• Accounts receivable and medical terminology and billing/collection practices; payer edits, rejections, rules, and how to appropriately respond to each; and health information technology, such as Cerner products

• Analytical and creative problem solving skills
• Oral and written communication skills
• Project Management
• Timely and successful appeals to insurance companies

• Work on different projects simultaneously in fast environment and appropriately handle overlapping commitments and deadlines