- 5 years of experience leading and managing a large team
- 10 years of Professional Revenue Cycle experience
- Experience in a leadership position specific to Revenue Integrity
- Experience in Charge Capture, Charge Reconciliation, Charge Pricing, Charge Routing, and Reimbursement.
- Extensive EPIC experience (specifically Epic Resolute Billing)
- Experience working in a large-scale multi-disciplinary health system.
- Bachelor's Degree
- Certifications - CPC, CMC, PMP or Epic certification such as ARCR: Resolute Professional Billing Claims and Billing Readiness
- Black Belt or Lean Six Sigma Certification
Revenue Integrity Director - Houston, United States - Insight Global
Description
Job Description:
A large healthcare provider in Houston, TX is seeking a Director of Revenue Integrity to join their Professional Revenue Cycle Team. This position is responsible for the technical aspects of professional services revenue integrity supporting the design and implementation of effective systems to ensure accurate, compliant, and timely charging. This position maintains a thorough comprehension of revenue cycle processes including Charge Capture, Charge Reconciliation, Data Analytics, Performance Optimization, Pricing, Reimbursement and Professional Billing. Partnering with leadership in Revenue Cycle, Clinical Departments, Networking, and Finance is essential to revenue performance across the Physician Enterprise. This leader maintains current knowledge of regulatory requirements, billing guidelines, and industry standards of pricing, including market conditions, government rates, local demographics, and economics. This position is hybrid and will be onsite 1 day a week after the first month.
Must Haves:
Plusses: