Memphis / Bartlett TNFull-timeMonitors 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 Responsibilities:Responsible for preparation and completion of eReserveResponsible for analysis of eReserve and items/trends that significantly impact net revenue and completion of revenue section of month end Performance SummaryResponsible for monitoring analyzing tracking and trending AR disputesResponsible for review and approval of manual adjustments and refundsResponsible for review and approval or revenue reclassesReview proposed Managed Care Contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalizedAssist in analyzing data to verify contract terms have been loaded correctly into MedAssets and claim properly adjudicated during and after managed care negotiationsMonitor/review billing AR and reconciliation for hospital specific contractsWork with hospital departments to resolve revenue cycle issues (e.g. orders charging Patient Access DNFB DNSP QS Disputes)Work with hospital leadership on revenue cycle issuesFacilitate revenue cycle meetings (preparation facilitation and follow-up)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 Service Point of EscalationServes 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 departmentsResponsible for direct preparation or supervision of preparation of Charge Master for the hospitals. Establishes appropriate procedures for review and updating of chargesServes as internal consultant for revenue departments anticipating procedural changes to assure appropriate identification and collection of charge items within external and Tenet guidelinesCoordinates with Case Management and Medical Records on any patient classification issues that ariseKeeps CFO and/or Compliance Director fully apprised of any issues or concerns requiring administrative attention in the areas of compliance of financial system applicationsDemonstrates ability related to coworkers in a professional and respectful manner in order to assure and promote culture of other duties as AND CERTIFICATIONS Bachelors degreeBachelors degree in business health administration or related degree8 years in A/R management and/or managed care contracting and analysis8 years directing a multi-facility business office
Market Director Revenue Analysis
