Revenue Cycle Optimization Manager (Program Manager 1-B-LDH)

The Finance Operations Division provides accounting and revenue cycle management services to JPHSA and its programs. The Program Manager 1-B LDH (Revenue Cycle Optimization Manager)is accountable for the oversight and management of all revenue cycle workflows and processes and ensures compliance with federal and state laws as well as payor-specific regulations and requirements (Centers for Medicare & Medicaid Services Louisiana Medicaid private/military Managed Care Organizations etc.). This position supervises the three Administrative Program Specialist-A positions who work in Revenues Cycle Management (RCM). The position reports to the Finance Operations Division Director (Chief Financial Officer) with functional oversight by the Executive Director.

The official job specifications for this role as defined by the State Civil Service can be found here.

• Serves as the point person for the third-party revenue cycle vendor third-party electronic health record and third-party coding vendor
• Develops in consultation with the Chief Financial Officer (CFO) and Executive Director and with input from the Service Area Division Directors key performance indicators i.e. metrics for revenue cycle management. Tracks metrics and reports on no less than a monthly basis to the CFO other members of the Executive Management Team and the Executive Director. Provides analysis as requested. Proposes corrective action and/or performance improvement activities to the CFO
• Manages the Charge Designation Master (Charge Master) to ensure inclusion of all billable service codes in accordance with the Charge Designation Master procedure. Performs ongoing monitoring by service code and updates as needed to ensure avoidance of over- and underpayment. Manages updating the Charge Master as needed with no less frequency than annually (based on Calendar Year). Maintains documentation that supports changes made to the Charge Master per procedure
• Develops in consultation with the CFO and Administrative Program Manager 2 following internal policy and procedure development guidelines policies and procedures related to revenue cycle management. Communicates and ensures training for such policies and procedures to direct reports and the Division Directors
• Manages relations with providers payors and contractors as follows.
  1. Oversees monitoring of bulletins by Revenue Cycle Management staff from the Centers for Medicare & Medicaid Services and other payors. Assesses the impact of such bulletins on revenue cycle management operations; develops action plans to implement changes driven by such informational bulletins; ensures the action plans are implemented accurately and timely manner. Consults with the Compliance Officer as appropriate
  2. Monitors the geographic service area for entry of new payors; participates in contract negotiation from time to time as needed. Provides assistance to the General Counsel as requested

Position-Specific Details:

Appointment Type: Probational Promotional or Job Appointment

Career Progression: This position does not participates in a Career Progression Group.

Work Schedule:Work hours are 8:00 AM to 4:30 PM Monday - Friday.

Compensation:The salary offered will be determined based on qualifications and experience.

Louisiana is a State As a Model Employer (SAME) that supports the recruitment hiring and retention of individuals with disabilities.

Information to support your eligibility for the position must be included in the application (i.e. relevant detailed experience/education).Resumeswill notbe accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

For further information about this vacancy contact:

Enjoli Lewis

Jefferson Parish Human Services Authority

3616 S. I-10 Service Road West Metairie LA 70001