Market Director Revenue Analysis - Veracity Software Inc

Market Director Revenue Analysis

Memphis / Bartlett, TN

Full-time

Monitors 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 CFO.

Job Responsibilities:

· Responsible for preparation and completion of eReserve

· Responsible for analysis of eReserve and items/trends that significantly impact net revenue and completion of revenue section of month end Performance Summary

· Responsible for monitoring, analyzing, tracking and trending AR disputes

· Responsible for review and approval of manual adjustments and refunds

· Responsible for review and approval or revenue reclasses

· Review proposed Managed Care Contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized

· Assist in analyzing data to verify contract terms have been loaded correctly into MedAssets and claim properly adjudicated during and after managed care negotiations

· Monitor/review billing, AR and reconciliation for hospital specific contracts

· Work 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 issues

· Facilitate 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 issues.

· Customer Service – Point of Escalation

· Serves 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 departments

· Responsible for direct preparation or supervision of preparation of Charge Master for the hospitals. Establishes appropriate procedures for review and updating of charges

· Serves as internal consultant for revenue departments anticipating procedural changes to assure appropriate identification and collection of charge items within external and Tenet guidelines

· Coordinates with Case Management and Medical Records on any patient classification issues that arise

· Keeps CFO and/or Compliance Director fully apprised of any issues or concerns requiring administrative attention in the areas of compliance of financial system applications

· Demonstrates ability related to coworkers in a professional and respectful manner, in order to assure and promote culture of safety.

· Performs other duties as assigned.

Skills and Certifications

Bachelor's degree
Bachelor's degree in business, health administration, or related degree
8 years in A/R management and/or managed care contracting and analysis
8 years directing a multi-facility business office