Description:
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.
Required Skills
- 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
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 identified any issues or concerns with implementation of the terms prior to the contract being finalized
- 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)