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MD

Director of Healthcare Revenue Analysis

Macpower Digital Assets Edge Private Limited
πŸ‡ΊπŸ‡Έ United States
On-site
Manager or above
5 days ago
$115,000 – $170,000 / year
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 Market Director Revenue Analysis, Hospital CFO and/or Market CFO. Responsibilities:
  • Responsible for analysis of eReserve and items/trends that significantly impact net revenue and completion of revenue section of month end Performance Summary
  • Review proposed Managed Care Contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized
  • Monitor/review billing, AR and reconciliation for hospital specific contracts
  • 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.
  • 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.
  • 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
  • Performs other duties as assigned.
Basic Qualifications:
  • 6 years in A/R management and/or managed care contracting and analysis as well as directing a multi-facility business office
  • Bachelor's degree in business, health administration, or related degree

Director of Healthcare Revenue Analysis Β· Macpower Digital Assets Edge Private Limited

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