Revenue Integrity Process Improvement Program Sr Manager

Job Number
192354
Banner Health (Corporate)
Shift
Day
Department
Banner Health (Corporate) - Revenue Integrity-Corp
Position Type
FT: Full-Time
Street Address
2901 N. Central Ave
City & State
US-AZ-Phoenix
Posting Category
Leadership - Non-Clinical
New Grad
No

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Banner Health is currently seeking a Revenue Integrity Process Improvement Program Sr. Manager.  This position is located at Banner Corporate Center Mesa, off Country Club & Brown.

 

Revenue Integrity provides charge capture, denial management and net revenue analysis/improvement support to Banner Health. The department staff have a direct impact to the net revenue and cash for Banner Health. The department provides coordination across much of Banner Health including Case Management, PFS, Coding, Denials, Facility financial leadership.

 

The Revenue Integrity Process Improvement Program Sr. Manager will support the review of the various Revenue Integrity related dashboards for performance gaps to Banner Health standard processes, analysis of net revenue improvement opportunities at facility/system levels and collaboration for the implementation of new improvement ideas. This position will report to Banner’s Sr. Director for Revenue Integrity and will work closely with facility CFO’s, C-Suite and clinical managers and corporate RI leaders.

 

Preferred experience includes solid revenue cycle and revenue integrity experience, along with the understanding of payer and reimbursement related issues.

 

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About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

 

Truven-2013
Stage7-2013

About Banner Health
Banner Health is a comprehensive, award-winning, nonprofit health system with facilities in seven western states. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices, and much more, our skilled and compassionate professionals use the latest technology to change the way care is provided. The many locations, career opportunities and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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Job Summary

This position provides a leadership role in process outcome analysis, improvement, implementation and measurement under the guidance of the Revenue Integrity Executive Oversite Committee and reports directly to Banners RIA Director. This position will also work directly with facility CFOs, C-suite and directors as the Revenue Integrity department key contact representative to the facility. This position collaborates and works closely with corporate, facility and discipline team leaders to enhance understanding of associated net revenue integrity processes and outcomes. Also provide solutions that will lead to system-wide, standardized best practices in Revenue Integrity work process to the benefit of Banner and operational units while assisting in the implementation of the improved revenue integrity processes.

 

Essential Functions

  • Evaluates submitted process improvement ideas, submitted personally or from others, to determine scope, root cause, operational impact, ROI opportunities and costs, and submits in a standardized template for review by the Executive Oversight team. Proposals will seek to improve efficiency, effectiveness and best practice standardization of associated Revenue Integrity processes.

 

  • Meets with the Executive Oversight team to review submitted process improvement ideas to determine viability and prioritization for process redesign to address process gaps and create system-wide, standardized best practice Revenue Integrity work processes and solutions.

 

  • As assigned, leads individual process improvement initiatives to research, define, design and implement system-wide, standardized best practice Revenue Integrity work processes and solutions. Facilitates coordination with other relevant system leaders in the research, define and design process as part of membership on the initiative team.

 

  • Develops needed improvement process implementation materials including communication, training, policies/procedures and monitoring to ensure successful implementation of the improvement solution.

 

  • Works as a visible and credible change agent with facility leadership to help build a culture that engages in complex problem resolution and process improvement.

 

  • In collaboration with other Revenue Integrity Sr Managers and support analysts, develops and implements standardized approaches to analyze Revenue Integrity dashboards to identify process trends, issues, root causes and opportunities for improvement.

 

  • Regularly meets with facility C-suite, CFOs and directors to share the findings from the dashboard analysis with recommendations to assist facility leadership in understanding their facility performance, challenges and needs for process improvement by addressing root cause process gaps. Would also attend/present other facility Revenue Integrity related meetings such as Denials, Compliance, etc.

 

  • Provides assistance, coordination and education on Revenue Integrity related issues in a consultant capacity, as necessary to internal customers.

 

 

Minimum Qualifications

Requires a Bachelors degree in Accounting, Finance, related field or equivalent experience.

Requires a proficiency level typically achieved with 5 years prior work experience in healthcare revenue integrity. Requires in-depth knowledge of accounting principles, budgeting, cost accounting, and healthcare reimbursement methodologies. Must possess the ability to apply quantitative and qualitative process improvement techniques and perform advanced data analysis. Must be proficient with one or more operating systems, spreadsheets, database managers, presentations programs, and word processors. Must demonstrate a record of leadership with effective communication (verbal and written) and presentation skills as well as ability to identify and meet customer needs in a team environment. Requires effective negotiation capabilities and ability lead in a highly matrixed environment.

Preferred Qualifications

Additional related education and/or experience preferred.