You’ll need
Certifications
Lean Six Sigma Black Belt, HFMA Certification, CRCR, RHIA, RHIT, CPC, or other healthcare financial certification Preferred
Education
✓Bachelor’s Degree in Business Administration, Healthcare Administration, Finance, Accounting, Health Information Management, or related field required Required
Master’s Degree Preferred
Qualifications
✓10 years of leadership experience in revenue cycle operations, consulting, reimbursement management, payer relations, and/or project management to include five (5) years of senior leadership experience Required
✓Knowledge of the entire revenue cycle with specific expertise in:
✓Denials Management
✓Appeals Operations
✓Payer Recoveries
✓Hospital and Physician Billing
✓Managed Care Reimbursement
✓Contract Compliance
✓Underpayment Recovery
✓Revenue Integrity
✓Regulatory Dispute Resolution
✓Payment Variance Analysis
✓within a progressive healthcare environment.
✓Experience managing two or more: commercial payer disputes, government payer disputes, recoupment defense activities, Independent Dispute Resolution (IDR), payer audit responses, contract compliance initiatives, underpayment recovery programs with a strong understanding of: Hospital and Physician Re
✓Experience leading large-scale operational transformation, centralization, and process improvement initiatives Required
Revenue Cycle leadership in a multi-hospital and employed physician environment with over $2B in net revenue Preferred
Previous experience using or implementing Epic, advanced knowledge of Epic Revenue Cycle applications and reporting tools Preferred
Experience leading enterprise denial management and payer recovery operations Preferred
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