Description:

Market Director Revenue Analysis Full Time Days Position Summary

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.

Education

Required: Bachelor’s degree

Preferred: Bachelor’s degree in business, health administration, or related degree

Experience

Required: 8 years in A/R management and/or managed care contracting and analysis as well as directing a multi-facility business office

Certifications

N/A

2403036928 Minimum Qualifications Full Time

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

Tenet participates in the E-Verify and Work Opportunity Tax Credit (WOTC) programs. Follow the links below for additional information.

E-Verify: http://www.uscis.gov/e-verify
WOTC: https://www.doleta.gov/business/incentives/opptax