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Director, Revenue Integrity | The Confidential Search Company

26 Feb 2019 12:39 PM | Anonymous

The Confidential Search Company is an executive recruiting firm with over twenty-five years of experience placing healthcare financial and administrative Executives, VPs. Directors, Managers and specialists.

We are conducting a confidential, executive search for a Director, Revenue Integrity for our client, a large, financially strong, integrated health care system with several hospitals.

Our client’s offices are in eastern MA and located outside of Boston.


The starting salary for the Manager is up to $170k, depending on background and experience. There may be some flexibility for a very well qualified candidate.

The Director defines and carries out the strategy for maximum revenue capture while maintaining compliance with current regulations. The Director serves as the chief liaison between revenue cycle and clinical departments. The Director also ensures the availability and interpretation of reporting and analytics necessary for the clinical and revenue cycle departments to drive financial improvement.

The Director, Revenue Integrity will:

  • Lead the Revenue Integrity department in an efficient and compliant manner of the Revenue Cycle
  • Oversee monitoring and improvement efforts within the functional areas of Revenue Integrity including:
  1. CDM Management
  2. Charge Capture
  3. Revenue Reconciliation
  4. Denial Management
  5. Reporting & Analytics
  • Oversee all functions performed by the Revenue Integrity team, including analytics and reporting, communication with departments and external shareholders, and ongoing strategy and development of the program
  • Work with team to develop meaningful metrics and key performance indicators departments to drive strategic analysis and decision-making
  • Lead targeted revenue improvement opportunities and assist with analyzing the financial impact as related to hospital clinical departments
  • Work proactively with leadership within Revenue Cycle and Finance to prioritize areas of focus and ensure appropriate ongoing performance
  • Assist in the development and maintenance of appropriate controls and security of processes that lead to accurate clinical, operational, and financial operations: and
  • Coordinate the above functions across hospital entities to ensure best practice performance is achieved standardly across the organization

Requirements

  • Bachelor’s degree
  • Five (5) years of hospital revenue cycle or reimbursement experience, including three (3) years management experience. Revenue Integrity department or related experiences preferred
  • Experience and skill with MS Office required
  • Experience with revenue cycle software packages required

Required Knowledge & Skills
  • Excellent understanding of multiple clinical disciplines and charging practices
  • Excellent ability to understand and interpret statistical reports and perform quantitative analysis
  • Knowledge and understanding of insurance claim processing and third-party reimbursement
  • Knowledge of state and federal regulations as they pertain to billing processes and procedures
  • Knowledge of the principles of Information Systems in order to effectively analyze and make decisions
  • Knowledge of healthcare related financial and/or accounting practices
  • Effective oral, written, and interpersonal communication skills
  • Skill in problem-solving in a variety of settings and translation of data into actionable steps
  • Skill in time management and project management
  • Ability to read, understand, and interpret, analyze and apply complex regulatory requirements
  • Ability to work efficiently under pressure
  • Ability to operate a computer and related applications
  • Ability to apply appropriate supervisory, management, and leadership techniques in an operational setting
  • Ability to work independently and take initiative
  • Ability to demonstrate a commitment to continuous learning and to operationalize that learning
  • Ability to deal effectively with constant changes and be a change agent
  • Ability to deal effectively with difficult people and/or difficult situations
  • Ability to willingly accept responsibility and/or delegate responsibility, and
  • Ability to set priorities and use good judgment for self and staff

All inquiries will be treated confidentially.

Interested candidates should send their resume to:

Matthew O’Brien
The Confidential Search Company
ConfSearch@aol.com
860-742-1555 or 800-222-2729

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