Healthcare

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Management

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Manager, Revenue Recovery | The Confidential Search Company

17 Jul 2020 8:26 AM | Anonymous

Position Description: 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 an executive search for a Manager, Revenue Recovery for our client, a financially strong, approximately 200 bed acute care hospital with over 500 providers and serving over 300,000 patients each year, located north of Boston in northeast MA.

The starting salary is $90 to $!10,000, depending on background and experience.

The Manager, Revenue Recovery is responsible for the management and oversight of the Hospital’s Harvest contract management system and associated department personnel. The Manager will support the strategic planning process by monitoring and analyzing Hospital revenues to ensure compliance with federal, state, and third-party regulations and payment policies to ensure maximum reimbursement is achieved.

The Manager, Revenue Recovery will: 

  • Manage the Hospital’s contract management system (Harvest)
  • Assist in the monthly contractual modeling process: Produce payor specific validation reports from the contract management system; Identify variances in accounts receivable and contractual allowance; and Resolve systematic problems as needed
  • Oversee the loading/updating of payor contracts into the contract management systems
  • Develop the underpayment review process
  • Work with Patient Financial Services and Data Integrity on changes needed in billing, alternate codes, or modifiers that need to be addressed
  • Aggressively review commercial and government payments to ensure the Hospital is paid according to its payor contracts
  • Work with payor representatives or payor contract managers to address identified contract payment issues
  • Monitor Federal, State and other third-party billing requirements and implements changes as needed to assure a high level of billing compliance
  • Coordinate with HIM on payor billing requirements that differ from CMS
  • Assist HIM in updating payor specific payment factors in the Hospital’s EMR system
  • Contributes to development of the annual net revenue budget by providing current payor specific contract data as needed
  • Work with the Fiscal management team to identify revenue recovery efforts and assist in development of annual revenue recovery plan/targets
  • Participate in reimbursement and/or revenue cycle-related committees
  • Maintain responsibility for the management and supervision of staff. Duties include assessing educational opportunities, setting department goals, providing regular performance feedback addressing any performance related issues, and the hiring and firing of staff

Requirements

  • Bachelor’s degree in a related field
  • Minimum of seven (7) years of acute healthcare finance experience
  • Experience with a contract management system. (Harvest contract management system experience strongly preferred)
  • Experience with managed care contracts with the ability to interpret terms and ensure appropriate payments are received
  • One to three years of managerial experience
  • Intermediate Microsoft WORD, EXCEL, and ACCESS skills

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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