REVENUE MANAGER-Remote

About the position Responsibilities • Manage revenue cycle-related inquiries. • Serve as Point Person/Service Line Resource (Liaison) • Respond, research and resolve revenue cycle-related inquiries pertaining to assigned Maestro Care applications. • Monitor and manage from key performance indicators. • Independently complete data analysis. • Monitor and manage reimbursement changes. • Interpret and implement items communicated through payer policies. • Provide training on charge capture, reconciliation, and correction as needed. • Resolve accounts in assigned Charge Router, Charge Review. Claim Edit, and Follow-Up WQs. • Utilize standard reports and/or develop new reports to track revenue cycle performance for assigned application clinical services. • Review key metrics, from scheduling to billing & collections, in collaboration with PRMO Managers. • Identify issues through ongoing monitoring of departmental metrics and/or through routine meetings with key operational managers within PRMO to facilitate communication. • Continuously research and monitor payer regulations; provide education to operational areas. • As applicable, coordinate with DHIP Revenue Managers to educate physicians to meet changing payer requirements/regulations. • Facilitate revenue cycle collaboration and strategic planning activities. • Serve as Duke Revenue Cycle Management and Integration lead for assigned areas to coordinate activities (reduce redundancies) and keep senior leadership informed. • Coordinate and chair revenue-oriented workgroup activities and meetings. • Manage communications among PRMO, hospitals, and physician practices. • Arrange revenue cycle training activities. • Participate in routine meetings with CFOs, AVP, Reimbursement Revenue Accounting to provide updates on current revenue cycle issues/priorities. • Provide service line specific strategic planning/priorities to PRMO leadership through Revenue Manager Councils/Operations Meetings. • Share operational changes to and from PRMO to hospital and physician practices. • Develop or participate in focused workgroups to address topics such as registration, billing & collections, coding and charge capture, Maestro Care applications. • Facilitate discussions and strategies to address operational issues. • Managing communications between PRMO and Hospital Operational Owners and Providers. • Organize and lead workgroups to routinely meet with Operations regarding PRMO function, issues, trends, etc., affecting revenue cycle performance. • Actively participate in service line specific strategic planning around revenue cycle prioritization and planning. • Maintain exceptional customer service, fortifying expectation of consistent professionalism and expertise. • Must be capable of setting priorities and working under pressure. • Coordinated activities are expected to be carried out with minor supervision. • Escalate issues as needed. • Manage and prioritize revenue and/or compliance requests. • Manage projects simultaneously. • Develop and manage action plans and maintain timelines. • Organize and keep deadlines. • Identify and recruit appropriate resources. • Develop and maintain strong relationships. • Develop creative solutions. • Must be process oriented. • Manage Annual CPT Updates: Coordinate, working with Health System Operations Managers in assigned applications: DUHS Revenue Management and PRMO • Investigate and manage revenue opportunities identified through reporting and analysis. • Specialize and manage revenue cycle functions and Epic Systems applications. • Manage assigned Service Now tickets. • Must be able to investigate charge and claim information and navigate information systems. • Serve as EPIC System knowledge source for charge capture functions (charge capture, reconciliation, and corrections for procedures, medications, and supplies as appropriate) with specific applications. Requirements • Bachelor’s degree required. • At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity is required. • Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with Hospital leadership. • Strong oral and written communication skills. • The ability to work independently, proactively and adapt appropriately to changing priorities is a must. • Must be able to communicate effectively, provide timely responses, identify resources to resolve inquiries. • Must be able to facilitate meeting of multi- disciplinary teams. • Must be capable of setting priorities and working under pressure. • Must be process oriented. • Must be able to investigate charge and claim information and navigate information systems. Nice-to-haves • Master’s degree preferred. • Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative) preferred. Apply tot his job