Enterprise Manager of Chargemaster

Job Number 61964
Posted 9/10/2019
Account Northern Light Health Home Office
Department Revenue Integrity
Location |ME| Northern Light Health Home Office-43 Whiting Hill Rd., ME 04412
Schedule Regular Full-time
Shift Day
Hours 8:00am - 430pm
Job Details
Job Summary

Under the direction of the AVP of Revenue Integrity, theManager of Enterprise Chargemaster leads and provides direction to the RevenueIntegrity department. This role includes oversight on all activities related toCDM management, charge capture, strategic pricing, and revenuereconciliation. Provides expertise andserves as a liaison to third-party agencies/vendors, internal departments,organizational members, and the communities we serve. Contributes to the success of the organizationby complying with standards, expectations, and core values; continuouslypursuing professional development; and performing other duties as needed.

Education and Experience

· Bachelor'sdegree required

· Five (5)years of progressively responsible management level experience in a similarsize and scope organization or system.

Required Minimum Knowledge, Skills and Abilities

· Strong understandingof hospital revenue cycle industry best practices and financial measures.

· Strongunderstanding of governments and commercial payer regulations related tohospital revenue cycle.

· 5+ years ofhospital chargemaster experience

· Strongmanagement and problem-solving skills.

· Excellent writtenand verbal communication skills.

· Ability tomanage multiple projects and affective prioritization.

· Ability toanalyze financial and operating information to facilitate decision making.

· Proficientwith Microsoft business applications.

· Customeroriented.

· Demonstratedability to lead teams, complete time sensitive projects and work bothindependently and collaboratively.

· Ability tomonitor and manage various third-party relationships

· Flexible andable to lead change within department.

Essential Functions

People

· Providesdirection and workload to staff toward the optimization and integrity ofenterprise-wide chargemaster, strategic pricing, charge capture, billing andreimbursement.

· Workscollaboratively with peer managers to assure the integrity of enterprise-widerevenue, to focus on standardization and metrics-based performance guidelines.

· Continually mentors'staff to develop and hone skills toward subject matter expertise, individualprofessional growth, efficiency and quality of work.

· Maintainshigh quality employees by way of recruiting, selecting, orienting, hiring, andregularly assessing quality of work.

· Complete allemployee evaluations timely and accurately.

· Communicateswith and counsels all employees with an identified performance opportunitypromptly.

Service

· Contributesto process improvement initiatives within the enterprise revenue cycle byrecognizing process improvement opportunities, anticipating and proposing opportunities,engaging stakeholders, conducting root cause analyses and developing andexecuting plans to achieve best practice.

· Contributesto the development and maintenance of policies and education.

· Facilitatecommunication and promote integrated operations between Patient Access Servicesfunctions, HIM/Coding, Revenue Integrity, CDI, Patient Financial Services, andBusiness Support Services functions, and other departments within the MemberOrganizations and health system.

Quality

· Maintainsworking knowledge of industry best practices, guiding principles, regulatorymandates, and payer requirements and shares knowledge with key stakeholders.

· Develops keyperformance indicators and measurable goals to promote accountability withinthe revenue cycle. Monitors outcomes anddefines real-time accountability responses to negative variances.

· Maintains theguiding principles and policies related to charge capture and CDM management inaccordance with current regulatory guidance.

· Offersstrategic and technical expertise to identify and improve financialopportunities in revenue cycle operations.

· Contributesto the development and maintenance of policies and procedures.

· Assessstaffing needs on a regular basis to ensure workflows are at the highestquality efficient levels.

· Ensure thatthe overall operations of assigned services promote effective interdisciplinaryteamwork that results in high quality, cost effective, and coordinated serviceswhich are responsive to the needs of patients, physicians, employees, RevenueCycle administration, other leaders, and appropriate external organizations.

· Manages, coordinates, and champions multiple initiativesacross the organization--including system go-lives--in order to improveprocesses and support the revenue cycle mission.

Finance

· Collaborateswith enterprise-wide financial leadership to maintain strategic pricing.

· Develop &track team goals and objectives that adhere to the department and NorthernLight Health's financial performance objectives.

Growth

· Maintainspersonal knowledge base of current industry best practices

· Attends local,regional, or national conferences/seminars to remain current.

Community

· Demonstratedepartmental desire to provide community benefits by way of charitable eventsor contribution outside the four walls of the department.

· Act as aliaison for both internal and external customers and facilitate communicationacross the system.

Organizational Values

Passion: We demonstrate a passion for caring for others andthe pursuit of service excellence in all that we do.

Integrity: We commit to the highest standards of behaviorand doing the correct thing for the right reasons.

Partnership: Working together in collaboration and teamworkis more powerful than working alone.

Accountability: We take a responsible and disciplinedapproach to achieving our priorities and responding to an everchangingenvironment.

Innovation: We are capable of extraordinary creativity andare willing to explore new ideas to achieve our healthcare mission.

Respect: We respect the dignity, worth and rights of others.

Safety Requirements

· Assist inmaintaining a work environment free from recognized hazards that create a riskor injury to employees, patients, or visitors

· All accidentsand incidents are reported by employees within 24 hours and supervisor tosubmit properly investigated report timely

· Ergonomicevaluations are completed as needed

· Whenappropriate, assist and support with the return of all workers with workrelated injuries and illness to gainful employment

Physical Demands

· Sedentary:Exerting up to 10 lbs. occasionally, sitting most of the time, and only briefperiods of standing and walking.

· Requires theability to travel to member organizations as needed

Note: the duties listed above reflect the majority of theessential duties of this job and does not, nor is it intended to, reflect allessential duties that may be required for an incumbent in this job to perform.




Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.

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