Director, Revenue Analysis

St Joseph School Of Nursing Providence , RI 02940

Posted 3 months ago

POSITION SUMMARY: The Director of Revenue Analysis (DRA) is the key point of contact for revenue cycle analyses functions and co-located with the Regional VP, Revenue Cycle and/or Finance leadership for each hospital entity.# The DRA is the conduit for communication and resolution of issues related to billing, contractual allowances, denials reporting and root causes, charge capture and revenue and utilization recognition.# They are also responsible for ensuring that all A/R is valued appropriately prior to each month end, as well as researching and resolving issues related to expected reimbursement, contract management, bad debt reserves and exceptions.# # EDUCATION/CERTIFICATION: College degree in Business, Finance, Health Care Administration, Accounting, or any other related field.# Advanced degree preferred.# # EXPERIENCE: 8-10 years of Healthcare Finance, Revenue Recognition or Healthcare Management and/or Revenue Capture experience required.# 4 years additional experience may be substituted for a college degree.# Fluency with financial reporting packages and principles required (e.g., Excel, PowerPoint, Tableau, Billing Software, Contract Management Software, etc.)# Knowledge and/or experience with Lean Principles preferred.


COMPETENCIES:


Thorough understanding of Payer Contracts and contract language Excellent written and verbal communication skills in English Ability to multitask and maintain a work pace appropriate to workload Computer literacy and proficiency Must demonstrate customer service skills appropriate to the job # # ESSENTIAL DUTIES and RESPONSIBILITIES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time.# Responsible for the analysis of bad debt and item/trends that significantly impact net revenue (such as denials).#####


40% # Work with hospital leadership and/or departments on revenue cycle issues (e.g. orders, charging, Patient Access, DNFB, etc.)######## ### 10% # Support/Coordinate/Lead the following:# Dept Head Meetings, audit workgroup meetings, Denials Meetings, Chargemaster reviews, vendor relations, internal/external audit workgroups, and High Dollar/High Risk patient revenue meetings.


25% # Responsible for the review of revenue reclasses, provider liable adjustments, refunds, charity care applications, policies and procedures, exception reports for Experian, Rubixis, and other tools and projects as needed.#


####25%

POSITION SUMMARY:

The Director of Revenue Analysis (DRA) is the key point of contact for revenue cycle analyses functions and co-located with the Regional VP, Revenue Cycle and/or Finance leadership for each hospital entity. The DRA is the conduit for communication and resolution of issues related to billing, contractual allowances, denials reporting and root causes, charge capture and revenue and utilization recognition. They are also responsible for ensuring that all A/R is valued appropriately prior to each month end, as well as researching and resolving issues related to expected reimbursement, contract management, bad debt reserves and exceptions.

EDUCATION/CERTIFICATION:

  • College degree in Business, Finance, Health Care Administration, Accounting, or any other related field. Advanced degree preferred.

EXPERIENCE:

  • 8-10 years of Healthcare Finance, Revenue Recognition or Healthcare Management and/or Revenue Capture experience required.

  • 4 years additional experience may be substituted for a college degree.

  • Fluency with financial reporting packages and principles required (e.g., Excel, PowerPoint, Tableau, Billing Software, Contract Management Software, etc.)

  • Knowledge and/or experience with Lean Principles preferred.

COMPETENCIES:

  • Thorough understanding of Payer Contracts and contract language

  • Excellent written and verbal communication skills in English

  • Ability to multitask and maintain a work pace appropriate to workload

  • Computer literacy and proficiency

  • Must demonstrate customer service skills appropriate to the job

ESSENTIAL DUTIES and RESPONSIBILITIES:

Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time.

  • Responsible for the analysis of bad debt and item/trends that

significantly impact net revenue (such as denials). 40%

  • Work with hospital leadership and/or departments on revenue

cycle issues (e.g. orders, charging, Patient Access, DNFB, etc.) 10%

  • Support/Coordinate/Lead the following: Dept Head Meetings,

audit workgroup meetings, Denials Meetings, Chargemaster

reviews, vendor relations, internal/external audit workgroups,

and High Dollar/High Risk patient revenue meetings. 25%

  • Responsible for the review of revenue reclasses, provider liable

adjustments, refunds, charity care applications, policies and

procedures, exception reports for Experian, Rubixis, and other

tools and projects as needed. 25%


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Director, Revenue Analysis

St Joseph School Of Nursing