Market Director Revenue Analysis

Job Title: Market Director Revenue Analysis
Location: Bartlett, TN | Memphis, TN
Job-Type: FTE/Permanent

Position Summary
Monitors reports for a single hospital that drive SLA/KPI. Identifies trends and facilitates and implements solutions to ensure client satisfaction. Owns reporting and provides support to CFO.

Job Responsibilities:

• Responsible for preparation and completion of eReserve
• Responsible for analysis of eReserve and items/trends that significantly impact net revenue and completion of revenue section of month end Performance Summary
• Responsible for monitoring, analyzing, tracking and trending AR disputes
• Responsible for review and approval of manual adjustments and refunds
• Responsible for review and approval or revenue reclasses
• Review proposed Managed Care Contracts and identify any issues or concerns with implementation of the terms prior to the contract being finalized
• Assist in analyzing data to verify contract terms have been loaded correctly into MedAssets and claim properly adjudicated during and after managed care negotiations
• Monitor/review billing, AR and reconciliation for hospital specific contracts
• Work with hospital departments to resolve revenue cycle issues (e.g. orders, charging, Patient Access, DNFB, DNSP, QS, Disputes)
• Work with hospital leadership on revenue cycle issues
• Facilitate revenue cycle meetings (preparation, facilitation and follow-up)
• Support/Coordinate/Monitor the following: Leadership Meetings, Chart Audit Meetings, Compliance Meeting, Charge Master review/updates, pass through invoice retrieval, Complex Case Review meetings, Hospital Revenue Cycle implementation initiatives such as GZ and Bad Debt initiatives, Internal/External Audit assistance, Engaging Legal for collection issues.
• Customer Service - Point of Escalation
• Serves as internal consultant for health systems revenue departments, particularly hospital departments, to see that appropriate charge collection, revenue charging, and billing techniques are performed within the various revenue departments
• Responsible for direct preparation or supervision of preparation of Charge Master for the hospitals. Establishes appropriate procedures for review and updating of charges
• Serves as internal consultant for revenue departments anticipating procedural changes to assure appropriate identification and collection of charge items within external and Tenet guidelines
• Coordinates with Case Management and Medical Records on any patient classification issues that arise
• Keeps CFO and/or Compliance Director fully apprised of any issues or concerns requiring administrative attention in the areas of compliance of financial system applications
• Demonstrates ability related to coworkers in a professional and respectful manner, in order to assure and promote culture of safety.
• Performs other duties as assigned.

Skills and Certifications:

• Bachelor's degree
• Bachelor's degree in business, health administration, or related degree
• 8 years in A/R management and/or managed care contracting and analysis
• 8 years directing a multi-facility business office.