Gillette Children's Specialty Healthcare logo

Company Profile

Location:
Saint Paul, Minnesota
Country:
United States

Job Profile

Job Category:
Health Care - Medical, Business Management, Finance - Banking
Position type:
Full Time
City:
St. Paul
State:
Minnesota
Zip Code:
55101
Reference number:
7381
Job Id #:
11221077
Date Posted:
February 08, 2018

Manager - Charge Integrity

Location: River Park Plaza

Hours: 1.0 FTE (40 hrs/week) Monday-Friday business hours

Primary Responsibilities:
​The Manager of Charge Integrity reports to the Vice President of Performance and Information Management and is responsible for providing vision and managerial leadership for the provision of value driven post-encounter revenue cycle operations. Through active collaboration, the Manager assures that collection and revenue operations are implemented consistently with Gillette's mission and strategic plan. This position provides oversight to critical leadership roles in the management and delivery of enterprise capabilities for optimizing financial performance in a complex integrated healthcare enterprise.

The Manager of Charge Integrity is a key role in the revenue cycle and is responsible for coordinating efforts between the providers, clinical managers, patient access and revenue integrity staff to obtain comprehensive and accurate documentation and revenue for patient encounters. This position will support adoption and best practice use within the full spectrum of encounter revenue cycle optimization (i.e. charge configuration and capture, coding, audit management, billing, claims processing, collections, patient statement processing, online bill pay, remittance processing, denial management, appeals management, and payment posting/electronic funds transfer), as well as ensuring alignment and coordination with leadership across all aspects of revenue cycle management.

Required Qualifications:
Master's degree in management, healthcare, finance or related field
3-5 years of healthcare, financial consulting or management
Experience managing and leading a team

Preferred Qualifications:
Three or more years of experience in management of financial, reimbursement or documentation service

Knowledge, Skills & Abilities:
Ability to design and execute new and significantly revised workflows and processes on time and within budget
Ability to manage across function and service types with excellence in staff engagement, customer experience and operational efficiency
Ability to define, analyze and interpret business information needs to promote and sustain successful operations from customer experience, revenue cycle and operational efficiency perspectives

Position Summary:

Provides vision and managerial leadership for provision of value driven post-encounter revenue cycle operations. Through active collaboration assures that collection and revenue operations are implemented consistent with Gillette’s mission and strategic plan. This position provides oversight to critical leadership roles in the management and delivery of enterprise capabilities for optimizing financial performance in a complex integrated healthcare enterprise.

This position is a key role in the Revenue Cycle and is responsible for coordinating efforts between the providers, clinical managers, patient access, and revenue integrity staff to obtain comprehensive and accurate documentation and revenue for patient encounters. The position will support adoption and best practice use within the full spectrum of encounter revenue cycle optimization (i.e., charge configuration and capture, coding, audit management, billing, claims processing, collections, patient statement processing, online bill pay, remittance processing, denial management, appeals management, and payment posting/electronic funds transfer), as well as ensuring alignment and coordination with leadership across all aspects of revenue cycle management.

Develops policy, practices, and processes in support of operations, in compliance with all relevant regulations, and consistent with Gillette mission and strategy. This assures effective optimization of revenue cycle and reimbursement. Provides clinical, patient access, utilization review, and financial operations managers with performance and service data necessary to effectively manage their areas. Provides leadership for charge integrity collaboration with Information Systems to assure development and implementation of efficient and effective electronic systems to support this work. Contributes to the Gillette managerial team to assure that the organizations strategic goals are met and the mission served. Independently leads the creation and delivery of an on-going accounts receivable and cash flow oversight plan, including properly accounting for bad debt, uncompensated care, net revenue, and collections.

Independently leads the creation and delivery of an on-going clinical documentation improvement and provider education plan to enable and support accurate documentation of patient encounters.

Specific duties are determined by the work setting or patient population served; however, in all positions, serving patients with challenging and complex conditions requires a concentration of specialized staff able to work in highly coordinated teams. We organize care around each patient’s condition which requires staff at multiple levels and across many departments to exhibit exceptional teamwork qualities including communicating efficiently and effectively and adopting the behaviors required for high functioning integrated teams, consistent with our Gillette CARES expectations.

Qualifications:

Required: 

  • Advanced degree in management, healthcare, finance, or related field. 
  • Demonstrated managerial leadership including: 
  1. o Ability to design and execute new and significantly revised work flows and processes on time and within budget 
  2. o Ability to manage across function and service types with excellence in staff engagement, customer experience, and operational efficiency 
  3. o Ability to define, analyze and interpret business information needs to promote and sustain successful operations from customer experience, revenue cycle, and operational efficiency perspectives.

Strongly Preferred:

  • Three or more years of experience in management of financial, reimbursement, or documentation service

Knowledge, skills, abilities:

  • Demonstrated excellence in leadership, communication, motivation and organization skills 
  • Demonstrated excellence in design, analysis and interpretation of business intelligence data 
  • Commitment to excellence in staff engagement and customer experience 
  • Demonstrated ability to work collaboratively 
  • Demonstrated ability to work independently 
  • Demonstrated ability to manage projects within allotted resources and meeting time and deliverable expectations 
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