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Hospital Revenue Integrity Manager - RCM
- BJC HealthCare (St. Louis, MO)
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**City/State:** Saint Louis, Missouri
**Categories:** Financial Services
**Job Status:** Full-Time
**Req ID** : 102577
**Pay Range:** $83,865.60 – $136,593.60 / year (Salary or hourly rate is based on job qualifications and relevant work experience)
Additional Information About the Role
Looking for an experienced candidate to lead the hospital revenue integrity team within revenue cycle. Clinical service line and/or medical coding expeirence is a plus.
Overview
**BJC HealthCare** is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Charge Process Department is responsible for entity charge masters and revenue usage reports. Support both internal and external customers on all aspects of maintenance and reporting from the five chargemaster patient accounting systems which house nine different chargemasters within the system. Performs financial analysis detailing gross and net revenue impacts to ensure consistent charging methodologies, market sensitivity and maximum reimbursement are coordinated.
Preferred Qualifications
Role Purpose
The Manager of Revenue Cycle Finance will lead the financial reporting, revenue analysis and revenue integrity efforts of BJC’s Revenue Cycle Management System and act as liaison to Revenue Cycle and Hospital operating departments. Individuals in this role are responsible for overseeing the financial results, communicating to Senior Staff any key financial variables, identifying and alerting them of any positive and/or negatives trends.
Responsibilities
+ Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.
+ Ensures accounting controls are sufficient and implement appropriate policies and procedures as necessary to safeguard assets.
+ Oversees the completion and review of various financial models, proformas, and ad-hoc projects and analyses.
+ Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.
+ Leads teams of operational professionals responsible for overseeing application system availability, performance, and enhancements.
+ Assembles project plans and teamwork assignments, directing and monitoring work efforts on a daily basis, identifying resource needs, performing quality review, and escalating issues appropriately.
+ Determines opportunity for operational improvement in patient account functional areas.
Minimum Requirements
Education
+ Bachelor's Degree
Experience
+ 5-10 years
Supervisor Experience
+ < 2 years
Preferred Requirements
Education
+ Master's Degree
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
+ Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
+ Disability insurance* paid for by BJC
+ Annual 4% BJC Automatic Retirement Contribution
+ 401(k) plan with BJC match
+ Tuition Assistance available on first day
+ BJC Institute for Learning and Development
+ Health Care and Dependent Care Flexible Spending Accounts
+ Paid Time Off benefit combines vacation, sick days, holidays and personal time
+ Adoption assistance
To learn more, go to our Benefits Summary (https://www.bjctotalrewards.org/Benefits)
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
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Hospital Revenue Integrity Manager - RCM
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