RCM Revenue Integrity Manager
COMPANY DESCRIPTION
Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 182 providers consisting of 119 physicians and 63 advanced practice providers operating out of 54 locations across Southern, Central, and Northern California.
POSITION SUMMARY
The RCM Revenue Integrity Manager is responsible for overseeing and supporting the revenue integrity program, ensuring compliance with regulations, and managing the revenue cycle process. The Revenue Integrity Manager will support the RCM Vice President and RCM Directors with a wide variety of projects and tasks that are needed to successfully run the Revenue Cycle Department. Communication with staff in all departments is paramount in this position, ensuring that the RCM needs of all departments are met effectively and efficiently. In addition, this position will support the flow of patient care by providing excellent and efficient billing, coding, account resolution, and customer service.
What you will be doing
- Reviewing systems and processes to identify potential compliance issues and working with departments to correct them.
- Provide education and training on process and procedures to assure uniform application and compliance to policies and procedures.
- Conducting internal coding/ billing/ EOB audits and investigations and providing consultative services to senior leadership and physicians.
- Manage and analyze revenue cycle initiatives and teams, assisting with compliance audits and investigators.
- Develop feedback loops for CBO communication with departments, practices, and providers.
- Ability to read and interpret ERAs (electronic remittance advice), ACHs (Automated Clearing House) transactions, EFTs (Electronic Fund Transfers), and EOBs (Explanation of Benefits)/EOPs (Explanation of Payment).
- Assist in management of employee issues as necessary and monitor performance using productivity reports measured against industry best practice standards.
- Analyze data and information obtained from RCM reports to inform improvement decisions, identify data integrity/reporting issues.
What you will bring to the team
- Minimum 5 years of experience in Revenue Cycle Management or Finance.
- High school diploma or GED certificate required. Bachelor’s degree in management, accounting, finance, or related field preferred.
- Knowledge of CPT and ICD9/ICD-10 codes.
- Knowledge of state and federal laws that apply to the duties of this position.
- Ability to read and interpret medical charts whether paper or electronic.
What we can offer you
- Competitive Salary and Health Benefits (Medical, Dental, Vision)
- Generous time off (start accruing on your first day - no waiting period)
- Paid Holidays
- 401(k)
- Company Discounts
- Collaborative work environment - we want our employees to have a say in how we run our office
- Employee Recognition
Compensation is depending on a number of factors including a candidate’s qualifications, skills, competencies, or experience that may fall outside of the range shown