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Director Of Revenue Recovery Integration & Assessments at Mercy Health

Posted in General Business 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Cincinnati, Ohio





Job Description:

Thank you for considering a career at Ensemble Health Partners! 
 

Director Of Revenue Recovery Integration & Assessments

The Director Of Revenue Recovery Integration & Assessments provides the strategic vision for identifying, tracking, and resolving or recovering all insurance reimbursement amounts. The Director is responsible for implementing the tools, developing the department procedures and workflows, staffing to the needs of the department for peak performance and profitability, and for education and training related to underpayment identification and collection. The Director will also work with all revenue cycle departments to ensure operational workflows are supported and that internal trends contributing to the underpayment of claims are resolved on a go-forward basis.

Leads system-wide underpayment activities for all acute care facilities: including training,  productivity, development of policies and procedures and compliance with all Ensemble Health Partners, government and regulatory guidelines. Monitors trends in underpayments and works with both payors and other departments to resolve underlying reasons for variances. Monitors ongoing issues to ensure new processes are consistently followed and maintained.

Responsible for developing high level management reports for senior leadership related to the volumes and related trends of underpayments and payment integrity. Develops weekly reporting to identify gaps in operations and works with key parties / departments to resolve the issues. 

Sets departmental priorities and procedures in accordance with best practices to utitlize allocated resources to meet the company-wide KPIs related to underpayment identification and recovery and routinely analyzes resources and procedures to ensure adequate resources for meeting and exceeding those goals.

Responsible for promoting a culture of two-way communications and creates opportunities for activities focused on employee engagement, including intentional coaching and mentoring.

Coordinates directly with or delegates coordination with Managed Care, Denials Leadership, and Payor Leadership to resolve high volume and high dollar underpayment issues.

May perform other duties as assigned.

Ensemble Health Partners is an equal opportunity employer.

We’ll also reward your hard work with:


  • Great health, dental and vision plans

  • Prescription drug coverage

  • Flexible spending accounts

  • Life insurance w/AD&D

  • Paid time off

  • Tuition reimbursement

  • And a lot more

Scheduled Weekly Hours:40

Work Shift:

All (United States of America)

Department:

Denials Underpayments

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 or EnsembleHRTeam@ensemblehp.com.  This department will make sure you get connected to a Human Resources representative that can assist you.​

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