About Us:

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

Job Overview:

Responsible for the management of revenue integrity to include CDM management, charge capture, revenue reconciliation, denials management, and reporting and analytics. Responsible for the management of instructional design strategy and framework for provider and clinical staff training. Responsible for the management of business applications for specific systems and revenue cycle workflows. Participates in the entire revenue cycle system life cycle to provide application of analysis concepts, including evaluation of current state against desired future state with consideration to policy, compliance, evidence, quality, operational standardization, workflow implications, reliability, and usability of the system.

This is NOT a remote position

Responsibilities:

Key Essential Functions and Accountabilities of the Job

• Oversees management of consortium charge service function. Develops, plans and executes on system pricing strategy including recommendations for annual price increase to System Director of Finance and CFO.
• Oversees management of consortium denials management function including administration of the denials reporting application and development and distribution of reports to front line management to identify opportunities for workflow improvements to minimize denials.
• Partners with other revenue cycle functions on execution of SEARHC’s response to regulatory compliance requirements (e.g. price transparency, good faith estimates, etc).
• Oversees execution of consortium charge reconciliation processes.
• Partners with operational leadership on new service design to ensure EHRs are optimized to support charge capture goals.
• Develops and maintains policies and procedures to support execution of responsibilities outlined above.
• Provides the necessary support and leadership to achieve organizational goals and objectives including days in AR, discharged not final coded, discharged not final billed, clean claim rate, denial rate, etc.

Other Functions

• Other related duties as assigned

Supervisory Responsibilities

• This position requires supervisory responsibilities.

Qualifications:

Education, Certifications, and Licenses Required• Bachelor’s degree – required• Seven or more years’ experience working in the U.S. healthcare industry may be used to substitute the Bachelor’s Degree requirement.

Experience Required

Five or more years’ experience utilizing health information technology programs, devices, and hardware to data to inform program development, implementation, and policy with at least three years of clinical informatics or revenue cycle informatics work experience

Knowledge, Skills, and Abilities

Knowledge of:• Accounts receivable and medical terminology and billing/collection practices; payer edits, rejections, rules, and how to appropriately respond to each; and health information technology, such as Cerner products

Skills in:• Analytical and creative problem solving skills• Oral and written communication skills• Project Management• Timely and successful appeals to insurance companies

Ability to:• Work on different projects simultaneously in fast environment and appropriately handle overlapping commitments and deadlines

Computer Skills: • Proficient in Microsoft Office Products including Word, Excel and PowerPoint

Travel Required:

Less than 10% travel expected.