Revenue Integrity Director FERC Optimization Denial Preve

Location: Larkin Bldg @ Exchange Street

Location of Job : US:NY:Buffalo

Work Type : Full-Time

Shift 1

Job Description

The Revenue Integrity Director of FERC Optimization & Denial Prevention is responsible for serving as a primary point of contact for overseeing the team and processes for capturing appropriate revenue/reimbursement for the services rendered and reducing or eliminating denials. Oversees and ensures the enhancement and development of processes and infrastructure for proper revenue for the organization, including oversight of FERC Optimization and Denial Prevention analytics efforts. Advises organizational leaders through interpretation of complex financial and revenue information to assist in the decision-making processes with a focus on bottom-line performance improvement through active participation as a member of the Hospital/Systems Leadership Team. Provides guidance, mentoring and management support to department managers/associates and requires strong analytical and conceptual skills, as well as possess a thorough understanding of external, regulatory, payer and other forces impacting healthcare financial operations. Expected to organize resources, provide leadership and achieve results in a project oriented and fast-paced setting. The utilization of strong and sound business acumen while possessing the ability to communicate effectively, discuss revenue and financial related matters with diverse groups, prepare oral and written reports and maintain a high level of confidentiality when required is key to this position.

Education And Credentials

Bachelor's degree in finance, accounting, business administration or related field required. Master's degree in health information management, business administration, healthcare administration or a related field preferred.

Experience

7 years of experience in Progressively challenging experience in healthcare provider Revenue Cycle related functions and/or Finance required. 5 years of Manager/leadership experience in health care, with knowledge of revenue cycle operations, financial operations, healthcare IT systems, hospital CDM management, managed care, federal and industry reimbursement regulations and payor reimbursement contracting terms required. 3 years of experience and proficiency with MS Excel, Access, Word and PowerPoint required. 3 years of experience and demonstrated knowledge of charge master maintenance preferred. 2 years of experience with report writing preferred.

Working Conditions

Job Details

Department : KH Revenue Cycle Administration

Standard Hours Bi-Weekly : 75.00

Weekend/Holiday Requirement: No

On Call Required : No

With Rotation

Scheduled Work Hours: 8:30-5:00

Work Arrangement : Hybrid

Union Code : N00 - Non Union KH

Requisition ID# : 13817

Grade : EX218

Pay Frequency : Bi-Weekly

Salary Range: $ 109,414.50 - $150,442.50

• Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.
  
  

Kaleida Health’s mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!