What are the responsibilities and job description for the Manager Payment Integrity Professional Billing position at Texas Health?
Manager Payment Integrity Professional
Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family.
- Work location: Texas Health Resources
- Core work hours: Monday – Friday; 8:00a-5:00p; Remote opportunity
Position Summary
Under general direction of the PBO Revenue Integrity Director, the PBO Payment Integrity Manager is responsible for overseeing insurance payment activities to ensure accuracy, proper escalation, and effective resolution. Consistent fiscal performance and achievement of specific departmental standards and goals. The Manager oversees direct staff to ensure stated goals are met through the following processes: vetting reported issues, proactive and reactive reporting to capture impact, payer escalations, attending JOCs (Joint Operating Committee), monthly report outs for executives on progress and outstanding issues. The manager is also responsible for monitoring and improving all revenue cycle metrics and measures, including but not limited to the following: AR days, aged AR, cash collections, denials, avoidable write-offs, staff productivity and work quality. All responsibilities are performed in accordance with established organizational policies, procedures and compliance and quality standards.
Salary : $1,000 - $1,000,000