Internal Revenue Consultant Manager

5 days ago

Lakeland, United States Lakeland Regional Health-Florida Full time

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.

Active - Benefit Eligible and Accrues Time Off

Work Hours per Biweekly Pay Period: 80.00

Shift: Weekdays with Occasional Weekends

Location: 210 South Florida Avenue Lakeland, FL

Pay Rate: Min $89,523.20 Mid $111,904.00


The LRH Internal Revenue Manager analyzes the current revenue cycle operations for both Cerner and Epic and focuses on ways to improve revenue capture and collection rates. This position will also work with System Engineers, Clinical Informatics, and other Revenue Leaders to optimize and implement system improvements for charge capture and revenue collection rates. This position is responsible for preparing and presenting reports, assisting with developing department policies and standard operating procedures, evaluating and implementing systems and procedures, and revising processes to maximize efficiencies within the revenue cycle.



Standard Work: LRH Internal Revenue Consultant Manager

  • Analyzes the current revenue cycle operations and focuses on ways to improve revenue capture and collection rates. Collaborates with Registration, Financial Counselor, Authorization and Billing Managers and others as needed in making revenue cycle operations improvements.
  • Works with System Engineers to optimize and implement system improvements for charge capture and collection rates. Works with IT to implement any new systems. Project lead for system changes, upgrades, and any new system builds. Provides education and training for new systems or system upgrades (train the trainer). Works with Clinical Informatics for process efficiencies to improve revenue capture.
  • Identifies improvement strategies and assists with multidisciplinary collaborations and training needs.
  • Works with Management and Staff to address identified deficiencies as part of a coordinated effort to obtain measurable improvements within the revenue cycle.
  • The Internal Revenue Consultant will establish baseline measurements including provider's financial and revenue cycle performance and create applicable benchmarks to gather the information necessary to provide recommendations for the following areas: Registration Admissions / Registration, Insurance Verification, Charge Processing, Charge Description Master, Referrals, Authorizations, Health Information Management, Billing, Insurance AR (Follow up and Denials), Self-pay AR (Financial Counselors, Billing, and Collection Management), Credits and Refund Requests, Payment Posting for hospital wide systems.
  • Completes detailed operational assessments of the revenue cycle identifying opportunities for improvement, while also focusing on operational and documentary compliance with HIPAA privacy and security standards.
  • Provides work plans containing assessments of the revenue operations.
  • Provides recommendations for the creation, implementation and monitoring of workable solutions. Creation of applicable benchmarks including: Aging Analysis by Payer, Unbilled Accounts Receivable, Service to Billing Timeframes, Billing to Follow-Up Timeframes, Service to Collection Timeframes, Claim Denial Volumes/ Amounts /Types, Bad Debt / Bad Debt Recovery Levels, Credit Balance Levels, Cash Collection to Net Revenue Ratio, Cost to Collect -Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.
  • Expected typical improvements include: Increased accuracy of account information, Timely verification and processing of pertinent account information, Improved timeliness and accuracy of charge postings, Shortened time frame from discharge to final bill, Reduced volume of claim denials, Reduced AR days outstanding, Lower bad debt and charity write-offs, Increased cash flow, Reduce AR over 90 days.
  • Manager Capabilities
  • Demonstrates accountability for overall departmental operations and/or organization-wide functional responsibilities within the system to support achievement of organizational priorities.
  • Coaches team leaders, direct reports and team members to create a productive work environment.
  • Creates a high performing team by building strong relationships, mobilizing others to action and effectively leveraging the talent of their team.
  • Manages and supports conflict/issues resolution implementing appropriate corrective actions, improvement plans and regular performance evaluations.
  • Demonstrates capacity to manage change resistance and break down barriers to effective improvement and transformation.
  • Serves as a mentor for a healthy and safe culture to advance system, department and service experience.



Essential:

  • 5+ years in a professional role with increased leadership responsibility.
  • Specific experience with hospital and doctor's business office processes.
  • Epic PB Experience.

Nonessential:

  • Cerner Revenue Cycle Experience.



Qualifications & Experience


Essential:

  • Bachelor Degree

Nonessential:

  • Master Degree


Essential:

  • Business or Healthcare Administration

Nonessential:

  • Business or Healthcare Administration


Other information:

Experience Essential:

-5+ years in a professional role with increased leadership responsibility.

-Specific experience with hospital and doctor's business office processes.

-Epic PB Experience


-Cerner Revenue Cycle Experience

Certifications Preferred:


-Advanced Certification from HFMA/MGMA or other related healthcare professional organization.

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