We have other current jobs related to this field that you can find below
-
Arlington, United States Texas Health Resources Full timeRevenue Cycle Analyst of Professional Billing Are you looking for a rewarding career? We're looking for a qualified Revenue Cycle Analyst of Professional Billing,like you, to join our Texas Health Resources family. Work location: Remote, Must live within the DFW area. Work hours: Full Time, 40 hours/week, Monday - Friday 8:00am-5:00pm Department highlights:...
-
Arlington, United States Tria Federal (Tria) Full timeWho We Are: Tria Federal (Tria) is the premier middle-market IT and Advisory services provider delivering digital transformation solutions to Civilian, Defense, and Intelligence agencies across the federal sector. With a future-forward vision and a mission rooted in service, we bridge capability gaps to help government agencies work faster, grow smarter, and...
-
Director, Event Sales
2 days ago
Arlington, United States teamworkonline Full timeIt's fun to work in a company where people truly BELIEVE in what they're doing!We're committed to bringing passion and customer focus to the business.JOB SUMMARY:Â The Director of Sales with REV Entertainment and Globe Life Field will maximize revenue opportunities in special events by overseeing sales efforts, advancing event contracts, and...
-
Billing Analyst
3 months ago
Arlington Heights, Illinois, United States SET Environmental Inc Full timePOSITION DESCRIPTION A Billing Analyst at SET Environmental is responsible for: Preparing customer billing upon completion of field projects Reviewing job files while coordinating paperwork with Operations, Customer Service and Sales to ensure accurate and timely billing Preparing revenue accruals for jobs in progress at month-end close Processing billing...
-
NextGen EPM
3 weeks ago
Arlington, United States TEKsystems Full timeIdeal candidate will have experience on the NextGen Revenue cycle side as well as SQL experience. This role is a contract position that is 100% remote Description: Work Experience: 8+ years of experience as an analyst working in NextGen on the Billing Module. Must have experience working on solution design for Claims processes in NextGen, including...
-
National Policy Integration Analyst
3 weeks ago
Arlington, United States SAIC Full timeDescription SAIC is hiring a National Policy Integration Analyst. The position will support the Organizational and Management Policy Directorate within the Office of the Director of Administration and Management/Office of Secretary of Defense (OSD). The role will provide assistance with tracking, supporting, and/or assessing strategic initiatives/documents,...
-
Senior Director, Membership
1 month ago
Arlington, Virginia, United States NDIA Full timePOSITION SUMMARY The Senior Director, Membership plays a key role in planning, executing and assessing NDIA strategy and operations in support of NDIA short-, mid- and long-term goals and objectives. The Senior Director, Membership plays a key role in NDIA's Strategic Communications, Strategy and Plan through identification of key topics for NDIA...
-
Senior Director, Membership
1 month ago
Arlington, United States National Defense Industrial Association Full timeJob DescriptionJob DescriptionSalary: $150,000POSITION SUMMARYThe Senior Director, Membership plays a key role in planning, executing and assessing NDIA strategy and operations in support of NDIA short-, mid- and long-term goals and objectives. The Senior Director, Membership plays a key role in NDIA’s Strategic Communications, Strategy and Plan through...
-
Senior Director, Membership
3 weeks ago
Arlington, United States National Defense Industrial Association Full timeJob DescriptionJob DescriptionSalary: $150,000+POSITION SUMMARYThe Senior Director, Membership plays a key role in planning, executing and assessing NDIA strategy and operations in support of NDIA short-, mid- and long-term goals and objectives. The Senior Director, Membership plays a key role in NDIA’s Strategic Communications, Strategy and Plan through...
-
Director, Sponsorship Sales
2 weeks ago
Arlington, Virginia, United States teamworkonline Full timePosition: Director of Sponsorships - Arlington RenegadesReporting to: VP, Team Business & Event Operations Location: Candidate must live within the Dallas-Fort Worth area. This is a hybrid position. About the UFL The United Football League (UFL) is the premier spring football platform, formed by the merging of the XFL and USFL in 2024 under the combined...
-
Senior Director, Membership
1 week ago
Arlington, United States National Defense Industrial Association Full timeJob DescriptionJob DescriptionSalary: $150,000+POSITION SUMMARY The Senior Director, Membership and Chapters plays a key role in planning, executing and assessing NDIA strategy and operations in support of NDIA short-, mid- and long-term goals and objectives. The Senior Director plays a key role in NDIA’s Strategic Communications Strategy and Plan...
-
Principal Individual Giving Director
1 day ago
Arlington, United States Meals on Wheels America Full timeThe Principal Individual Giving Director will play a crucial role in securing financial support from individuals and family foundations to advance the mission and programs of Meals on Wheels America. The Principal Individual Giving Director advances three strategic objectives: (1) growing sustainable, predictable revenue for the mission, (2) increasing...
-
Operations Coordinator and Integrator
4 weeks ago
Arlington, United States Sigmatech, Inc. Full timeJob DescriptionJob DescriptionWe are currently seeking an Operations Coordinator and Integrator in Arlington, VA. The Operations Coordinator and Integrator is responsible for streamlining and enhancing the day-to-day operational processes within the DASADEC. This role requires a detail-oriented and highly organized individual who can efficiently coordinate...
-
Director, Sponsorship and Business Development
2 weeks ago
Arlington, Virginia, United States teamworkonline Full timePosition: Director, Sponsorship and Business DevelopmentReporting to: SVP, Sponsorship and Business DevelopmentAbout the UFL The United Football League (UFL) is set to launch as the premier spring football platform, formed by the merging of the XFL and USFL in 2024. The UFL has eight teams located in Arlington (TX), Birmingham (AL), Detroit (MI), Houston...
-
Director of Operations
3 months ago
Arlington, United States Gecko Hospitality Full time $100,000 - $120,000Job Opportunity: Restaurant Director of OperationsAre you a leader with a passion for the fast-casual dining segment? We're seeking a dynamic and accomplished individual to join our team as the Restaurant Director of Operations for the DC and Northern Virginia markets.About Us:We are a privately owned company with significant investment capital, poised...
-
Executive Director of Regional Trade Association
3 weeks ago
Arlington, Virginia, United States Northern Virginia Apartment Association Full timeExecutive Director of Regional Trade AssociationTo Apply: Please send a cover letter and resume . Please put "Executive Director Applicant" in the subject line.Northern Virginia Apartment Association1410 N Scott Street Ste 100Arlington, VA 22209Job TypeFull-time and on-siteNorthern Virginia Apartment Association (NVAA)NVAA Mission: Founded in 1956, NVAA is a...
-
Executive Director of Regional Trade Association
1 month ago
Arlington, United States Northern Virginia Apartment Association Full timeExecutive Director of Regional Trade AssociationTo Apply: Please send a cover letter and resume . Please put "Executive Director Applicant" in the subject line.Northern Virginia Apartment Association1410 N Scott Street Ste 100Arlington, VA 22209Job TypeFull-time and on-siteNorthern Virginia Apartment Association (NVAA)NVAA Mission: Founded in 1956, NVAA is a...
-
Director, Sponsorship Sales
2 weeks ago
Arlington, United States teamworkonline Full timePosition: Director of Sponsorships - Arlington RenegadesReporting to: VP, Team Business & Event Operations Location: Candidate must live within the Dallas-Fort Worth area. This is a hybrid position. About the UFL The United Football League (UFL) is the premier spring football platform, formed by the merging of the XFL and USFL in 2024 under the combined...
-
Executive Director
1 month ago
Arlington, United States Atlantic Health Strategies Full time $125,000 - $140,000About Us: We are a mission-driven organization dedicated to transforming the lives of teens and adults struggling with substance use disorders (SUD) and mental health issues. Our new facility in Arlington, Texas, aims to offer comprehensive and compassionate care, empowering our clients to achieve long-term recovery and mental wellness.Position Overview: We...
-
Director, Sponsorship and Business Development
2 weeks ago
Arlington, United States teamworkonline Full time Position: Director, Sponsorship and Business DevelopmentReporting to: SVP, Sponsorship and Business DevelopmentAbout the UFL The United Football League (UFL) is set to launch as the premier spring football platform, formed by the merging of the XFL and USFL in 2024. The UFL has eight teams located in Arlington (TX), Birmingham (AL), Detroit (MI), Houston...
Director Revenue Integrity Professional Billing
1 month ago
Director Revenue Integrity-Professional Billing
Job Summary
The Revenue Integrity (RI) Director is responsible for coordinating all Revenue Cycle-related efforts across the RCM, Operations, ITS, and Training Teams at THPG. This position includes regular oversite of strategic vendor relationships, key performance indicators, and enhancement of critical functions impacting RCM. This role requires in-depth understanding of Revenue Cycle metrics, basic understanding of the EMR system including but not limited to: Epic workqueue (WQ) structure and owner accountability, reporting and dashboard design, workflow barriers, and integration with external platforms (e.g., Clearinghouse). Responsibilities of the Director position will require regular collaboration across all channels.
Work Location : Remote work is a possibility, but this position will require onsite/meetings throughout the year.
Approved remote work States:
AR
FL
GA
MO
NC
OK
TN
TX
UT
VA
Job Duties
PEOPLE:
Primary responsibility to oversee and facilitate Revenue Cycle function(s) at THPG. This position will also collaborate closely with other leaders to facilitate process improvement initiatives: utilize data and observations to implement initiatives across revenue cycle operations (charge, coding, denials, etc.) to improve performance and drive additional revenue.
Conducts and/or participates in departmental and multidisciplinary meetings across organizational teams (including, but not limited to: Training Team, ITS, RCM Team, Managed Care Team, and Optum vendor).
Establishes and leads appropriate recurring and ad hoc meetings to support optimization projects, helps create strategic agendas, facilitates meeting discussion topics, and may record meeting minutes.
Leads Weekly Revenue Cycle Meeting as a central forum for targeted RCM issue identification, evaluation, and prioritization of risks and resolution plans associated with RCM processes.
Manages meeting attendance, accountability, and ensures timely resolution of issues and next steps.
Serves as RCM representation within key organization meetings (e.g., Service Line meeting, Weekly VP meeting, Denials Committee meeting).
Assists in resolution of patient, employee, and other customer concerns or occurrences' and escalates issues as needed.
Follows established communication guidelines for opportunity or issue escalation both from employees/clinics (upward) and from leadership to end users (downward).
Follows up on all communication accurately and timely.
Consistently seeks opportunities to coordinate with internal THPG departments, services, and staff to streamline workflows to improve process and enhance efficiency.
Serves as central point person for communication to Operations about all revenue-cycle related items (i.e., large scale issues, training/system enhancements, new across-the-board workflows, etc.).
Serves as liaison between HB, THPG Operations, Integration and Training Team, THPG PAS resources, Optum, ITS, and clinics to make sure all process changes or updates have been vetted through applicable parties before being finalized and communicated.
QUALITY:
Oversight responsibility for outsourced vendor relationship which includes identifying issues, developing solutions to improve, and accountability for performance.
Responsible for identifying, coordinating, and overseeing the design and implementation of system and entity policies related to RCM.
Ensures timely resolution of Event Reporting Tool and patient complaints.
Collaborates with clinic-facing teams including Optum OP team, Practice Support Specialist, and Practice Managers (PMs) to ensure best practice workflows are upheld.
Collaborates with appropriate THR and THPG VP leaders to ensure process and performance is aligned with KPI's.
Addresses issues timely regarding processes that negatively impact the Revenue Cycle.
Responsible for working with Integration and Training Team on the maintenance and creation of RCM related policies and procedures.
Owns Revenue Cycle issues log and progress tracking; facilitates monthly review of Issues Log in weekly Revenue Cycle meeting, coordinates communication to obtain account examples for root-cause research, ensures timely resolution of issues with appropriate task owners, and holds stakeholders accountable to resolution timelines.
Informs RCM members and applicable operational leadership about significant changes and developments.
Utilizes metrics and national benchmarks to drive improved performance related to all RMC functions.
Oversee fee schedule maintenance and interact with contracting: manage fee schedule pricing and change management. Provide direction to assess professional charging, patient care documentation and conduct monthly audits to provide targeted education.
SERVICE:
Primary responsibility to coordinate and oversee the improvement and maintenance of Revenue Cycle function(s) for Operations.
Works with clinical leadership to improve overall customer service outcomes and insure a positive patient journey.
Collaborates with Consumer Satisfaction leaders and projects to mitigate customer complaints.
Responsive to internal and external customer service needs and requests.
Answers timely with email responses and inquiries from clinical departments, Patient Access leaders, THR Corporate, THPG Training Team, Operations, Optum, and ITS staff.
FINANCIAL:
Ensures clinics adhere to best practice RCM workflows and maintain accurate and timely financial reporting on patient revenue.
Updates and supports Integration and Training Team with managing best-practice tip sheets, guidelines, and policies.
Monitors overall RCM metrics and escalates any issues to appropriate stakeholders (operating or training).
Reviews metric trending to identify gaps that may require training or additional support/review.
Creates, engages in, and/or leads appropriate meeting forums to track revenue goals and preventative loss strategies relating to RCM activities (collections, denials, AWOs).
Holds Operations leadership and clinic performance accountable to industry average and best-practice RCM benchmarks for optimal financial performance.
GROWTH:
Manages RCM processes and reviews any leadership/structural changes as necessary (i.e., new positions, role/responsibility shifts across Operational leadership structure).
Supports and oversees structural, operational, and/or technical changes focused on standardization and/or consolidation of RCM departments or activities; maintains long-term workplan for such projects to serve as foundation for THPG clinic process flexibility and future growth.
Education
Associate's Degree in Business Administration, Finance or other healthcare related degree required. Or, Bachelor's Degree Business Administration, Finance or other healthcare related degree or Master's degree preferred
Experience
10 years recent experience in Healthcare Finance, Revenue Cycle Management or Practice Operations/Management required
Licenses and Certifications
Dual Hospital and Professional Coding Certification(s) (CPC, CPC-H, CCS, CCSP) preferred upon hire
Applicable clinical or professional certifications/licenses such as RN, RT, MT, RPH preferred upon hire
Skills
Strong managerial , leadership and interpersonal skills; demonstrated strong oral and written communication skills; Demonstrated problem solving and critical thinking skills with the ability to troubleshoot and resolve issues; knowledgeable in compiling statistical data; excellent computer skills; including proficiency in MS Word, Excel, Access and PowerPoint; ability to build, lead and motivate teams to successful outcomes;
Ability to review, analyze and interpret Revenue Cycle metrics, key performance indicators, billing guidelines, including state and federal regulations; solid understanding of multiple reimbursement systems including IPPS, OPPS, and fee schedule; working knowledge of multiple healthcare applications, including but not limited to Epic, GE Centricity (flowcast), Mosaiq, Allscripts, and Revenue Cycle bolt on reporting tools; knowledgeable of accurate sources for updating all applicable code sets (CPT/HCPCS/ ICD-9, etc.) inclusive of associated edits such as NCCI;
Proven ability to manage revenue cycle and denial management activities; knowledgeable of coding and electronic medical record system workflow; Knowledgeable of CMS and Joint Commission medical record documentation requirements including ICD-9/ICD-10, CPT and APC Coding guidelines; understanding of 3rd party payer requirements and federal and state guidelines and regulations pertaining to coding and billing practices
Why Texas Health?
At Texas Health Resources, our mission is "to improve the health of the people in the communities we serve".
Our award-winning culture is a tribute to our amazing employees. We're thrilled to be a 2023 FORTUNE Magazine's "100 Best Companies to Work For" for the 9th year in a row
We strive to create an atmosphere of respect, integrity, compassion and excellence for all. We're committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. Join us and to do your life's best work here
As part of the Texas Health family and its 28,000+ employees, we're one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.
Here are a few of our recent awards:
•2023 Fortune's 100 Best Companies to Work For (9th consecutive year & we're one of only three health systems to be recognized.)
•Becker's Healthcare 2023 list of 150 top places to work in healthcare
•America's Greatest Workplaces for Diversity 2023 by Newsweek magazine (We're one of only six healthcare employers in Texas to earn a spot on the list.)
•2022 "20 Best Workplaces in Health Care" by Great Place to Work and Fortune (8th consecutive year, 7th year as #1)
•2022 Companies That Care list by PEOPLE magazine and Great Place to Work
Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.
#J-18808-Ljbffr
