Market Director Revenue Analysis FT Days Leader

3 weeks ago

San Francisco, California, United States Saint Francis Hospital - Bartlett Full time
Overview

Saint Francis Hospital Bartlett, a 196-bed hospital dedicated to providing high-quality, compassionate care, seeks an experienced Market Director Revenue Analysis Full Time Days to drive SLA/KPIs and ensure client satisfaction.

About the Role

This position plays a critical role in monitoring reports, identifying trends, and facilitating solutions to address revenue cycle challenges. As a key member of the team, you will own reporting, provide support to the CFO, and work closely with hospital departments to resolve revenue cycle issues.

Responsibilities
  • Prepare and complete eReserve reports accurately and on time.
  • Analyze eReserve data, identify significant trends impacting net revenue, and complete the revenue section of the monthly Performance Summary.
  • Monitor, analyze, track, and trend AR disputes to ensure timely resolution.
  • Review and approve manual adjustments and refunds to maintain financial integrity.
  • Review and approve revenue reclasses to optimize financial performance.
  • Assist in analyzing data to verify contract terms have been loaded correctly into MedAssets and claims properly adjudicated during and after managed care negotiations.
  • Monitor and review billing, AR, and reconciliation for hospital-specific contracts.
  • Collaborate with hospital departments to resolve revenue cycle issues, such as orders, charging, Patient Access, DNFB, DNSP, QS, Disputes, and others.
  • Support hospital leadership on revenue cycle issues and facilitate revenue cycle meetings.
  • Coordinate and monitor various initiatives, including Leadership Meetings, Chart Audit Meetings, Compliance Meetings, Charge Master reviews, Pass-through invoice retrieval, Complex Case Review meetings, and more.
  • Provide exceptional customer service as the point of escalation for revenue-related concerns.
  • Serve as an internal consultant for health systems revenue departments, ensuring appropriate charge collection, revenue charging, and billing techniques.
  • Oversee the preparation or supervision of Charge Master updates for hospitals, establishing procedures for review and updating of charges.
  • Anticipate procedural changes to assure identification and collection of charge items within external and Tenet guidelines.
  • Collaborate with Case Management and Medical Records on patient classification issues.
  • Keep the CFO and/or Compliance Director informed of any issues or concerns requiring administrative attention in areas of compliance and financial system applications.
Requirements

To succeed in this role, you must possess:

  • A Bachelor's degree in business, health administration, or a related field.
  • At least 8 years of experience in A/R management and/or managed care contracting and analysis, with direct experience directing a multi-facility business office.
Compensation

The estimated salary for this position is $85,000 - $110,000 per year, depending on qualifications and experience.

Benefits

Saint Francis Hospital Bartlett offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) retirement plan, paid time off, and more.

EEO Statement

Tenet Hospitals is committed to equal employment opportunities for all qualified individuals without regard to race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity, or any other legally protected status.

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