Program Manager, Revenue Integrity

This is a fully remote position, open to applicants in Idaho.

📋 Description

• Analyze and document provider revenue cycle processes, concentrating on areas of concern highlighted through current revenue cycle methodologies.

• Offer best-practice revenue cycle guidance and recommendations for provider revenue cycle operations.

• Lead small teams and projects that support consulting engagements.

• Identify challenges or opportunities within the revenue cycle processes in provider settings and escalate concerns in a timely manner.

• Work directly with provider departments as required.

• Manage customer expectations and adhere to service-level agreements/timelines while keeping customers informed.

• Provide client support for Revenue Integrity applications and end users.

• Develop and maintain knowledge of methodologies, client-facing presentations, ROI calculator materials, internal education, product campaign schedules, and policy/procedure information.

• Support internal sales, product development, RFPs, and large/multi-product deals as a subject matter expert.

• Keep up-to-date with industry and product knowledge, adapt to changes in the market and competition, participate in regional/national meetings and forums, and promote brand/deliverable awareness within the territory.

• Complete special projects related to customer needs and support.

• Collaborate across departments to achieve objectives.

⛳️ Requirements

• A bachelor's degree in the healthcare industry is preferred.

• A minimum of 6 years of experience in healthcare revenue cycle, audit denial, and/or consulting is required.

• Relevant industry experience may substitute for previous consulting requirements.

• Over 5 years of experience working with revenue cycle vendors.

• Understanding of process mapping and workflow redesign is preferred.

• Lean management experience is preferred.

• Strong preference for experience with healthcare information systems (HIS), EPIC, and Cerner.

• Experience with third-party payors, denials management, and claims processing is preferred.

• Exceptional problem-solving and analytical abilities.

• Proven capability to work independently, meet deadlines, and prioritize multiple tasks in a fast-paced environment.

• A strong customer service orientation.

• A positive attitude, professional demeanor, and a robust work ethic.

• Excellent written and oral communication skills.

• Proficient in Microsoft Office, particularly Word, Excel, and Outlook.

• Willingness to travel up to 25% for client engagements.

🏝️ Benefits

• Eligibility for an annual cash bonus.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• 401(k) plan.

• Remote work arrangement.