Manager, Revenue Operations Practice Support

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Manager of Revenue Operations Practice Support serves as a strategic leader and primary liaison between clinical departments and the revenue cycle operations team. Responsible for identifying revenue opportunities in all aspects of the revenue cycle, creating project plans, and implementing operational and systematic solutions. This role will also manage a team of Revenue Cycle Analysts. This role drives the strategic vision and operations for internal client engagement, focusing on enhancing satisfaction, optimizing revenue cycle workflows, spearheading continuous improvement initiatives and ensuring alignment with key performance indicators, targets and service standards. Responsible for proactively communicating data on performance, operational activities, and areas of opportunity to assist management, department administrators and chairs in key decisions.

Responsibilities

A day in the life of a Manager of Revenue Operations Practice Support at Hackensack Meridian Health includes:

• Manages a team of Revenue Cycle Analysts to ensure all policies & procedures are followed. Oversees workflow implementations, desktop procedures & departmental policies & procedure creation & implementation.
• Serves as the primary liaison between clinical departments and revenue cycle operations.
• Responsible for identifying revenue opportunities in all aspects of the revenue cycle, creating project plans, and implementing operational and systematic solutions.
• Provides analysis of reporting and performance data to assist management, department administrators and chairs with key decisions.
• Prepares and delivers monthly presentations to clinical department heads and finance on key performance indicators.
• Collaborates with the denial management team to analyze AR reports identifying denial trends, reporting findings and results to identify and drive process improvement.
• Monitor, analyze and present key provider productivity metrics with comparisons to internal and external benchmarks
• Individual will help facilitate best practice model, make recommendations, assist with developing and executing plans for standardization and improvement.
• Identify positive and negative revenue cycle trends to determine root causes and corrective solutions to minimize denials and enhance collection rate.
• Achieve proficiency in querying system for data and reports.
• Works closely on interface and system issues as required, improving generation of data.
• Develop and deploy standardized solutions and improvement plans for solving operational issues.
• Meet with clinical department leadership to review and discuss revenue cycle scorecards and dashboards.
• Represent at committees, task forces, and/or revenue cycle work groups.
• Manages relationships and expectations, establishing regular communication processes to keep leaders informed about projects, results, and new initiatives.
• Develops advanced frameworks for underpayment appeals, tracking resolution metrics, and leading payor engagement to drive improved reimbursement outcomes.
• Maintain current knowledge regarding reimbursement mechanisms and presents strategic updates on reimbursement and contracting issues to departments and CRO leadership.
• Ensures strict adherence to HIPPA, Billing Compliance and other pertinent regulations.
• Acts as a business partner with new business partners and joint ventures.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Bachelor's degree in Business, Healthcare Administration, Finance, or other relevant field.
• Minimum of 10 years of experience in healthcare receivables, health insurance claims processing, or healthcare customer service, including at least 5 years in a management role.
• Extensive knowledge of Federal and State regulations relating to insurance billing and follow-up.
• Strong leadership skills.
• Strong financial management skills.
• Excellent knowledge of information technology and management information systems and how they can be used to improve operations.
• Experience with EPIC Professional billing (PB)
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.

Education, Knowledge, Skills and Abilities Preferred:

• Master's degree.
• Experience with Epic Professional billing (PB).
• Member of nationally recognized professional organization - Healthcare Financial Management Association (HFMA) a plus.

Licenses and Certifications Preferred:

• HFMA Certified Healthcare Financial Professional (CHFP) or similar certification.
• Epic proficiency or certification.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Compensation
Minimum rate of $111,924.80 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.