Manager, Revenue Integrity&Formulary Strategy

Role responsibilities

You will oversee revenue integrity operations, ensuring accurate charge capture and compliant billing. Additionally, you will manage a small team and drive cross-functional collaboration to resolve billing and reimbursement issues.

Requirements

A bachelor's degree is required, along with advanced training in a healthcare-related field. Experience in revenue integrity and a deep understanding of payer billing requirements are strongly preferred.

Key skills

Revenue Integrity, Compliance, Coding, Billing, Healthcare Operations, Financial Analytics, Process Improvement, Cross-Functional Collaboration, Communication, Regulatory Interpretation, Data Analysis, Audit Defense, Team Management, Decision-Making, Customer Experience, Microsoft Office

Keywords

Revenue Integrity, Compliance, Healthcare, Billing, Coding, Payer Policies, Audit Defense, Financial Analytics, Formulary Management, Utilization Management, Regulatory Guidance, CMS, OIG, DME, Pharmacy, Outpatient Medical Benefits, Microsoft Office, HCPCS, CPT, NDC