Revenue Operations

• Provide leadership and day-to-day operational management for local hospital revenue integrity functions
• Motivate staff to achieve high performance and collaborate with stakeholders to prevent revenue leakage and maximize regional revenue
• Manage the Charge Description Master, pre-bill edits, root cause analysis, denials coordination with PBS, complex case denials, denial prevention, audits, and education and training
• Manage revenue optimization opportunities, including charge control processes
• Optimize staff and revenue performance through process redesign, policy and procedure implementation, communications, continuing education, professional development, empowerment, and feedback
• Ensure understanding and application of payer contract terms and alignment with processes
• Monitor Medicare, Medicaid, and other payer websites and newsletters for changes affecting charging, coding, and billing; apply updates for compliance and revenue optimization
• Coordinate denials from the Patient Business Service center, ensure timely resolution, identify root causes, and participate in multidisciplinary denial teams
• Collaborate across departments to address denial and pre-bill edit causes and optimize revenue
• Prepare and conduct education related to audit findings, regulatory changes, coding updates, and managed care billing requirements
• Develop colleague schedules and manage team projects and interdisciplinary relationships
• Involve interdisciplinary and medical staff in decision-making and coordinate problem resolution and corrective action
• Assess department development needs and promote professional development, orientation, and continuing education
• Hire employees, allocate resources, conduct performance appraisals, provide feedback, mentor and coach colleagues, and manage disciplinary processes
• Analyze and display data, develop policies and business documentation, conduct special studies, and prepare management reports and KPIs
• Maintain knowledge of applicable laws, regulations, and Trinity Health compliance policies and Code of Conduct

Explore Manager Revenue Integrity at Trinity Health. Review requirements and application details.