Program Manager Research Revenue Integrity

Job ID
2020-94534
Employment Type
Full Time
Department
Research Administration
Hours / Pay Period
80
Facility
St Josephs Hospital and Medical Center
Shift
Day
Standard Hours
Monday - Friday 8:00 AM - 5:00 PM
Work Schedule
8 Hour
Location
AZ-PHOENIX

Overview

Hello humankindness 

Located conveniently in the heart of Phoenix, Arizona, St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a wide range of health, social and support services.  Founded in 1895 by the Sisters of Mercy, St. Joseph's was the first hospital in the Phoenix area. More than 125 years later, St. Joseph's remains dedicated to its mission of caring for the poor and underserved.

 

We are extremely proud to be a nationally recognized center for quality quaternary care, medical education and research. St. Joseph's includes the internationally renowned Barrow Neurological Institute, Norton Thoracic Institute, Cancer Center at St. Joseph's, Ivy Brain Tumor Center, and St. Joseph's Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics, neuro-rehabilitation, orthopedics, and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.

 

U.S News & World Report routinely ranks St. Joseph's among the top hospitals in the United States for neurology and neurosurgery.  In addition, St. Joseph's boasts the Creighton University School of Medicine at St. Joseph's, and a strategic alliance with Phoenix Children's Hospital.

St. Joseph's is consistently named an outstanding place to work and one of Arizona's healthiest employers. Come grow your career with one of Arizona's Most Admired Companies.

Look for us on Facebook and follow us on Twitter.

 

For the health of our community ... we are proud to be a tobacco-free campus.

Responsibilities

Job Summary:

 

The Research Revenue Integrity Manager offers subject-matter expertise within internal revenue cycle systems to ensure efficient and compliant research patient billing practices across the Service Area of responsibility. This position performs duties of high complexity, judgement, scope, and responsibility with a direct reporting structure to Research Administration and a matrix reporting relationship to the Service Area Revenue Integrity Director to ensure cross-functional integration of accountability across both departments.

 

The Research Revenue Integrity Manager is responsible for the planning and implementation of functional area-based system applications, developing work teams, task delegation, development of policies and work instructions and transactional management of charge review procedures to ensure services are compliant with Federal, State, private payer and other applicable legal and regulatory requirements for research patients.

 

This position works within Research Administration with close collaboration with Revenue Integrity Leadership and key stakeholders to ensure alignment of the research patient billing process across the service area.

 

Additional responsibilities include the ability to build synergistic partnerships with internal/external teams, development and execution of an on-going training program and advanced technical knowledge with various software systems to identify gaps and work towards integration to improve process automation.

#DHLeader

Qualifications

Requirements:

 

Three (3) years of revenue cycle experience including billing, coding and charge capture and two (2) years of supervisory/management experience.

 

Bachelor's degree or a combination of education and/or additional job related experience may be substituted in lieu of the degree.

 

Basic understanding of research study processes and procedures. Knowledge of hospital accounting procedures, managed care, revenue cycle, case management and utilization, patient financial services and reimbursement. Ability to lead others, set priorities, and manage work within timeframes. Strong skills in mainframe hospital accounting systems; personal computers; and spreadsheets. Effective communication skills. Ability to develop effective relationships with Dignity Health Finance staff in Corporate office and throughout the Dignity Health system.

 

 

Preferred:

 

Five years of revenue cycle leadership and/or clinical trial billing experience.

Coding credential preferred, CCA, CCS or CPC

 

Master’s degree strongly preferred.

 

Experience working in a clinical research capacity.

#AZResearch

#ACRP

#SOCRA

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