Program Manager, Revenue Integrity

Job not on LinkedIn

🔥 0 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $85k - $115k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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MRO

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

📋 Compliance

💰 Series unknown on 2019-11

Healthcare • SaaS • Compliance

MRO is an enterprise healthcare software company that provides a Clinical Data Exchange Platform (CDXP) and modular solutions to securely curate, normalize, and exchange clinical data across providers, payers, registries, and clinical data requesters. MRO helps hospitals, health systems, ambulatory practices, and payers streamline release of information, compliance workflows, MIPS/quality reporting, ACO tracking, and clinical intelligence by connecting to hundreds of disparate EHRs, reducing administrative burden and accelerating patient-focused care delivery. The company emphasizes security and regulatory compliance and has been recognized with Best in KLAS awards for Release of Information.

📋 Description

• Analyze and document provider revenue cycle processes, focusing on areas of concern identified through current revenue cycle methodologies • Provide best-practice revenue cycle guidance and recommendations for provider revenue cycle operations • Lead small teams and projects supporting consulting engagements • Identify revenue cycle process challenges or opportunities in provider settings and escalate concerns timely • Work directly with provider departments as needed • Manage customer expectations and service-level agreements/timelines, keeping customers informed • Provide client support for Revenue Integrity applications and end users • Develop and maintain methodology knowledge, client-facing presentations, ROI calculator materials, internal education, product campaign cadence, and policy/procedure information • Support internal sales, product development, RFPs, and large/multi-product deals as a subject matter expert • Maintain industry and product knowledge, adapt to market and competition changes, participate in regional/national meetings and forums, and drive brand/deliverable awareness within the territory • Complete special projects related to customer needs and support • Collaborate across departments to achieve objectives

🎯 Requirements

• Bachelor's degree in health care industry preferred • Minimum of 6 years healthcare revenue cycle, audit denial and/or consulting experience required • Relevant industry experience may substitute previous consulting requirement • 5+ years of experience working with revenue cycle vendors • Understanding of process mapping and workflow redesign preferred • Lean management experience preferred • Experience with healthcare information systems (HIS), EPIC, and Cerner strongly preferred • Experience with third-party payors, denials management, and claims processing preferred • Outstanding problem-solving and analytical skills • Proven ability to work independently, meet deadlines, and prioritize multiple tasks in a fast-paced dynamic setting • Strong customer service orientation • Positive attitude, professional demeanor, and strong work ethic • Excellent written and oral communication • Proficient with Microsoft Office, especially Word, Excel, and Outlook • Willingness to travel up to 25% for client engagements

🏖️ Benefits

• Annual cash bonus eligibility • Medical insurance • Dental insurance • Vision insurance • Life insurance • 401(k) plan • Remote work arrangement