Manager Vendor Management - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

Scheduled Weekly Hours:

Position Overview

SUMMARY (Basic Purpose of the Job)

MINIMUM REQUIREMENTS

• Education: Bachelor's degree. A high school diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree.
• Experience:Four years of revenue cycle management experience and/with one year hospital revenue cycle management supervisory experience when accompanied by a Bachelor's degree. Eight years of revenue cycle management experience and/with one year hospital revenue cycle management supervisory experience when accompanied by a high school diploma or equivalent. Experience with drafting/reviewing RFPs and reviewing/evaluating vendor proposals received in response to RFPs is preferred.
• Other Credentials:
• Knowledge and Skills: Excellent analytical and interpretive skills. Strong organizational, interpersonal, verbal and written communication skills. Familiar with a variety of billing concepts, practices, and procedures.
• Special Training: Knowledge of revenue cycle management systems, proficient in Microsoft Office products.
• Mental, Behavioral and Emotional Abilities: Ability to effectively manage multiple projects simultaneously.
• Usual Work Day:8 Hours  

Reporting Relationships

• Does this position formally supervise employees? Yes
• If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Manages relationships with specific vendors and serves as organization's point of contact. Focuses on oversight, management and continuous improvement of vendor partner performance based on established best practices and key performance indicators.
• Makes suggestions to management regarding vendor selection with goal to increase productivity and create efficiencies within department. Researches, analyzes, and evaluates vendors and recommends new vendors as needed. Provides support to organization for problems with vendor products and services. Reports and escalates vendor risks as appropriate.
• Serves as system administrator for Revenue Cycle vendor applications. Completes onboarding system access requests and oversight of all system users by each vendor. Terminates access as needed.
• Demonstrates ability to analyze and report vendor results in order to detect trends, identify issues and opportunities. Provides vendors with recommendations, and when necessary, implements action plans for performance improvement. Identifies process improvement needs within revenue cycle.
• Performs due diligence reviews, completes vendor reconciliation, participates in virtual and/or on-site vendor visits, and oversees action plans to address vendor partner performance gaps and risks. Responsible to review accounts to ensure that the vendor is timely and effectively working and notating accounts.
• Strives to learn new vendor services and potential enhancements available in healthcare market and meets with existing vendors periodically to understand their service offerings.
• Establishes strong partnerships with internal stakeholders to ensure effective planning and collaboration on appropriate vendor-related matters.
• Ensures vendors adhere to contract terms, comply with applicable regulations, follow policies and procedures, and are accurate in their revenue cycle practices.
• Reviews invoices submitted by vendors for compliance with contracted terms. Monitors vendor spend and compares to budgeted amounts.
• Tracks receipt of invoices in order to ensure all vendors submit timely and notify vendors is invoices are missing.
• Conducts formal Request for Proposal (RFP) process and makes selection recommendations. Monitors and assists with execution of exit strategy and contingency plans for vendors.
• Interviews, hires and trains employees as well as plans, assigns and directs workloads; appraises performance; rewards and disciplines employees; addresses complaints and resolves problems. Oversees training of new personnel as documented by completion of new hire competency checklists, completed ninety-day evaluations, and training program attendance. Develops and maintains effective recruitment and retention practices in order to avoid preventable turnover.
• Assists Revenue Cycle leadership with preparation of yearly departmental operating budget. Demonstrates proactive vigilance in identifying opportunities for revenue enhancement and cost reduction.
• Facilitates process standardization with vendor to promote accurate system updates.
• Performs other duties as assigned; possesses willingness to adapt to changing departmental demands.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequent physical demands include:
• Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
• Continuous physical demands include: Sitting , Keyboard use/repetitive motion , Talk or Hear
• Lifting Floor to Waist 20 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing
• Anticipated Occupational Exposure Risks Include the following: N/A

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or ra