Job Description
Department: Revenue Cycle / Finance Reports To: CFO Location: Corona, CA Employment Type: Full-Time POSITION SUMMARY The Revenue Integrity Manager is responsible for overseeing revenue validation and financial integrity processes to ensure accurate net patient revenue, regulatory compliance, and optimal reimbursement performance. This role safeguards hospital revenue by analyzing financial, billing, and operational data to identify revenue gaps, contractual variances, and underpayment trends. T…
8:00 AM
Pull the daily performance dashboard. Key metrics load automatically: cash collected, claims submitted, days in AR, first-pass res…
8:30 AM
Build a new denial trend report requested by the VP of Revenue Cycle. She wants to see MA vs. commercial denial rates by departmen…
10:00 AM
Present the prior auth approval rate analysis to the PA team. You've identified that one specific payer is denying initial PA requ…
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