Revenue Integrity Manager - State Program Administrator, Manager Senior

When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.

Job Details

Working Title: Revenue Integrity Manager
Job Class: State Program Administrator, Manager Senior
Agency: Human Services Dept

• Job ID: 80413
• Location: St. Paul
• Telework Eligible: Yes - After 3-6 months, this position may allow for Telework or a mixture of working in our office and Telework
• Full/Part Time: Full-Time
• Regular/Temporary: Unlimited
• Who May Apply: Open to all qualified job seekers
• Date Posted: 09/21/2024
• Closing Date: 10/11/2024
• Hiring Agency/Seniority Unit: Department of Human Services / DHS Manager
• Division/Unit: Direct Care and Treatment / DCT Finance Supv
• Work Shift/Work Hours: Day / 8:00 a.m. - 4:30 p.m.
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $43.38 - $62.41 / hourly; $90,577 - $130,312 / annually
• Classified Status: Classified
• Bargaining Unit/Union: 220 - Manager/Unrep
• FLSA Status: Exempt - Executive
• Designated in Connect 700 Program for Applicants with Disabilities : Yes

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment.

Job Summary

Direct Care and Treatment (DCT) is seeking an individual to join our DCT Finance Team for an exciting and rewarding opportunity as a Revenue Integrity Manager! This position is part of a growing Revenue Cycle Management Team and will be responsible for ensuring compliance with the Centers for Medicare and Medicaid Services (CMS), State Medicaid (MA), Private Insurance, and other Third-Party Payer rules and regulations related to billing, coding, and documentation standards as well as managing the quality assurance processes to ensure accurate and timely billings.

Primary responsibilities include:

• Managing the daily operations of the DCT revenue integrity team.
• Monitoring the requirements of CMS and other payers for policy, procedures, and protocol changes to assure revenue collections are consistent with all rules and regulations.
• Reviewing coding and billing strategies while implementing quality assurance processes.
• Understand charge master set up and manage updates and on-going charge master maintenance.
• Preparing and participate in internal and external audits.
• Leading revenue integrity continuous improvement initiatives.
• Providing education and training on revenue integrity best practices, compliance requirements, and changes in billing and coding regulations.

Qualifications

Minimum Qualifications

Demonstrated leadership experience: Leadership experience can include:

• Experience as a supervisor, lead worker, team lead, project lead;
• Completion of a State of Minnesota leadership program (e.g., ELI, L4);
• A paid/unpaid position leading a program or chairing a committee (e.g., Employee Resource Group) - experience must include:
  • 1+ year of experience identifying issues, goals and strategic actions.
  • 100+ hours per year time commitment

AND

Five (5) years of billing, coding, or revenue collection and integrity experience. Experience must include the following:

• Experience with medical billing, cash posting, and charge entry.
• Experience reading, interpreting, and understanding statutes, rules, and regulations.
• Experience researching, solving problems, and initiating corrective actions.
• Experience communicating complex accounting, collection, and compliance concepts.

Preferred Qualifications

• Bachelor's degree in business administration, healthcare administration, finance, or related field.
• Knowledge of ICD-10-CM, CPT/HCPCs procedure coding.
• Knowledge of hospital revenue cycle operations.
• Demonstrated oral and written communication skills sufficient to establish and maintain effective working relationships with internal and external stakeholders.
• Training as a Certified Revenue Cycle Professional (CPCR), Certified Healthcare Financial Professional (CHFP), or Certified Payment and Reimbursement (CSPR).
• Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures.

Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

Application Details

How to Apply

Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us . For additional information about the application process, go to http://www.mn.gov/careers .

Contact

If you have questions about this position, contact Lynn Glancey at lynn.glancey@state.mn.us or 651-431-3690 .

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Breanna Bullert at breanna.bullert@state.mn.us . If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services' ADA Coordinator at 651-431-4945 or DHS_ADA@state.mn.us for assistance.

CERTAIN DISABLED VETERANS: Effective August 1, 2012, legislation provides state agencies with the option to appoint certain disabled veterans on a noncompetitive basis if they: 1) meet service requirements and have a verified service-connected disability rating of at least 30%; 2) provide qualifying documentation verifying the disability; and 3) meet all Minimum Qualifications identified in this posting. To be considered under this legislation you must submit all documentation before the closing date to: breanna.bullert@state.mn.us

About Human Services Dept

DHS operates a highly specialized behavioral health care system that serves people with mental illness, substance abuse disorders, and developmental and intellectual disabilities. This includes psychiatric hospitals and other inpatient mental health treatment facilities; inpatient substance abuse treatment facilities; dental clinics, group homes, vocational sites, and sex offender treatment facilities.

Working together to improve the state we love.

What do Minnesota's State employees have in common?

• A sense of purpose in their work
• Connection with their coworkers and communities
• Opportunities for personal and professional growth

Benefits

As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.

Your benefits may include:

• Paid vacation and sick leave
• 12 paid holidays each year
• Low-cost medical, dental, vision, and prescription drug plans
  • Fertility care, including IVF
  • Diabetes care
  • Dental and orthodontic care for adults and children
• 6 weeks paid leave for parents of newborn or newly adopted children
• Pension plan that provides income when you retire (after working at least three years)
• Employer paid life insurance to provide support for your family in the event of death
• Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
• Tax-free expense accounts for health, dental, and dependent care
• Resources that provide support and promote physical, emotional, social, and financial well-being

Support to help you reach your career goals:

• Training, classes, and professional development
• Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov )

Employee Assistance Program (EAP) for work/life support:

• A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
• Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
• Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care

Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.

EQUAL OPPORTUNITY EMPLOYERS

Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.

APPLICANTS WITH DISABILITIES

Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email careers@state.mn.us and let us know the support you need.