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

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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: $81,952.00 - $107,057.60 Scheduled Weekly Hours: 40 Position Overview SUMMARY (Basic Purpose of the Job) Manages overall direction, coordination and evaluation of vendors utilized by the Revenue Cycle Departments with a focus on Hospital and Professional billing. Oversees vendor performance, productivity and meets with vendors on a regular basis. Acts as recipient of all escalated and trended vendor issues and is responsible for resolving and/or taking appropriate action on all escalated issues. 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 su

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