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Hospital Business Operations Revenue Manager (hybrid remote)

New Albany, OH
All candidates must live in Ohio for this hybrid remote position.  There will be office work-days in and around New Albany.

​​​​​​Our client, has developed best in class artificial intelligence that maximizes hospital’s payor reimbursements through their proven software allowing them to recoup 80% of denied claims that would normally be lost revenue.

Position
Business Operations Revenue Manager 
 
Responsibilities
Become the subject matter expert for edits configuration within claims operations 
Develop processes for to summarize the complexity of data and operations into clear reports
Run and bring technical and operational improvements to client claims processes to ensure compliance, improve scalability, and manage risks
Collaborate with our teams and external partners to achieve expansion and platform targets and important operational metrics
Surface data, process, and technology issues through proactive identification, measurement, and monitoring of client operations
Support your team and leadership by guiding decisions and implementation on an ongoing basis

Required Qualifications
Bachelor's degree 
2+ years experience with medical billing, payment integrity, and medical coding
Experience with Full Stack or SQL (ability to at least write basic SQL queries)
5+ years experience in operations, health insurance, data analysis, engineering or consulting
5+ years of experience manipulating and analyzing large datasets using excel (can write advanced macros) or a similar database language to solve business problems
Experience developing project plans coordinating with all partners
Experience designing and improving workflows and standing up accompanying operating and technical procedures


Additional Qualifications - Plus
Advanced Degree in IT, MBA, of Healthcare Administration, or related field
Certified Professional Coder (CPC) certification 

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