Job Description

Hilo Benioff Medical Center and the East Hawaii Region of Hawaii Health Systems Corporation are seeking a Revenue Integrity Program Manager (Administrative Services Officer I) to lead assigned revenue cycle initiatives and provide value-added support to the revenue cycle leadership team. Reporting to the Regional Revenue Cycle Director for Critical Access Hospitals & Rural Health Clinics, the the incumbent will work with revenue cycle management in developing and reinforcing effective business practices within the organization to include professional and facility charge capture, review of the charge master, liaison to department charge champions, departmental/organizational training and actively participates with EMR upgrades and revisions. The Revenue Integrity Program Manager may supervise patient account representatives and clerical staff.

Location: This position allows for a hybrid (remote/in office) work environment, with a requirement for an incumbent living outside of Hilo to work on-site on the Big Island at regular intervals throughout the year (approximately four times per year for visits of approximately one week each). Airfare and lodging will be paid for by the organization, in accordance with our policies.

Relocation assistance is available for an incumbent who moves to the Hilo area to accept this position.

Major Duties & Responsibilities

• Develops, implements and maintains the Revenue Integrity Program.
• Evaluates, analyzes, and enhances the comprehensive capture of patient revenue and prevention of denials by auditing accounts to ensure accurate revenue capture.
• Participates in EMR updates and revisions.
• Participates in a wide variety of complex financial analyses, including but not limited to revenue and operational improvement.
• Contributes to annual planning process by helping to set strategic objectives and performance measures to track progress.
• Provides meaningful reporting and analytic solutions to leadership, interpreting data and analyses to help business stakeholders in making operational and strategic decisions.
• Guides multi-disciplinary project teams through completion of each project. Ensures that key metrics are defined, developed, tracked and evaluated.
• Develops and administers revenue cycle training and education programs.

Education Requirements: Graduation from an accredited four (4) year college or university with a bachelor's degree. Excess work experience as described under the Specialized Experience below or any other progressively responsible administrative, professional or other analytical work experience which provided knowledge, skills and abilities comparable to those acquired in four (4) years of successful study while completing a college or university curriculum leading to a baccalaureate degree may be substituted on a year-for-year basis.

Specialized Experience Requirement: Four (4) years of professional work experience which demonstrated responsibility for planning and coordinating program activities and solving operational problems involving administrative processes and the relationship between programs. Such experience must have demonstrated administrative abilities by completion of assignments or projects which involved administrative problems (i.e., conducting studies and analyses of programs, projects and services to assess effectiveness, adherence to program directives and achievement of goals and objectives, resource needs, cost and benefit factors, and other essential management concerns and recommending alternative courses of action to resolve problems and increase the effectiveness of operations and other concerns). The experience must have demonstrated a high degree of analytical skill involving the ability to identify information needs, collect and analyze data, identify problems and alternative solutions and their advantages and disadvantages and develop logical recommendations for a course of action, and the ability to read, comprehend and interpret complex material and draft comprehensive reports of findings and conclusions.

Preferred Requirements: Hospital or hospital outpatient healthcare revenue cycle experience, including credit/collections and insurance billing; revenue integrity and/or charge capturing in a hospital or hospital outpatient setting.

Substitutions Allowed: A master’s degree in business administration, public administration, or personnel administration from an accredited college or university may be substituted for one (1) year of specialized experience.

Company Description

As the Big Island’s leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka′u Hospital, and the Yukio Okutsu State Veterans Home, delivers a full range of services and programs. Our three hospitals include 290 beds and over 1,700 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Hale Ho′ola Hamakua and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org, www.halehoolahamakua.org or www.kauhospital.org.

Benefits

• 13 paid holidays each year (104 hours); 14 (112 hours) during election years*
• 21 paid vacation days (168 hours) per year*
• 21 paid sick days (168 hours) per year*
• Medical, dental, vision, and prescription plans
• Employee Assistance Program
• Participation in the State of Hawaii’s retirement system
• Potential eligibility for various student loan repayment & scholarship programs

• Rates listed for paid holidays, vacation and sick days are for 1.0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE.

Benefits

Relocation Assistance is available for this position.

Pre-Employment Health Requirements

Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.

Pre-Employment Assessments for External Candidates

As part of the recruiting process for this position, external applicants (job applicants NOT employed by HHSC’s East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request.

Equal Opportunity Employer

The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer.

About Hilo & The Big Island

Hilo is located on the east side of the island of Hawaii, and has a quaint, old-Hawaii, small town atmosphere. Our island offers amazing rainforests, waterfalls and beaches. The hospital staff is community-oriented and strive to provide competent and compassionate care to every patient that enters our doors. The area is home to the Hawaii Community College, University of Hawaii, Hawaii Volcanoes National Park, excellent schools and convenient shopping.