Description

JOB DESCRIPTION: This position supports and coordinates clinic revenue cycle functions that include financial clearance, charge capture, billing, coding, follow-up, denial management, and customer service aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, and efficiency). The position reports to Patient Financial Services (PFS) leadership. The position will develop ongoing relationships with clinic leadership.

This role is responsible for establishing, meeting and exceeding operational work flow, productivity and results standards related to the above functions. The position also organizes, manages, and monitors the performance of the revenue cycle. Supervises staff and manages employee performance. Provides on-going performance feedback, addresses problems, hires, orients and trains employees.

Works with manager to formulate plan for professional development. Attends educational in-services as appropriate. Participates in professional activities and organizations to maintain knowledge of current trends, practices, and developments.

Maintains and monitors revenue cycle metrics for assigned department(s). Provides and analyzes data and makes recommendations for improved efficiencies in the revenue cycle function for the respective department(s). Prepares operational reports and analyses reflecting progress, adverse trends and appropriate recommendations or conclusions.

Acts as a key resource on matters pertaining to revenue cycle for assigned department(s). Performs regular review of quality and skill sets of team resources. Anticipates growth needs. Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices.

Liaisons between external customers/stakeholder and PFS on all revenue cycle related issues. Collaborates with other departments to improve clinic operations and revenue management.

MINIMUM QUALIFICATIONS: Bachelors Degree and five (5) years of healthcare experience or 3 years revenue cycle experience with coding certification, 2 of which must be supervisory OR any combination of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP) plus 18 month of additional supervisory experience.

Professional Certification as RHIA, RHIT, CPC, CCS, or CHDA is preferred. Demonstrated understanding in how to manage resources across an organization to maximize organization impact in multiple clinical specialties (shared resources). Experience with ambulatory care environments and ability to translate and embed standard operating procedures and process into the clinical environment where appropriate.

PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details