About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
FUNCTION: Responsible for managing all aspects of the business relationship with the client for the Revenue Cycle Outsourcing business including financial performance/outcomes and customer satisfaction. This also includes matrix management and driving accountability of both global and domestic teams performing production functions which encompass 3rd party Claims Operations, insurance verification and coding. Oversee performance and contract compliance for all aspects of the contractual relationship. Facilitate problem resolution and work with teams to design process efficiencies that deliver the expected results with both the client and as well as the Company.
SCOPE
Responsible for the client relationship and day-to-day management of the contractual deliverables. Includes organization and development of account specific performance objectives and processes in partnership with the Operational delivery teams; management of company and 3rd party resources to achieve account specific performance objectives in accordance with client contracts and budgeted gross margin parameters; add-on or renewal sales support.
- Strategic oversight for multiple operational teams responsible for the revenue cycle delivery to the client
- Establish strategic initiatives to ensure client metrics are met.
- Interacts with clients regarding the management of their accounts.
- Direct activities of a broad functional area with responsibility for participation of workforce planning and implementing process improvement
- Regular interaction with executive management.
- Interactions normally involve matters between functional areas, other company divisions or units, or customers and the company.
- Other duties as required to facilitate client contract compliance and P&L success
EDUCATION/TRAINING
Undergraduate degree in related field
KNOWLEDGE/SKILLS
Minimum Requirements
5+years of revenue cycle operations and systems experience
Critical Skills
5+ years of operational experience including 3+ years managerial experience
5+ years experience managing global A/R resources/relationships
Thorough knowledge of Operations Management and lifecycle of a patient and their claim in the revenue cycle (patient access, coding, back end claim adjudication/resolution and patient/insurance follow up).
Strong communication/problem solving, strong process and policy documentation skills.
Able to motivate others and work under pressure
Excellent organizational skills, including communication skills both written and verbal
Analytical skills
Process orientation (six sigma training a plus)
Experience with EMRs (EPIC preferred)
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.