group
Category
Administrative Support
business
Department
Patient Financial Services
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA
info
Job #
R0252532

  • Job Objective: A brief overview of the position.
    • Works under the direction of the Vice President of Revenue Cycle and the Director of Patient Financial Services. Manages the design, development, and dissemination of revenue cycle staff training programs and user manuals. Conducts competency assessments to assure accuracy and consistency of all revenue cycle staff across all facilities. Have the ability to run excel reports to pinpoint areas of concern, and promote new educational opportunities. Liaises with all other departments that use revenue cycle software and hardware systems and works with other departments to decrease negative impacts on registration, billing, coding, etc. Helps to ensure budgetary compliance. Maintain knowledge of all payer’s policies, procedures and updates. Assist in billing and collection areas to maintain hands-on knowledge of payer specific requirements.
  • Reports to
    • Director of Patient Financial Services
  • Supervises
    • Various members of the revenue cycle team during performance improvement programs.
  • Ages of Patients
    • None
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
      • Preferred: Bachelor’s degree in business or related field
    • Licensure/Certification
      • None
    • Experience
      • Required: Minimum five (5) years experience in a Healthcare setting.
      • Preferred: Extensive knowledge in Medicare billing and collection policies and procedures.
  • Essential Responsibilities
    • Manages the design, development, and dissemination of staff training programs, user manuals and reference materials for revenue cycle staff. Analyzes and recommends operational actions including policy updates, procedure modifications, and system changes.
    • Recruits and screens new hire applicants and participates in the selection and hiring process. Participates in interview process to ensure adequate staffing competencies.
    • Conducts, coordinates, and facilitates the delivery of training to staff, including new-hire training and continuing education. Maintains and updates the training module for all revenue cycle staff.
    • Supervises specific activities, data quality, audit functions relating to the use of the McKesson STAR system and other revenue cycle information systems.
    • Serves as the revenue cycle liaison, providing interdepartmental training including denials management and proper information system utilization.
    • Develops metrics to assess staff performance. Audits samples from Patient Access and Patient Financial Services to identify staff educational opportunities and technology improvement.
    • Presents audits and metrics to staff members in coordination with managers, supervisors, directors, et.al. Works with staff members to increase efficiency, effectiveness, and performance through work plans and performance improvement plans. Maintains spreadsheets, logs, and other documentation regarding staffing improvement opportunities.
    • Creates, maintains, and develops relevant Revenue Cycle policies and procedures in concert with Policy and Procedure Committee. Analyzes the impact of third-party payer policies, procedures and computer design changes in the department in collaboration with Patient Financial Services management and staff.
    • Maintains a strict adherence to all Governmental Rules, Regulations, and Policies (i.e. HIPPA, EMTALA, Compliance, etc.) and routinely updates staff, supervisors, and managers on regulatory changes and accreditation/compliance requirements. Methods for notification include email, updated training manuals, and other methods of verbal/written communication.
    • Engages in continuous study of the entire professional field, including best practices, to maintain the professional competence, knowledge, and skills necessary for the satisfactory performance of all assigned responsibilities. Maintains knowledge of rules, regulations, and standards in the field of Access Management training. Attends mandatory meetings as required for this position.
    • Performs such individual assignments as management may direct. Establishes and maintains effective working relationships within the organization. Provides information to senior levels of management on the implication of policies and procedures being formulated and recommends specific action.
    • Anticipates customer needs and supervises the provision of services to all customers, including patients, physicians, hospital departments, and staff. Coordinates requests for services, information, records, and data on a timely basis. Researches and resolves problems.
    • Maintains open communication with co-workers, other Hospital departments, outside vendors/visitors, management, and works to improve interdepartmental relationships
    • Promptly communicates to the Director, Manager, Supervisors and Registration of any potential problems or issues and presents logical solutions that are well thought out.
    • Monitors all identified errors and ensure all errors are corrected daily and brought to appropriate staff member attention, supervisors and manager. Presents staff progress and manager follow-through regarding Performance Improvement and Management Action Plans to Revenue Cycle Directors and Vice President. Assists managers in coordinating and administering disciplinary action.
    • Conducts, attends and participates in staff meetings as necessary.
    • Performs all other duties as assigned.

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