A bachelor's degree in Health Care Management or Administration, or a related field, or an equivalent combination of education and/or experience.
Five to seven years of medical billing office experience, including at least four years at the management level or equivalent experience.
Three to five years of experience working in Epic.
HFMA Certified Revenue Cycle Representative (CRCR) certification, or the ability to obtain it within the first six months of employment.
Demonstrated organizational, time management, analytical, and problem-solving abilities.
Proficiency with Microsoft Office, including Word, Excel, and PowerPoint.
Strong attention to detail and follow-up, with the ability to multitask and maintain a customer-centric service approach in a fast-paced environment.
Excellent written and verbal communication skills and the ability to collaborate and interact with all levels within and outside CHN as necessary.
Strong interpersonal skills and the ability to build relationships with team members.
Demonstrated dedication to Planned Parenthood's mission, vision, and values.
Commitment to advancing racial equity at work and interest in expanding knowledge about the role of inequity in society.
Awareness of multiple group identities and their dynamics, with self-awareness about personal identity, empathy, and humility in interpersonal interactions.
Ability to communicate clearly and directly, and to hear and act on feedback related to identity and equity with the aim to learn.
Strong sense of accountability to equitable practices.
Commitment to CHN's mission, values, and norms, as well as Planned Parenthood's 'In This Together' service ethos, workplace values, and service standards.
Responsibilities
Partner with the CHN Customer Success team to lead revenue cycle management updates during affiliate customer success meetings.
Build transparent, credible partnerships with CHN and affiliate teams and identify ideas and actions that deliver strong patient experiences.
Develop expert technical knowledge of revenue, patient access, and financial verification business processes and understand their impact on the revenue cycle.
Prepare reports, analyze data, and present revenue cycle results to CHN leaders and affiliate administrative and clinical leaders on an established schedule through Customer Success meetings.
Collaborate with affiliates, providers as needed, and the central business office on process-improvement opportunities, and facilitate development and implementation of solutions.
Analyze and interpret substantial amounts of data and identify denial and error trends to share with CHN process owners and affiliate teams.
Regularly report and monitor key performance indicators and overall performance with affiliate partners and CHN leaders; share KPIs, provide in-depth root-cause analysis, and develop action plans and timelines to adjust operations and achieve objectives and KPIs.
Recruit, hire, train, evaluate, and discipline staff in accordance with department guidelines; support, coach, and direct representatives, monitor productivity KPIs and position goals, and lead employee evaluations for assigned staff.
Provide guidance, leadership, training, and development to direct reports through motivational methods.
Conduct weekly meetings with the revenue cycle management team to provide guidance and feedback.
Manage staff levels and competencies to ensure the workforce has the skills and tools needed to provide optimal service.
Review organizational metrics and report internal revenue cycle trends, root causes, and related issues; define problems and improve performance; champion revenue cycle functional team efforts and recommend strategies to improve efficiency across remote teams.
Communicate patient account system concerns or issues and solicit feedback from the Revenue Cycle team to ensure systems are configured appropriately and function optimally.
Manage and mentor a culturally diverse team, including creating and sustaining an inclusive and equitable organizational culture.
Create and promote a culture of continuous improvement.
Ensure compliance with CHN and affiliate policies and all state and federal regulations.
Demonstrate commitment to CHN and Planned Parenthood's health equity mission, particularly racial equity, and accountability to the community.
Learn about and enhance practices related to racial equity and the impact of structural racism on healthcare systems.
Provide positive and developmental feedback and accountability related to practices, including equity.
Desired Qualifications
Strong working knowledge of professional billing software applications.
Five years of experience building reports, interpreting data, and developing process-improvement recommendations.
EPIC training program for Revenue Cycle.
Salary Range: 77000 to 116000 (Currency: USD) (Pay period: per-year-salary)
The vision of Clinical Health Network for Transformation (CHN) is to support the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.
CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health equity in our organization.
Reporting to the Vice President of Revenue Cycle, the Revenue Cycle Manager will provide leadership over the day-to-day and strategic operations of the Revenue Cycle Management (RCM) department. This includes managing a team of revenue cycle representative staff and being accountable for consistent quality performance, including the service’s ability to consistently meet established key performance indicators that support access and an optimal customer and patient experience. Additionally, the Revenue Cycle Manager is responsible forfollowing all revenue cycle management systems, processes, and policies, ensuring the effectiveness and efficiency of revenue cycle operations.This position interprets operational-level reports, analyzes data, and presents revenue cycle improvement opportunities to affiliate customers, as well as the Vice President of Revenue Cycle.The Revenue Cycle Manager is required to have demonstrated advanced knowledge and understanding of all aspects of billing office operations, including principles of staff management/supervision; office workflows; and billing and collection operations, including compliance requirements, as well as training and quality standards.
Essential Functions
Partners with CHN Customer Success team to lead RCM updates to the affiliate customer success meetings. Establishes strong partnerships with CHN and affiliate teams that are built on transparency, professional knowledge and credibility, and a commitment to identifying ideas and actions that deliver the best patient experiences
Develops expert level technical knowledge of revenue, patient access, and financial verification business processes to understand how they impact revenue cycle
Prepares reports, analyzes data, and presents revenue cycle results to CHN leaders and affiliate administrative and clinical leaders on an established schedule through the Customer Success meetings
Collaborates with affiliates, providers if needed, and the central business office on process improvement opportunities. Facilitates the development and implementation of solutions
Analyzes and interprets substantial amounts of data and identifies denial/error trends to share with CHN process owners and affiliate teams
Regularly report and monitor key performance indicators (KPIs) and overall performance with affiliate partners and CHN leaders. Shares KPIs, provides in depth, root-cause analysis, action plans and timelines to adjust operations accordingly to achieve operational objective and KPIs
Recruit, hire, train, evaluate, and perform disciplinary actions following department guidelines. Provide support, coaching, and direction for representatives, including monitoring of productivity KPIs and position goals; lead the employee evaluation process for assigned staff
Provide guidance, leadership, training, and development through motivational methods to direct reports
Conduct weekly meetings with the RCM team to provide guidance and feedback
Manages staff levels and competencies, ensuring the workforce has the skills and tools needed to provide optimal service
Reviews standard organizational metrics and reports internal revenue cycle trends, underlying root causes, and other related issues. Applies a structured and disciplined approach to defining problems and improving performance. Champions the effectiveness of revenue cycle functional team efforts and recommends improvement strategies to enhance overall efficiency across remote teams
Communicates any patient account systems concerns or system issues and solicits feedback from the Revenue Cycle team to ensure they are appropriately configured and function optimally.
Manage and mentor a culturally diverse team, including creating and sustaining an organizational culture that fosters inclusiveness and equity
Creates and promotes a culture of continuous improvement
Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
Provides positive and development feedback and accountability related to practices including, but not limited to, equity
The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at anytime.
Qualifications and Experience (Required)
Bachelor’s degree in Health Care Management or Administration, or a related field, five to seven years of medical billing office experience, of which at least four years were at the management level or equivalent combination of education and/or experience
3-5 years of experience working in Epic
HFMA Certified Revenue Cycle Representative (CRCR) or must obtain certification in the first 6-months of employment
Demonstrated organizational, time management, analytical, and problem-solving abilities
Proficiency with Microsoft Office (Word, Excel, PowerPoint, etc.)
Strong attention to detail and follow-up, and demonstrated ability to multi-task and maintain a customer-centric service approach in a fast-paced environment
Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
Strong interpersonal skills and the ability to build relationships with team members
Demonstrated dedication to Planned Parenthood’s mission, vision, and values
Qualifications and Experience (Preferred)
Strong working knowledge of professional billing software applications
Five years of experience with building reports, interpreting data, and developing recommendations for process improvement
EPIC training program for Revenue Cycle
Key Requirements
Commitment to advancing race (+) equity in one’s work: interested in expanding knowledge about the role that inequity plays in our society
Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
Strong sense of accountability to equitable practices
Commitment to CHN Mission, Values, & Norms as well as Planned Parenthood’s ‘In This Together’ service ethos, workplace values, and service standards
Clinical Health Network for Transformation (CHN) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including members from all racial and ethnic groups and members of the LGBTQIA+ community.