Consultant, Revenue Site Operations, Ambulatory Surgery Centers (ASC) - REMOTE

Trinity Health • Livonia, MI

6d • $86,176 - $129,264 • Remote

About The Position

Serve as an advisor & liaison to implement strategy & to support operations, projects, programs & service delivery outcomes. Responsible for the planning, implementation, coordination & evaluation of programs & strategic initiatives. Works cooperatively with various organizational levels to understand business needs & the interrelationship of issues impacting the implementation & delivery of business operations & services. Provides knowledge & expertise in programs & workstreams. Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Provides consultative support to Trinity Health functional area Leadership in the implementation of strategy, operational services & other initiatives. Proactively consults & engages operationally on development & implementation of programs & strategies. Provides business context to ensure consistency with decision support, communication, business administration & the development & use of business tools. Provides leadership, direction & oversight of workstreams. Responsible for the development, implementation & management of processes, policies & procedures. Ensures processes, policies & procedures are communicated, implemented & aligned. Serves as a technical resource of business operational services, issue resolution & implementation of recommended actions. Facilitates & develops processes & tools. Provides escalated support, guidance & training to department members (remotely & on-site) to use new technologies & applications, as well as to improve knowledge of existing ones. Identify the organizational improvements needed, develop systems to implement those changes & train the appropriate staff. Manages & implements small to medium-scale projects, programs & initiatives. Develops & manages aligned production, communications, service delivery plans & workflows to ensure plans are successfully implemented & services are delivered on time, within budget & to specifications. Conducts informational training sessions with groups of various sizes & backgrounds. Research & compile information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision-making. Leverages program & operational data & measurements to define & demonstrate progress, Return on Investment (ROI) & impacts. Develops & monitors data analysis & reporting systems & communication tools. Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. Provides leadership for system-wide revenue cycle initiatives; partners with Regional Patient Access leadership & Health Informatics to identify & resolve gaps in pre-registration & financial clearance processes; Serves as a subject matter expert. Collaborates with site location(s) front office & billing colleagues to improve revenue cycle performance through metric review, root cause analysis & developing / implementing action plans; Serves as a liaison between coding & site operations to address process gaps and risks. Supports new business growth and acquisitions through front office assessments, gap analysis, future state recommendations, ang go-live support; Collaborates with Project Implementation team on revenue-related discovery for new sites identifying gaps & risks for implementation & aligning site process with Trinity Health Enterprise. Communicates with stakeholders to ensure coordinated efforts between all revenue-related departments (e.g., Revenue Integrity, Billing, Coding. Partners with physicians and offices to maintain pre- and post[1]implementation communication. Maintains and strengthens relationships with providers and stakeholders to promote collaboration and operational consistency. Monitors contract management and ensures payer contracts are uploaded timely and accurately in designated technology applications (e.g., Electronic Health Record (EHR) and partners with billing and payer strategies.

Requirements

• Must possess a comprehensive knowledge of professional billing, as normally obtained through Bachelor's degree in Healthcare Administration, Business Management, Accounting, or a related field & / or 7-10 years of professional billing experience.
• Experience / knowledge of ASC’s Revenue Cycle Management (RCM) processes
• Experience / knowledge of electronic practice management systems.
• Knowledge of practice management systems for billing & office procedures, managed care & insurance practices, insurance claims & billing process.
• Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects.
• Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise.
• Perform manual dexterity activities & / or grasping / handling.
• Use a computer / other technology.
• Sit with the ability to vary / adjust physical position or activity.
• Maintain a safe working environment & use available personal protective equipment (PPE).
• Comply with applicable Code of Conduct, policies, procedures & guidelines.
• Ability to provide assistance in the event of an emergency.

Nice To Haves

• Medical Assistant (MA), Medical Group Management Association (MGMA), American Academy of Professional Coders (AAPC) or other healthcare certification.
• Six Sigma or LEAN certification.
• Previous leadership in a related area.

Responsibilities

• Serve as an advisor & liaison to implement strategy & to support operations, projects, programs & service delivery outcomes.
• Responsible for the planning, implementation, coordination & evaluation of programs & strategic initiatives.
• Works cooperatively with various organizational levels to understand business needs & the interrelationship of issues impacting the implementation & delivery of business operations & services.
• Provides knowledge & expertise in programs & workstreams.
• Provides consultative support to Trinity Health functional area Leadership in the implementation of strategy, operational services & other initiatives.
• Proactively consults & engages operationally on development & implementation of programs & strategies.
• Provides business context to ensure consistency with decision support, communication, business administration & the development & use of business tools.
• Provides leadership, direction & oversight of workstreams.
• Responsible for the development, implementation & management of processes, policies & procedures.
• Ensures processes, policies & procedures are communicated, implemented & aligned.
• Serves as a technical resource of business operational services, issue resolution & implementation of recommended actions.
• Facilitates & develops processes & tools.
• Provides escalated support, guidance & training to department members (remotely & on-site) to use new technologies & applications, as well as to improve knowledge of existing ones.
• Identify the organizational improvements needed, develop systems to implement those changes & train the appropriate staff.
• Manages & implements small to medium-scale projects, programs & initiatives.
• Develops & manages aligned production, communications, service delivery plans & workflows to ensure plans are successfully implemented & services are delivered on time, within budget & to specifications.
• Conducts informational training sessions with groups of various sizes & backgrounds.
• Research & compile information to support ad-hoc operational projects & initiatives.
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision-making.
• Leverages program & operational data & measurements to define & demonstrate progress, Return on Investment (ROI) & impacts.
• Develops & monitors data analysis & reporting systems & communication tools.
• Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
• Provides leadership for system-wide revenue cycle initiatives; partners with Regional Patient Access leadership & Health Informatics to identify & resolve gaps in pre-registration & financial clearance processes; Serves as a subject matter expert.
• Collaborates with site location(s) front office & billing colleagues to improve revenue cycle performance through metric review, root cause analysis & developing / implementing action plans; Serves as a liaison between coding & site operations to address process gaps and risks.
• Supports new business growth and acquisitions through front office assessments, gap analysis, future state recommendations, ang go-live support; Collaborates with Project Implementation team on revenue-related discovery for new sites identifying gaps & risks for implementation & aligning site process with Trinity Health Enterprise.
• Communicates with stakeholders to ensure coordinated efforts between all revenue-related departments (e.g., Revenue Integrity, Billing, Coding.
• Partners with physicians and offices to maintain pre- and post[1]implementation communication.
• Maintains and strengthens relationships with providers and stakeholders to promote collaboration and operational consistency.
• Monitors contract management and ensures payer contracts are uploaded timely and accurately in designated technology applications (e.g., Electronic Health Record (EHR) and partners with billing and payer strategies.

Benefits

• Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level