About The Position

Provide oversight & support of the workflow & functions in accordance with level of experience, education & standards. Assumes an expanded role & increased responsibility including delegating to others. Participates in the development of & the process improvement of policies & procedures. Works closely with leadership to maintain efficient & effective operations to ensure quality in daily operations. May partner with leadership with the selection, orientation & performance feedback of the team. Works cooperatively to ensure that key customer needs are being met & achievement of operational & performance goals. Coordinate operational, technical and/or clerical support services that enhance or improve coordination, preparation and flow of the department process and core work. Plans and organizes workflows and prioritizes customers’ needs. May lead a small team. Serves as a mentor. Creates & maintains procedural standards & records as appropriate for role. Develops & maintains educational programs for the team members, including new employee orientation. Mains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program and Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical and professional behavior and safe work practices. Drives performance metrics and develops action plans (e.g., to improve variances), provides consultation, leadership & direction to enhance front-end workflows and improve revenue performance for Trinity Health Medical Groups. Partners with medical group operational leaders to improve revenue cycle performance (e.g., front-end denials, eligibility, registration and authorizations) by reviewing weekly metrics, assessing root cause analysis and developing/implementing action plans. Leads complex projects for practice/clinic locations with focus on ongoing support & continuous improvement.

Requirements

  • Bachelor’s degree from an accredited school in Business Administration, Healthcare Administration, or related field or seven (7) to ten (10) years of progressively responsible professional billing experience or an equivalent combination of education and experience.
  • Strong knowledge of billing systems, insurance practices, and revenue cycle operations.
  • Experience with electronic practice management systems.
  • Proven leadership experience and ability to influence across teams.
  • Excellent communication, analytical, and relationship-building skills.
  • Ability to work independently, prioritize tasks, and drive initiatives forward.

Nice To Haves

  • Healthcare Financial Management Association (HFMA), Medical Group Management Association (MGMA), American Academy of Professional Coders (AAPC) or other healthcare certification preferred.
  • Six Sigma or Lean certification is a plus

Responsibilities

  • Coordinate operational, technical and/or clerical support services that enhance or improve coordination, preparation and flow of the department process and core work.
  • Plans and organizes workflows and prioritizes customers’ needs.
  • May lead a small team.
  • Serves as a mentor.
  • Creates & maintains procedural standards & records as appropriate for role.
  • Develops & maintains educational programs for the team members, including new employee orientation.
  • Maintains a working knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program and Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical and professional behavior and safe work practices.
  • Drives performance metrics and develops action plans (e.g., to improve variances), provides consultation, leadership & direction to enhance front-end workflows and improve revenue performance for Trinity Health Medical Groups.
  • Partners with medical group operational leaders to improve revenue cycle performance (e.g., front-end denials, eligibility, registration and authorizations) by reviewing weekly metrics, assessing root cause analysis and developing/implementing action plans.
  • Leads complex projects for practice/clinic locations with focus on ongoing support & continuous improvement.

Benefits

  • Health insurance coverage starts on Day 1.
  • Opportunities for advancement in a mission-driven organization.
  • Access to training, certifications, and leadership development.
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