Stamford Health-posted 3 days ago
Full-time • Manager
Stamford, CT
1,001-5,000 employees

The Manager, Revenue Cycle Applications, acts as a thought leader and liaison to all hospital and outpatient clinical departments, their physicians and leadership at Stamford Health System (SHS). This includes, but is not limited to, the development of revenue cycle business cases relating to technology that improves patient safety, quality, reduction of administrative costs and regulatory compliance. The Manager, Revenue Cycle Applications is responsible for the overall design, implementation, documentation, operation, and support of enterprise systems in the critical areas of patient flow, hospital and professional billing, claims, and HIM. This also includes planning, project management, daily operational management, a focus on customer service, ensuring break/fix Service Level Agreements are met, staff skills development, recruitment, retention and succession planning, and fiscal responsibility. The Manager, Revenue Cycle Applications, manages the department in accordance with SHS priorities, department goals and strategic objectives. The Manager, Revenue Cycle Applications requires the skills and experience to be a thought leader, solution provider, relationship maker, staff manager, clinical and financial business partner. This position requires strong healthcare clinical and business acumen in the clinical, financial and administrative functions combined with a strong application expertise and process redesign skills to advance patient care and the patient experience here at SHS. The responsibilities also require a strong understanding of HIPAA, CMS regulations, other healthcare rules and regulations and an awareness of the importance of cyber security.

  • Understands core professional and hospital billing workflows, processes, and interdependencies.
  • Research trends and best practices in relation to healthcare application software.
  • Promotes workflow analysis, process redesign and adoption of software tools for performance improvement.
  • Provides oversight and guidance with respect to HIM duties and responsibilities.
  • Works closely with HIM operational leads to ensure timely releases of information to patients and entities.
  • Optimize claims process management by utilizing available technology to ensure claim workflows follow best practices to ensure timely review of claim errors by all necessary parties.
  • Develop, lead, and mentor staff responsible for analysis, build and overall project delivery.
  • Foster a culture of accountability, professional growth, and collaboration.
  • Regularly perform gap analysis on resources to maintain optimum efficiency.
  • Provide leadership by identifying and communicating strategies on relevant areas of oversight for process improvement.
  • Set clear performance goals, monitor progress, and promote continuous learning and improvement.
  • Assist with formulation of annual and supplemental departmental planning based on these metrics including performance appraisals of staff accountable for the individual metric.
  • Ensure appropriate staffing and prioritization of team resources to meet business needs.
  • Collaborate with access and revenue cycle resources and subject matter experts to oversee standardization of system content and workflow to support key enterprise clinical processes and business functions.
  • Partners with leaders across Revenue Cycle, Patient Access, Finance, and Clinical Operations to identify needs and develop technology-based solutions that improve efficiency and accuracy.
  • Translate operational requirements into Epic enhancements that streamline workflows and support financial integrity.
  • Serve as a liaison between technical teams and operational stakeholders to ensure alignment and effective communication.
  • Provides input into the annual budgeting process and manages fiscal responsibility for staff and healthcare software.
  • Manage vendors, consultants, and other third-party relationships appropriately and professionally, while maintaining the best interest of the health system.
  • Ongoing maintenance and advancement of HIS applications through effective implementation of solutions, which support the user and application needs of the organization.
  • Requires continual advancement of skills, identification of application advancement and investment to enhance process or enable business applications and influence strategic and tactical priorities as appropriate.
  • Monitors compliance with regulatory changes particularly related to promoting interoperability measures and other CMS regulations.
  • Works closely with departments to meet organizational compliance.
  • Collaborate with revenue integrity, finance, and compliance teams to ensure data accuracy and transparency.
  • Monitor key performance indicators to measure the effectiveness of Epic revenue cycle workflows and identify areas for improvement.
  • Train and/or supervise training of users and other staff in current and new aspects of system functionality.
  • Participate in go-lives and support.
  • Participate in On-Call support.
  • Accountable and responsible for supporting business critical applications and systems that operate 24/7/365.
  • Performs other special projects and duties as assigned.
  • Bachelor’s degree required. Appropriate experience may be substituted for a degree.
  • Minimum 8 years of experience implementing and/or supporting HIS, revenue cycle applications to improve patient care.
  • Proven project management skills and 4+ years of related health information technology experience is necessary.
  • Experience working with and managing staff in a matrix-management model.
  • Experience working with clinicians, especially physicians, is also required.
  • Experience with Epic applications is strongly preferred.
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