Manager, Revenue Operations Practice Support

Hackensack Meridian Health•Hackensack, NJ

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Manager of Revenue Operations Practice Support serves as a strategic leader and primary liaison between clinical departments and the revenue cycle operations team. Responsible for identifying revenue opportunities in all aspects of the revenue cycle, creating project plans, and implementing operational and systematic solutions. This role will also manage a team of Revenue Cycle Analysts. This role drives the strategic vision and operations for internal client engagement, focusing on enhancing satisfaction, optimizing revenue cycle workflows, spearheading continuous improvement initiatives and ensuring alignment with key performance indicators, targets and service standards. Responsible for proactively communicating data on performance, operational activities, and areas of opportunity to assist management, department administrators and chairs in key decisions.

Requirements

Bachelor's degree in Business, Healthcare Administration, Finance, or other relevant field.
Minimum of 10 years of experience in healthcare receivables, health insurance claims processing, or healthcare customer service, including at least 5 years in a management role.
Extensive knowledge of Federal and State regulations relating to insurance billing and follow-up.
Strong leadership skills.
Strong financial management skills.
Excellent knowledge of information technology and management information systems and how they can be used to improve operations.
Experience with EPIC Professional billing (PB)
Excellent written and verbal communication skills.
Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.

Nice To Haves

Master's degree.
Experience with Epic Professional billing (PB).
Member of nationally recognized professional organization - Healthcare Financial Management Association (HFMA) a plus.
HFMA Certified Healthcare Financial Professional (CHFP) or similar certification.
Epic proficiency or certification.

Responsibilities

Manages a team of Revenue Cycle Analysts to ensure all policies & procedures are followed. Oversees workflow implementations, desktop procedures & departmental policies & procedure creation & implementation.
Serves as the primary liaison between clinical departments and revenue cycle operations.
Responsible for identifying revenue opportunities in all aspects of the revenue cycle, creating project plans, and implementing operational and systematic solutions.
Provides analysis of reporting and performance data to assist management, department administrators and chairs with key decisions.
Prepares and delivers monthly presentations to clinical department heads and finance on key performance indicators.
Collaborates with the denial management team to analyze AR reports identifying denial trends, reporting findings and results to identify and drive process improvement.
Monitor, analyze and present key provider productivity metrics with comparisons to internal and external benchmarks
Individual will help facilitate best practice model, make recommendations, assist with developing and executing plans for standardization and improvement.
Identify positive and negative revenue cycle trends to determine root causes and corrective solutions to minimize denials and enhance collection rate.
Achieve proficiency in querying system for data and reports.
Works closely on interface and system issues as required, improving generation of data.
Develop and deploy standardized solutions and improvement plans for solving operational issues.
Meet with clinical department leadership to review and discuss revenue cycle scorecards and dashboards.
Represent at committees, task forces, and/or revenue cycle work groups.
Manages relationships and expectations, establishing regular communication processes to keep leaders informed about projects, results, and new initiatives.
Develops advanced frameworks for underpayment appeals, tracking resolution metrics, and leading payor engagement to drive improved reimbursement outcomes.
Maintain current knowledge regarding reimbursement mechanisms and presents strategic updates on reimbursement and contracting issues to departments and CRO leadership.
Ensures strict adherence to HIPPA, Billing Compliance and other pertinent regulations.
Acts as a business partner with new business partners and joint ventures.
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.