Regional Assistant Director of Revenue Cycle - Sugar Land

ENT and Allergy Associates•Sugar Land, TX

3d•Onsite

About The Position

ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Regional Assistant Director of Revenue Cycle for our Sugar Land Corporate office location. Manager Role Expectations: Adheres to standards of professionalism set by the Practice; demonstrates professionalism in behavior, dress, attendance, punctuality and courtesy towards patients and staff. Functions as a member of a team and promotes a positive work attitude fostering teamwork and acceptance of management decisions Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff members Handles difficult situations and people with tact and professionalism Maintains a positive attitude Demonstrates flexibility in scheduling and /or traveling to meet patient and office needs Reviews all processes for efficiency and implements improvements as necessary Determine department staffing, evaluate employee performance, and make recommendations to the CFO concerning wage and/or salary adjustments, hiring, terminations, transfers, etc. Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processes Guides the staff to areas of focus and then monitors until completed Complete understanding of NextGen Reporting Features; Creates needed EPM reports as new scenarios occur; instructs staff on the usage of the reporting tools Continues to develop Supervisors & Assistant Managers in their roles to enhance efficiency and growth Supports management’s goal of utilizing the electronic features of our computer system, as opposed to paper Schedules monthly Team Meetings to ensure open communication with staff; shares new information, addresses issues/concerns of staff, brainstorms workflows issues and keeps a pulse on the morale of the Team Participates actively in department Team Lead/Management meetings; development, quality improvement process, productivity improvement process, and work flow improvement Manages Team’s overtime hours; helps reduce the hours when appropriate and approves the overtime hours when necessary to achieve our department’s internal goals Exercises discretion and judgment; makes independent decisions on matters that are important to the operations of the practice Creates work standards for the team; Coaches and helps develop team members Holds individuals accountable for completing tasks Motivates and inspires team members Exercises independent judgment in directing team Interviews candidates for available positions in the department Maintain CPC license Essential Roles and Responsibilities: Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processes. Interact with Physicians regarding questions on Monthly AR reports, collections, or billing questions Work in conjunction with Compliance team to assist with coding or modifier inquiries; provide information from industry standards in the healthcare ( e.g. Medicare, CPT, AMA) Direct and manage physician revenue cycle of $290M using key performance measures against industry benchmarks Coordinate and support the day-to-day operations of the Central Billing Office (CBO) addressing the increase of volume and to improve efficiency, reduce billing errors and maximize reimbursement Continuous process review related to CBO and all other Departments with implementation of necessary changes focusing on continuous improvement, and improving the patients’ experience Direct reports in the CBO consist of 4 Managers and 2 Assistant Managers, 4 Supervisors and 3 Team Leads who oversee A/R Follow Up Staff, Payment Posting, Billing Team and a dedicated Billing/Customer service Phone Team Develop daily, monthly, quarterly and annual goals for all Teams within the CBO Track Daily totals for Payments, Charges, Posting and Self-pay collections against daily/monthly goals Weekly meetings ensure strong communication between Teams to ensure that necessary information flows back and forth in the spirit of teamwork and success Support the Insurance Billing team offering guidance with interaction with Clearinghouse to ensure that all claims are billed expeditiously Prepare a monthly comprehensive report for the Board of Trustees summarizing our previous month’s financial date with a narrative regarding insurance issues, trends and ongoing projects Actively participates in rate negotiations with insurance carriers. Work with our Business Intelligence staff to model and develop rate proposals/counter proposals Work closely with Business Intelligence to submit yearly application for HFMA MAP award Maintain contact with outside Managed Care Consultants and follow up on contract negotiations or issues Directly works with Insurance Carrier’s Provider Reps/staff to resolve payment issues, contract issues and to reduce outstanding Accounts Receivable Monitors the surgical & non-surgical Collector’s monthly statistics in regards to ‘DSO’ and ‘Total Outstanding A/R. Identify changes/trends in CBO metrics and assess and report on root causes Review productivity and performance standards and recommend new approaches for enhancing performance Strong support and resource for the Practice Site Administrators in all locations and for front office staff Monitor and approve Refunds to both insurance carriers and patients Participate in Risk Management/Patient Complaint meetings and processes. Respond to complaints received from the Better Business Bureau or in the department that are escalated from the clinical or emergent ones through the appropriate channels Hold monthly Skype meeting with outside collection agencies to review collection results vs goals Submit monthly invoices for Collection agency and Managed Care Consultant Participate in NextGen bi-weekly calls with regard to upgrades and any issues Oversee testing of NextGen upgrades for the billing and collection teams Attend monthly Senior Management Meetings Provide support and reporting information to outside auditors in the yearly Accounting processes Epic experience a plus We offer a competitive salary with a comprehensive benefits package including: Medical/Dental/Vision insurance, Company paid long term disability, Flexible spending account, Company paid life insurance, Voluntary life insurance, 401k, Pet insurance. The ENT & Allergy Associates Network: ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor’ by Castle Connolly, a true testament to the exceptional care and service they provide to their patients. HÜMI: Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy. ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. The ENT & Allergy Associates Network: ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology network in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT & Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor’ by Castle Connolly, a true testament to the exceptional care and service they provide to their patients. HÜMI: Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC , or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, revenue cycle and enhancement, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy.

Requirements

Maintain CPC license

Nice To Haves

Epic experience a plus

Responsibilities

Adheres to standards of professionalism set by the Practice
Functions as a member of a team and promotes a positive work attitude fostering teamwork and acceptance of management decisions
Respects confidentiality and is HIPAA compliant in all aspects of communication regarding patient, Practice and staff members
Handles difficult situations and people with tact and professionalism
Maintains a positive attitude
Demonstrates flexibility in scheduling and /or traveling to meet patient and office needs
Reviews all processes for efficiency and implements improvements as necessary
Determine department staffing, evaluate employee performance, and make recommendations to the CFO concerning wage and/or salary adjustments, hiring, terminations, transfers, etc.
Interact with Physicians, Directors, Regionals and PSAs to resolve and improve patient issues and interdepartmental processes
Guides the staff to areas of focus and then monitors until completed
Complete understanding of NextGen Reporting Features
Creates needed EPM reports as new scenarios occur
Instructs staff on the usage of the reporting tools
Continues to develop Supervisors & Assistant Managers in their roles to enhance efficiency and growth
Supports management’s goal of utilizing the electronic features of our computer system, as opposed to paper
Schedules monthly Team Meetings to ensure open communication with staff
Shares new information, addresses issues/concerns of staff, brainstorms workflows issues and keeps a pulse on the morale of the Team
Participates actively in department Team Lead/Management meetings; development, quality improvement process, productivity improvement process, and work flow improvement
Manages Team’s overtime hours
Helps reduce the hours when appropriate and approves the overtime hours when necessary to achieve our department’s internal goals
Exercises discretion and judgment
Makes independent decisions on matters that are important to the operations of the practice
Creates work standards for the team
Coaches and helps develop team members
Holds individuals accountable for completing tasks
Motivates and inspires team members
Exercises independent judgment in directing team
Interviews candidates for available positions in the department
Maintain CPC license
Interact with Physicians regarding questions on Monthly AR reports, collections, or billing questions
Work in conjunction with Compliance team to assist with coding or modifier inquiries
Provide information from industry standards in the healthcare ( e.g. Medicare, CPT, AMA)
Direct and manage physician revenue cycle of $290M using key performance measures against industry benchmarks
Coordinate and support the day-to-day operations of the Central Billing Office (CBO) addressing the increase of volume and to improve efficiency, reduce billing errors and maximize reimbursement
Continuous process review related to CBO and all other Departments with implementation of necessary changes focusing on continuous improvement, and improving the patients’ experience
Direct reports in the CBO consist of 4 Managers and 2 Assistant Managers, 4 Supervisors and 3 Team Leads who oversee A/R Follow Up Staff, Payment Posting, Billing Team and a dedicated Billing/Customer service Phone Team
Develop daily, monthly, quarterly and annual goals for all Teams within the CBO
Track Daily totals for Payments, Charges, Posting and Self-pay collections against daily/monthly goals
Weekly meetings ensure strong communication between Teams to ensure that necessary information flows back and forth in the spirit of teamwork and success
Support the Insurance Billing team offering guidance with interaction with Clearinghouse to ensure that all claims are billed expeditiously
Prepare a monthly comprehensive report for the Board of Trustees summarizing our previous month’s financial date with a narrative regarding insurance issues, trends and ongoing projects
Actively participates in rate negotiations with insurance carriers.
Work with our Business Intelligence staff to model and develop rate proposals/counter proposals
Work closely with Business Intelligence to submit yearly application for HFMA MAP award
Maintain contact with outside Managed Care Consultants and follow up on contract negotiations or issues
Directly works with Insurance Carrier’s Provider Reps/staff to resolve payment issues, contract issues and to reduce outstanding Accounts Receivable
Monitors the surgical & non-surgical Collector’s monthly statistics in regards to ‘DSO’ and ‘Total Outstanding A/R.
Identify changes/trends in CBO metrics and assess and report on root causes
Review productivity and performance standards and recommend new approaches for enhancing performance
Strong support and resource for the Practice Site Administrators in all locations and for front office staff
Monitor and approve Refunds to both insurance carriers and patients
Participate in Risk Management/Patient Complaint meetings and processes.
Respond to complaints received from the Better Business Bureau or in the department that are escalated from the clinical or emergent ones through the appropriate channels
Hold monthly Skype meeting with outside collection agencies to review collection results vs goals
Submit monthly invoices for Collection agency and Managed Care Consultant
Participate in NextGen bi-weekly calls with regard to upgrades and any issues
Oversee testing of NextGen upgrades for the billing and collection teams
Attend monthly Senior Management Meetings
Provide support and reporting information to outside auditors in the yearly Accounting processes