Revenue Cycle Client Management Consultant - (Museum District)

Houston Methodist•Houston, TX

About The Position

FLSA STATUS Exempt QUALIFICATIONS EDUCATION Bachelor's degree in business or healthcare EXPERIENCE Five years of experience in medical billing and insurance collections LICENSES AND CERTIFICATIONS Required SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Strong understanding of revenue cycle technology processes and denials Excellent project management skills and ability to manage multiple projects Ability to navigate across multiple customer demands and balance competing priorities successfully Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner Ability to focus on problem or task and articulate a resolution in a prompt, productive and efficient manner; ability to recognize, evaluate, solve problems and correct errors Ability to think critically and identify the global impact across the revenue cycle with a solution oriented approach Ability to maintain confidentiality of sensitive information Ability to take independent action and judgment in required subject of general business-wide policies Strong leadership skills with the ability to coach and develop staff ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Serves as the primary source of knowledge for department's revenue cycle performance. Leads committees and task forces needed to support revenue cycle initiatives for assigned departments. Demonstrates the ability to plan, direct and delegate tasks while ensuring deadlines are met. Bridges communication channels between the department, the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO) SERVICE ESSENTIAL FUNCTIONS Performs root cause analysis, identifies and assess trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals Works with the training department on necessary curriculum to improve deficiencies, and improves workflows that impact financial outcomes. Monitors revenue cycle performance while adhering to compliance policies and procedures. Serves as department leadership's primary resource for revenue cycle-related questions or concerns QUALITY/SAFETY ESSENTIAL FUNCTIONS Coordinates with PO CBO management team and SBO management team to ensure thorough understanding of trends/issues affecting the department's revenue cycle performance. Tracks on-going performance of revenue cycle metrics and activities to ensure department, PO CBO and SBO needs and goals are met. Leads monthly meetings with department administrators and physicians to review key metrics, trends, and performance improvement opportunities (e.g., staff training, physician coordination, policy/process revisions, etc.). Develops goals to link department and revenue cycle initiatives with the organization's strategy. FINANCE ESSENTIAL FUNCTIONS Prepares timely reports on the financial status of each physician's practice monthly and meets with the department leadership, faculty and staff to review status. Presents this data at monthly department revenue cycle meetings. Coordinates with the assigned financial analyst to obtain accurate and timely month-end financial reports GROWTH/INNOVATION ESSENTIAL FUNCTIONS Develops, coordinates, and monitors successful completion of implementation plans. Acts as a lead consultant/educator on performance improvement requirements in operations and methodologies to revenue cycle teams, medical staff, other patient care, physician and hospital departments. Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall PO CBO success. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No ON-CALL Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below. On Call No TRAVEL Travel specifications may vary by department May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No

Requirements

Bachelor's degree in business or healthcare
Five years of experience in medical billing and insurance collections
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Strong understanding of revenue cycle technology processes and denials
Excellent project management skills and ability to manage multiple projects
Ability to navigate across multiple customer demands and balance competing priorities successfully
Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner
Ability to focus on problem or task and articulate a resolution in a prompt, productive and efficient manner; ability to recognize, evaluate, solve problems and correct errors
Ability to think critically and identify the global impact across the revenue cycle with a solution oriented approach
Ability to maintain confidentiality of sensitive information
Ability to take independent action and judgment in required subject of general business-wide policies
Strong leadership skills with the ability to coach and develop staff

Responsibilities

Serves as the primary source of knowledge for department's revenue cycle performance.
Leads committees and task forces needed to support revenue cycle initiatives for assigned departments.
Demonstrates the ability to plan, direct and delegate tasks while ensuring deadlines are met.
Bridges communication channels between the department, the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO)
Performs root cause analysis, identifies and assess trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals
Works with the training department on necessary curriculum to improve deficiencies, and improves workflows that impact financial outcomes.
Monitors revenue cycle performance while adhering to compliance policies and procedures.
Serves as department leadership's primary resource for revenue cycle-related questions or concerns
Coordinates with PO CBO management team and SBO management team to ensure thorough understanding of trends/issues affecting the department's revenue cycle performance.
Tracks on-going performance of revenue cycle metrics and activities to ensure department, PO CBO and SBO needs and goals are met.
Leads monthly meetings with department administrators and physicians to review key metrics, trends, and performance improvement opportunities (e.g., staff training, physician coordination, policy/process revisions, etc.).
Develops goals to link department and revenue cycle initiatives with the organization's strategy.
Prepares timely reports on the financial status of each physician's practice monthly and meets with the department leadership, faculty and staff to review status.
Presents this data at monthly department revenue cycle meetings.
Coordinates with the assigned financial analyst to obtain accurate and timely month-end financial reports
Develops, coordinates, and monitors successful completion of implementation plans.
Acts as a lead consultant/educator on performance improvement requirements in operations and methodologies to revenue cycle teams, medical staff, other patient care, physician and hospital departments.
Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall PO CBO success.