Revenue Site Operation Business Partner

Trinity Health•Athens, GA

20h•Onsite

About The Position

This position will analyze performance metrics and provide consultation, leadership, and direction to enhance front-end workflows and improve revenue performance for THMG. It leads complex projects for practice/clinic locations with a focus on ongoing support and continuous improvement. The role serves as a consultative resource and develops, establishes, and manages relationships with executive leaders, key stakeholders, high-level professionals, and decision-makers. This involves routine site visits, conference calls, and regular communication with assigned practices/clinics. The individual must embody the Trinity Health Mission, Vision, and Values in their behaviors, practices, and decisions. The role collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics, assessing root cause analysis, and developing/implementing action plans. It reviews front-end denials (eligibility, registration, and authorizations) for each area and provides feedback to Directors, Practice Managers, and Supervisors. The role provides trended metrics to help identify areas that are performing well and areas that need further development/review. It oversees, assists, and manages Registration Charge Review and Claim Edit workqueues. The role reviews the Front Office Dashboard for significant variances between performance and benchmarks or noticeable drops in performance from one week to the next. It develops and conducts general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions. The role conducts quarterly quality assessments of registration accuracy performed by front-end users and provides education and training to those not meeting best practice goals. It provides recommendations for communications and assists in the completion of monthly newsletters informing practice colleagues and physicians of insurance policy and regulatory changes, as well as changes in CPT, ICD-10, and HCPCS coding. The role communicates with management and the liaison team to ensure all assigned sites and colleagues are supported in all areas of the revenue cycle. It participates and leads Revenue targeted projects and addresses opportunities and barriers as they arise. The role provides regular project status updates to customers and leadership, especially when there are delays or challenges. It attends additional training, performs research, and engages in e-learning to stay current on best practices and new practice management technology and functionality as it becomes available. The role supports new practice acquisitions by conducting current-state assessments on front office functions, documenting gap assessments, making recommendations to transition to future-state, and providing go-live support. It documents lessons learned to develop payer and/or billing playbooks for all specialties. The role conducts new leader training and provides educational tools and guidance to support front office best practices, with agenda items including, but not limited to, front office dashboard review and role expectations. It communicates effectively with colleagues to ensure coordinated efforts between Revenue Integrity, EPFS, and offices. The role serves as a subject matter expert in all areas of revenue and acts as a primary contact for assigned sites or colleagues for questions and assistance. It maintains knowledge of the practice management system, office responsibilities, and billing processes. The role maintains knowledge of and supports revenue standards and procedures. It researches and stays current on managed care/insurance updates. The role assists with special projects as needed and performs other duties as assigned. A personal presence characterized by a sense of honesty, integrity, and caring, with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health is required.

Requirements

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Responsibilities

Analyze performance metrics and provide consultation, leadership, and direction to enhance front-end workflows and improve revenue performance.
Lead complex projects for practice/clinic locations with a focus on ongoing support and continuous improvement.
Serve as a consultative resource and develop, establish, and manage relationships with executive leaders, key stakeholders, high-level professionals, and decision-makers.
Conduct routine site visits, conference calls, and regular communication with assigned practices/clinics.
Collaborate with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics, assessing root cause analysis, and developing/implementing action plans.
Review front-end denials (eligibility, registration, and authorizations) for each area and provide feedback to Directors, Practice Managers, and Supervisors.
Provide trended metrics to help identify areas that are performing well and areas that need further development/review.
Oversee, assist, and manage Registration Charge Review and Claim Edit workqueues.
Review Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next.
Develop and conduct general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions.
Conduct quarterly quality assessment of registration accuracy performed by front-end users.
Provide education and training to those not meeting best practice goals.
Provide recommendations for communications and assist in completion of monthly newsletters informing practice colleagues and physicians of insurance policy and regulatory changes as well as changes in CPT, ICD-10 and HCPCS coding.
Communicate with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.
Participate and lead Revenue targeted projects and address opportunities and barriers as they arise.
Provide regular project status updates to customers and leadership, especially when there are delays or challenges.
Attend additional training, perform research, and engage in e-learning to stay current on best practices and new practice management technology and functionality.
Support new practice acquisitions by conducting current-state assessments on front office functions, documenting gap assessments, making recommendations to transition to future-state, and providing go-live support.
Document lessons learned to develop payer and/or billing playbooks for all specialties.
Conduct new leader training and provide educational tools and guidance to support front office best practices.
Communicate effectively with colleagues to ensure coordinated efforts between Revenue Integrity, EPFS, and offices.
Serve as a subject matter expert in all areas of revenue and act as a primary contact for assigned site or colleagues for questions and assistance.
Maintain knowledge of practice management system, office responsibilities, and billing process.
Maintain knowledge of and support revenue standards and procedures.
Research and stay current on managed care/insurance updates.
Assist with special projects as needed and perform other duties as assigned.