Revenue Site Operations Business Partner-1

Trinity Health•Columbus, OH

About The Position

Position Purpose: Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing metrics regularly, assessing root cause analysis, and developing/implementing action plans. Reviews denials (eligibility, registration, and authorizations, coding etc..) for each area and provides feedback to Practice Managers and Supervisors, and Leads. Provides trended metrics to help identify areas that are performing well and areas that need further development/review. Expectation to visit supporting locations - Columbus Ohio What You Will Do: Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 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. Reviews front-end denials (eligibility, registration, and authorizations) for each area and provides feedback to Directors, Practice Managers and Supervisors. Provides trended metrics to help identify areas that are performing well and areas that need further development/review. Oversees, assists, and manages Registration Charge Review and Claim Edit work queues. Reviews Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next. Develops and conducts general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions. Conducts quarterly quality assessment of registration accuracy performed by front-end users. Provides education and training to those not meeting best practice goals. Provides recommendations for communications and assists 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. Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.

Requirements

Must possess a comprehensive knowledge of professional billing, as normally obtained through bachelor’s degree in Healthcare Administration, Business Management, Accounting or a related field, and/or 3 to 5 years of professional billing experience.
Experience/knowledge of electronic practice management systems.

Nice To Haves

MA, MGMA, AAPC or other healthcare certification preferred.
Six Sigma or LEAN certification preferred.
Previous leadership in a related area preferred

Responsibilities

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.
Reviews front-end denials (eligibility, registration, and authorizations) for each area and provides feedback to Directors, Practice Managers and Supervisors.
Provides trended metrics to help identify areas that are performing well and areas that need further development/review.
Oversees, assists, and manages Registration Charge Review and Claim Edit work queues.
Reviews Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next.
Develops and conducts general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions.
Conducts quarterly quality assessment of registration accuracy performed by front-end users.
Provides education and training to those not meeting best practice goals.
Provides recommendations for communications and assists 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.
Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.

Benefits

Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement starting on day one.
RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
Relocation assistance (geographic and position restrictions apply).
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.