Strategic Services Associate - HBC Management - Remote - MUST RESIDE IN NC

Duke Careers•Durham, NC

3d•Remote

About The Position

The Strategic Services Associate supports the management team and acts as a liaison to stakeholders (service lines, clinic leadership, providers, revenue managers, revenue cycle operational teams, etc.) to support eligibility, prior authorization, and medical necessity standardized processes. This position evaluates and implements sustainable system workflows that improve operational performance and clear lines of responsibility between clinical, clinic, and pre-service verification teams. The Strategic Services Associate contributes to the achievement of department goals through the development and leadership of performance improvement activities.

Requirements

A bachelor’s degree in a business or health-related field is required.
Minimum of 5 years work experience, including 3 years of experience with significant responsibility for performance/ process improvement.
Experience leading work teams required.
Effective written and verbal communication skills
Ability to communicate with customers/staff with diverse educational backgrounds
Analysis of data and processes for opportunities for improvement
Ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use of time, organization
Knowledge of revenue cycle operations
Attention to detail and accuracy
Computer literacy

Responsibilities

Design and implement strategies for enhancing performance, reducing denials, and write-offs through utilization of performance improvement techniques and methodologies.
Evaluate operational workflows and identify components that will improve operational efficiency by leveraging technology/bot/automation.
Implement and maintain technology solutions for the department.
Recommend policy/procedure and training documentation related to initiatives and projects.
Establish department performance targets.
Maintain full knowledge of departmental operations and act as a subject matter expert for eligibility, authorization, and medical necessity.
Develop, maintain, and enhance knowledge of Electronic Health Record system and third-party vendor functionality to support recommendations on optimal workflows.
Serve as an expert resource on performance improvement methodologies.
Maintain liaison with service line and other revenue cycle departments as it relates to pre-service verification operations.
Partner with supporting clinics to educate on pre-service verification processes and resolve system related workflows impacting operations.
Communicate overall strategy for departmental improvement and develop strategies to meet performance metrics.
Serve as a project manager for interdisciplinary teams.
Ensure adequate training and documentation is provided on new and changing processes.
Promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results.
Support organizational diversity and equal treatment for all employees.
Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained.
Interact with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel).
Acknowledge management requests and emails in a professional, timely manner.
Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned.
Accomplish all tasks as assigned.
Perform other related duties incidental to work described herein.