Sr Mgr Revenue Cycle Physician Experience, RMF Revenue Cycle

DHR Health  -  US:TX:Edinburg - Days

Summary:

FLSA STATUS: ☒ Exempt ☐ Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

This role will focus on provider relations as it relates to analyzing and optimizing revenue related RVUs within DHR Health Clinics. Specifically, this role involves assessing and improving the accuracy of RVU-based compensation and reimbursement processes, as well as ensuring compliance with relevant regulations. This role will primarily be responsible for analyzing and presenting Relative Value Units (RVUs) to physicians and other providers. This role involves gathering and interpreting data, preparing detailed reports, and delivering presentations that help physicians and other providers understand the value of their services and optimize their performance.

POSITION EDUCATION/ QUALIFICATIONS­:

· Bachelor’s degree in Business Administration, Healthcare Administration, Data analytics, or a related field.

JOB KNOWLEDGE/EXPERIENCE­:

· Prefer hospital or MD office experience

· Two (2) years of experience required

· Prior physician relations experience required

· Experience with RVU analysis and reporting is highly desirable

· Proficiency in data analysis tools and software (e.g., Excel, SQL, Tableau)

· Excellent communication skills, both written and verbal, with the ability to present data effectively.

· Attention to detail and strong organizational skills

· Must able to work under pressure and to meet deadlines

· Thinks strategically to help develop action plan for business segment

· Ability to work with large amounts of data: facts, figures, and analyze to find conclusions

· Requires reasoning ability, good independent judgment, and the ability to work with frequent interruptions

· Must project a professional image

Responsibilities:

POSITION RESPONSIBILITIES:

· Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practice

· Provide education and support to staff on RVU-related processes and systems. Address any issues or questions related to RVU assignments and revenue impacts.

· Explain complex data and trends in an understandable manner, addressing any questions or concerns.

· Prepare comprehensive reports on RVU performance, including monthly and quarterly summaries

· Produce detailed reports on RVU-related metrics, including productivity, compensation, and reimbursement.

· Create dashboards and visualizations to communicate findings to physicians and stakeholders.

· Work closely with physicians, practice managers, and other healthcare professionals to ensure accurate RVU reporting.

· Ensure accuracy and compliance with relevant regulations and guidelines regarding RVU reporting.

· Update and maintain RVU data to reflect changes in coding or billing practices.

· Identify and implement best practices for RVU management and revenue cycle processes. Collaborate with cross-functional teams to enhance efficiency and accuracy.

· Develops computer programs to determine/assist with various cost projects and performs statistical analysis based on this data

· Examines historical and projected financial data to provide senior management with valuable data upon which to make relevant financial decisions

· Ability to use Vlookup and pivot tables required

· Analyzes workload, determines work priority, assigns duties, oversees work progress, and participates in professional presentation to all levels of management

· Analyzes and prepares various financial and statistical reports for internal use

· Identify project requirements by interviewing customers, analyzing operations, determining project scope and documenting results

· To assist in the physician experience to understanding wrvu’s and with any questions related to revenue cycle operations

· Working closely with new providers and established providers

· May need to have one on one to answer or update on wrvu situations

· Understands the importance of provider relations & satisfaction

· Prepared to report on daily, weekly and monthly interactions with providers

· Provides feedback as to any issues, concerns or possible changes in revenue cycle processes

· Direct liaison to providers for revenue cycle department

· May be required to present to provider groups or to attend specialty meetings

· Participate with other departments when required

· Creating ad hoc reports, dashboards, etc. as needed

· Prepare reports by collecting, analyzing, and summarizing information

· Perform in-depth analysis of workflows, data collection, report details, and other technical issues

· Develop problem solutions by describing requirements in a work-flowchart and diagram; studying system capabilities; analyzing alternative solutions, preparing system specifications and writing programs

· Provide reference for customers by writing documentation, providing support and help

· Maintain systems by researching and resolving problems, maintaining system integrity and security

· Maintain quality service by establishing and enforcing organizational standards

· Contribute to team effort by accomplishing related results as needed

· Other duties as assigned

Other information:

LINES OF REPSONSIBILITIES:

(Chain-of-command)

1. VP Revenue Cycle → 2. Chief Ambulatory Officer

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to “catch on” or understand instructions and underlying principles. Ability to reason and make judgments.  3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly.  3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation.  2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: ________________________________ Date: ____________________

Transfer/Hire Date Effective: ________________________.