What are the responsibilities and job description for the Revenue Site Operation Business Partner position at St. Mary's Health Care System?
Employment Type
Full time
Shift
Day Shift
Description
Position will analyze performance metrics and provide consultation, leadership, and direction to enhance front-end workflows and improve revenue performance for THMG. Leads complex projects for practice/clinic locations with focus on ongoing support and continuous improvement. Serves as a consultative resource and develops, establishes, and manages relationships with executive leaders, key stakeholders, high-level professionals, and decision-makers. Makes routine site visits, conference calls, and regularly communicates with assigned practices/clinics.
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 workqueues.
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. Participates and leads Revenue targeted projects and addresses opportunities and barriers as they arise.
Provides regular project status updates to customers and leadership especially when there are delays or challenges.
Attends additional training, performs research, e-learning to stay current on best practices and new practice management technology and functionality as it becomes available.
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.
Documents lessons learned to develop payer and/or billing playbooks for all specialties.
Conducts new leader training and provides educational tools and guidance to support front office best practices. Agenda items include, but are not limited to, front office dashboard review and role expectations.
Communicates effectively with colleagues to ensure coordinated efforts between Revenue Integrity, EPFS, and offices.
Serves as a subject matter expert in all areas of revenue and acts as a primary contact for assigned site or colleagues for questions and assistance.
Maintains knowledge of practice management system, office responsibilities and billing process.
Maintains knowledge of and supports revenue standards and procedures.
Researches and stays current on managed care/insurance updates.
Assists with special projects as needed and performs other duties as assigned.
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.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Full time
Shift
Day Shift
Description
Position will analyze performance metrics and provide consultation, leadership, and direction to enhance front-end workflows and improve revenue performance for THMG. Leads complex projects for practice/clinic locations with focus on ongoing support and continuous improvement. Serves as a consultative resource and develops, establishes, and manages relationships with executive leaders, key stakeholders, high-level professionals, and decision-makers. Makes routine site visits, conference calls, and regularly communicates with assigned practices/clinics.
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 workqueues.
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. Participates and leads Revenue targeted projects and addresses opportunities and barriers as they arise.
Provides regular project status updates to customers and leadership especially when there are delays or challenges.
Attends additional training, performs research, e-learning to stay current on best practices and new practice management technology and functionality as it becomes available.
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.
Documents lessons learned to develop payer and/or billing playbooks for all specialties.
Conducts new leader training and provides educational tools and guidance to support front office best practices. Agenda items include, but are not limited to, front office dashboard review and role expectations.
Communicates effectively with colleagues to ensure coordinated efforts between Revenue Integrity, EPFS, and offices.
Serves as a subject matter expert in all areas of revenue and acts as a primary contact for assigned site or colleagues for questions and assistance.
Maintains knowledge of practice management system, office responsibilities and billing process.
Maintains knowledge of and supports revenue standards and procedures.
Researches and stays current on managed care/insurance updates.
Assists with special projects as needed and performs other duties as assigned.
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.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.