Employment Type:

Full time

Shift:

Description:

POSITION PURPOSE-REMOTE

Strongly prefer Medical Group billing experience-Professional backgroun

Manages and oversees a team responsible for billing and follow-up activities on government and non-government accounts at an assigned Patient Business Services (PFS) location.  Motivates team to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service, operational and financial performance to achieve a world class revenue cycle team. Attends managerial meetings and supports the core values of Trinity Health, which is an integral part of this position.   This position reports to the Director Billing and Follow-Up -Medical Group.

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

Manages and oversees day-to-day activities and responsibilities of billing and follow-up team which includes three (3) to five (5) supervisors and thirty-five (35) to sixty (60) colleagues performing billing and follow-up functions to achieve optimal area performance and colleague productivity objectives and goals as part of the revenue cycle process for an assigned PBS location.

Develops and implements strategies to appropriately maximize reimbursement based delivered services, ensures claims are billed and paid/settled in a timely manner, and participates in process improvement projects to improve and resolve service delivery issues.

Develops proposals for the Director Billing and Follow-up regarding long and short-term goals, objectives and strategies for the billing and follow-up operations. Monitors operations to ensure goals are achieved.

Assists the Director Billing and Follow-up in the development of broader goals and objectives based on assigned PBS needs and ensures continuous improvement in quality, operational cost effectiveness, customer satisfaction and resource utilization.

Reviews billing and follow-up trends, makes recommendations for resolution of issues and findings identified from Supervisor(s); report findings to the Director Billing and Follow-up and other PBS leadership.

Participates in special projects which may involve developing a project work plan, executing project tasks and facilitating resource allocation.

Monitors billing and follow-up team productivity and performance to identify areas of inconsistency and to optimize utilization of colleague resources.

Manages assigned staff to ensure steady workflow balance and high-quality outcomes anticipating and planning for staffing fluctuations:

• Interviews, selects and is accountable for the on-going development and evaluation of colleagues within the area of responsibility;
• Develops colleague work schedules to ensure cost effective staffing that meets customer requirements and financial performance;
• Establishes, implements and evaluates on-going performance improvement programs, utilizing an interdisciplinary approach; 
• Responsible for the financial and personnel management of assigned areas, and
• Effectively directs and facilitates a multidisciplinary team to achieve its desired outcomes.

Creates and maintains a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention. Identifies action plans to improve the quality of services in a cost-efficient manner and facilitates plan implementation.

Maintains professional development and growth through journals, professional local, regional and national affiliations, continued education programs, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general:

• Develops and implements an annual plan of personal and professional development.

Serves in a leadership role and promotes positive Human Resource Management skills by fostering teamwork between business and clinical stakeholders and by recruiting, retaining, training, mentoring, developing and managing staff to achieve strategic objectives.

Other duties as needed and assigned by the Director.

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

MINIMUM QUALIFICATIONS

Must possess a comprehensive knowledge of revenue cycle functions and