Employment Type:

Full time

Shift:

Day Shift

Description:

Purpose

Work Remote Position

Frontline, department-based; Supervises daily functions of assigned department; Provides clear direction & manages / advances people, processes, structures & / or programs that support direct /   indirect care. The leader demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes.

Note: “patients” refers to patients, clients, residents, participants, customers, members

Essential Functions 

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Work Focus: Responsible for the daily operations & the oversight of staff. Supervisors work in collaboration with department managers to manage staff & department effectively. Participates in & contributes to the performance management / review process. Implements departmental plans & priorities identified by accountable leaders.  May participate & recommend in the hiring & selection process. Responds promptly & directly to meet or exceed customers’ needs.

Process Focus: Follows standards of performance & work processes in designated areas. Coordinates staff scheduling & assignment. Reviews & approves administrative functions (time, payroll, expense). Stewards productive use of resources (e.g., people, financial, equipment, supplies, materials) to achieve assigned commitments, experiences & quality standards.

Communication: Employs effective & respectful written, verbal & nonverbal communications; Develops an environment of mutual confidence & trust through collaborative relationships; Effectively communicates goals, standards, program expectations, service performance & how the work serves Trinity Health objectives; Proactively recognizes, addresses & / or escalates organizational, operational, or team conflicts.

Environment: Performs work in an environmentally safe, professional & healthy manner; self-monitors & initiates corrections and /or seeks guidance when needed. Demonstrates flexibility & self-direction by responding as a team player. Helps to create a positive work environment that promotes productivity. Accountable for continuous self-development & supporting the growth of others.

Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Functional Role (not inclusive of titles or advancement career progression)

Provides day-to-day operational supervision for local hospital & / or Medical Group Provider Services (THMG) revenue integrity functions. 

Prevents revenue leakage & maximizes potential revenue for the region through supervision of Charge Description Master (CDM), revenue integrity pre-bill edits, and root cause analysis, , including audits &   & educating & training of multi-disciplinary hospital and/or THMG teams.

Works with Revenue Integrity leadership & Payer Strategies to ensure understanding of payer contracts, application of contract terms & ensures alignment with charging processes.

Monitors all Medicare & Medicaid websites, other payer websites & newsletters regarding medical policies & changes impacting charging, compliance, coding & billing. Supervises the process to apply updates & ensures compliance & revenue optimization.

Elicits feedback from interdisciplinary teams, including clinical colleagues & involves them in decision-making as appropriate. Ensure problem resolution & corrective action for long-term solutions, coordinating such efforts across the inter & intra-departmental channels.

Analyzes & displays data in meaningful formats; develops & communicates policies/procedures & other business documentation; manages & conducts special studies & prepares management reports, including Key Performance Indicators as they relate to the department.

(Pay Range: $31.8795-$47.8193)

Minimum Qualifications

High school diploma or equivalent.

Three (3) to Five (5) years of progressively responsible experience in revenue cycle operations or an equivalent combination of education & progressive revenue cycle experience, or revenue cycle consulting experience.

Comprehensive knowledge of Hospital &/or Physician Practice operation