Manager, Revenue Cycle Operations - Financial Counseling Team

This is a home-based role requiring travel to successfully support financial counseling staff and to meet client needs.  

 

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

 

As our Financial Counseling Manager, you will oversee financial counseling operations across multiple facilities to deliver high quality uninsured patient experiences and exceptional conversion results. A successful candidate will partner with a team of leaders to vet innovative process changes and drive standardization of process across financial counseling operations in R1. This candidate will be expected to exhibit understanding of multi-state Medicaid eligibility and enrollment processes and utilize that expertise to install effective and cost-efficient uninsured patient screening and enrollment protocols.   Additionally, this role will be responsible for closely monitoring team performance metrics and will be directly accountable for meeting performance targets while supporting the development and performance of all team members.

 

Here is what you will experience working as the Financial Counseling Manager:

 

•Perform in-depth analysis of performance and productivity metrics to identify root causes of defects and areas of opportunity; implement action plans to address.

•Develop content for and lead weekly team meetings with staff including detailed review of financial counseling metrics and holding team members accountable for performance targets. 

•Install, monitor, delegate, and conduct regular onsite leadership rounding, including quality measurement of staff to patient interactions and coaching.

 

•Work in partnership with leadership team to calibrate staffing to coverage needed and service line prioritization.

 

•Drive excellent customer service by demonstrating and coaching associates on methods of going above and beyond to create a great experience Patient Experience.

•Research Medicaid and other Funding Source eligibility, enrollment, and documentation requirements for acute hospital accounts.

•Ensure appropriate Medicaid and other Funding Source eligibility, enrollment, and documentation requirements for acute hospital accounts are integrated into all protocols across the market. 

•Monitor Financial Counseling account actions to assure that guidelines and policies are being followed.

•Evaluate process and procedures and coordinate with the National Financial Counseling leadership team to promote best in class uninsured patient screenings and conversion activities.

 

•Foster cross-functional collaboration between Financial Counseling teams and other departments including but not limited to: technology owners, registration, Case Management, Clinical Staff, Medicaid Vendors, and Family Independence Agencies to assure associates are able to provide patients and families optimal support with completing assistance program applications and determine eligibility and coverage.

 

•Address escalated at-risk accounts and ensure effective execution for delays of service for any elective, non-urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service.

 

Required Qualifications:  

• Bachelor’s degree or equivalent experience. 

• Minimum 2 years of leadership experience within healthcare operations.

• Ability to establish oneself as a peer with a positive attitude and a trusted partner for our clients 

• 1 or more years of experience with Medicaid eligibility and application process.

For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 10.00%

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