Revenue Cycle Client Management Consultant - (Museum District)

Overview

At Houston Methodist, the Revenue Cycle Client Management Consultant position is responsible for serving as the internal revenue cycle management consultant for assigned clinic leadership. This position builds and maintains collaborative and productive relationships within the organization, coordinating revenue cycle projects, driving performance in operations related to revenue, and providing direction and oversight of processes impacting cash collections. Other responsibilities include analyzing and communicating revenue cycle performance and working with leadership to develop action plans for metrics not meeting established goals, coordinating efforts with clinic leadership to ensure all registration and financial tools are utilized effectively, and ensuring appropriate controls and tools are in place to monitor performance and compliance within regulatory requirements.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Displays cultural humility, diversity, equity and inclusion principles

• Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

• Serves as the primary source of knowledge for department's revenue cycle performance.

• Leads committees and task forces needed to support revenue cycle initiatives for assigned departments. Demonstrates the ability to plan, direct and delegate tasks while ensuring deadlines are met.

• Bridges communication channels between the department, the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO)

SERVICE ESSENTIAL FUNCTIONS

• Performs root cause analysis, identifies and assess trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals Works with the training department on necessary curriculum to improve deficiencies, and improves workflows that impact financial outcomes.

• Monitors revenue cycle performance while adhering to compliance policies and procedures. Serves as department leadership's primary resource for revenue cycle-related questions or concerns

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Coordinates with PO CBO management team and SBO management team to ensure thorough understanding of trends/issues affecting the department's revenue cycle performance.

• Tracks on-going performance of revenue cycle metrics and activities to ensure department, PO CBO and SBO needs and goals are met.

• Leads monthly meetings with department administrators and physicians to review key metrics, trends, and performance improvement opportunities (e.g., staff training, physician coordination, policy/process revisions, etc.).

• Develops goals to link department and revenue cycle initiatives with the organization's strategy.

FINANCE ESSENTIAL FUNCTIONS

• Prepares timely reports on the financial status of each physician's practice monthly and meets with the department leadership, faculty and staff to review status. Presents this data at monthly department revenue cycle meetings.