Employment Type:

Full time

Shift:

Description:

Selected candidate must be home-based within southeast or west Michigan area, for occasional as-needed on-site visits.

POSITION PURPOSE

Responsible for planning, directing, and managing support and day-to-day operational tasks for Trinity Health Medical Group (THMG) Revenue Cycle for multiple medical groups   Collaborates with and supports Medical Group operational leadership to ensure registration, insurance verification, authorization, financial assistance, and Point of Service cash collection processes are implemented and standardized across all locations to ensure top decile revenue cycle and patient experience performance.  Responsible for providing report development, analytical, process redesign and performance improvement support to providers and practice leaders as needed to support accurate, consistent, and compliant professional revenue operations. The Regional Manager typically has dual reporting to both the Regional Director, THMG Revenue  Site Operations and the Regional or Local Finance/Operations leader.

ESSENTIAL FUNCTIONS

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Manages Medical Group Revenue Cycle Site Operations for multiple medical groups , including proper implementation of system and local goals to ensure standard and top decile operations.
• Collaborates with providers and ambulatory locations to improve revenue cycle performance by reviewing daily and weekly metrics, performing root cause analyses, and developing/implementing action plans to address.
• Understands the strategic and annual operational priorities for the medical groups ; facilitates process improvement initiatives and department support as outlined in the annual operating plan. Manages the implementation of current and future best practices for revenue cycle functions to allow all practices to be efficient and market relevant, including overseeing the implementation and monitoring of adherence to payer contracts and procedures. Provides effective use of system resources to drive optimal revenue cycle outcomes.
• Responsible for establishing partnerships with senior leadership at the Medical Groups, HMs, THMG Finance leaders, Payer Strategies and EPFS Leaders to gain feedback, develop, and implement action plans to improve Front-End/Mid-Cycle Revenue Cycle processes that have a direct impact on billing and collections for account resolution.
• Manages the selection, direction, and development of new team members to ensure effective growth and utilization of talent. Conducts performance appraisals for team leadership and oversees the cascading goals for the teams. Creates a culture that is supportive of personnel, fostering individual motivation, teamwork and high level of performance and accountability utilizing a participative management style to ensure colleague retention.
• Develops necessary infrastructure to achieve current and future departmental goals including organizational structure, staffing, policies and procedures, and implementation plans. Manages in the selection and facilitation of appropriate process and technology training of colleagues to achieve technical proficiency, efficiency, regulatory compliance, and customer service in Revenue Cycle areas.
• Manages Medical Groups’ budgets and targets allowing for financial oversight of the THMG Revenue Cycle department functions. Develops capital and operational budgets to meet organizational goals and ensure appropriate allocation of resources to support current and future revenue operations for professional and ambulatory services.  Assures compliance to budget, as approved.
• Provides managerial oversight to payer credentialing staff (as applicable) to ensure new providers and ambulatory locations are accurately enrolled and credentialed with all Health Ministry contracted payers prior to providing patient services, when possible, to secure reimbursement for services and avoid credentialing-related denials. Oversight may include, but not limited to, local RSO Business Partners and Centralized Authorizations team members.
• Ensures the successful integration of new physician practices and/or ambulatory services into the Health Ministry Revenue Site Operations. Ensures consistency in implementation of standard policies and procedures across all locations. Coordinates the technical planning for all new programs, departments or services that directly impact professional revenue site operations ensuring the systems to support are in place prior to implementation, e.g., new patient classes or location build in information systems.
• Collaborates with THMG senior leadership and Finance leaders, Practice leaders, E