Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Manager for Quality Assurance oversees the team that handles accurate collection of third party revenue cycle activities associated with outstanding insurance claims across all of Hartford HealthCare hospitals medical group and homecare to insure optimal revenue cycle performance The team handles the submission edit resolution and denial correction for all third part payers This role oversees the day to day operational activities related to account receivablesclaims for both Hospital claims Professional Billing AR and claims The manager provides oversight and leadership to the staff and works with other departmental leaders to ensure accuracy of information billed The manager is responsible for responding to organizational inquires as well as a pro active partnership with leadership regarding denial reduction strategies The manager is responsible for million in active inventory and provides leadership to the team lead and staff including management of human resources vendors and client relations The position reports directly to the Director of Revenue Cycle and works closely with other managersdirectors throughout the organization The manager is responsible for keeping abreast of all statefederal regulations and assists the organization in complying with these guidelines Heshe is also responsible to ensure that a high quality cost effective product or service is delivered in support of the Hartford HealthCare core values strategic plan and established Revenue Cycle goals and objectivesPosition ResponsibilitiesKey Areas of Responsibility Plan develop organize implement evaluate and direct the accounts receivable functions associated with timely collection of insurance receivables under the supervision of the Director Analyze and observe AR functions and processes to ensure maximum workflow and productivity communicating deficiencies as well as best practices to operation management Responsible for documenting and implementing policies and procedures Provide and conduct subject matter training as needed with AR Follow Up staff and other departments as needed Monitor update and train to financial policies and procedures related to current Company policy and industry specific government regulations in effect Responsible for the timely realization of payment for approximately million in active inventory and million in denials overseeing the effective appeals of these claims and protecting against bad debt in this endeavor These numbers will increase with new acquisitions Works closely with other teams within and outside of Revenue Cycle to support efforts to ensure reimbursement is in line with payer contract agreements and policies Participates in the Management of vendor relationships and monitor performance Approve allowance and write off requests to Providing support for other ad hoc analyses and projects as needed Demonstrates HW Leadership Behaviors May contribute to the outcomes of the defined function by performing the work of the function as required very minimal Develops implements and monitors meaningful goals and objectives for the department that align with the strategic direction of the organization and industry best practice metrics Models the effective efficient operation of the unit by providing clear and specific goals and timely feedback Track trends and evaluates results Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement Effectively and continually communicates with staff management and customers to facilitate the flow of information Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizations objectives Implements individual performance expectations and coaches develops and evaluates performance to enable employees to be successful in contributing to the achievement of individual and workgroup objectives Manages general HR related issues this includes annual performance reviews implementing HR policies approving PTO and hiring staff Works with employees on professional development and training opportunities Manages teams time and attendance including scheduling review and approval of time off requests entering and adjusting timekeeping in Kronos and tracking of attendance in accordance with policy Development of a training and onboarding plan for new staff members joining the department Assumes responsibility for self improvement in collaboration with superior Maintain effective positive customer service insuring the needs are met and educating staff on the importance of quality customer serviceWorking Relationshipsmiddot This Job Reports To Job Title Director Revenue Cyclemiddot Job Titles of HHC positions reporting to this Jobo Direct supervision of Accounts Receivable Supervisors and their efforts to successfully procure payments for the HHC organization across all hospitals Averages FTEs with supervisors as direct reports Responsible for time and attendance tracking management and approval bi monthly Responsible for annual performance reviews and develops and implements performance improvement plans where appropriate Interviews and makes hiring decisions middot Number Direct Reports middot Number Indirect Reports middot If applicable describe nature of supervision of any External vendors contractors affiliate organizations etc o Manages AR engagements with small balance vendor credit balance vendor workerrsquos compensation vendor and out of state Medicaid vendorWork where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Manager for Quality Assurance oversees the team that handles accurate collection of third party revenue cycle activities associated with outstanding insurance claims across all of Hartford HealthCare hospitals medical group and homecare to insure optimal revenue cycle performance The team handles the submission edit resolution and denial correction for all third part payers This role oversees the day to day operational activities related to account receivablesclaims for both Hospital claims Professional Billing AR and claims The manager provides oversight and leadership to the staff and works with other departmental leaders to ensure accuracy of information billed The manager is responsible for responding to organizational inquires as well as a pro active partnership with leadership regarding denial reduction strategies The manager is responsible for million in active inventory and provides leadership to the team lead and staff including management of human resources vendors and client relations The position reports directly to the Director of Revenue Cycle and works closely with other managersdirectors throughout the organization The manager is responsible for keeping abreast of all statefederal regulations and assists the organization in complying with these guidelines Heshe is also responsible to ensure that a high quality cost effective product or service is delivered in support of the Hartford HealthCare core values strategic plan and established Revenue Cycle goals and objectivesPosition ResponsibilitiesKey Areas of Responsibility Plan develop organize implement evaluate and direct the accounts receivable functions associated with timely collection of insurance receivables under the supervision of the Director Analyze and observe AR functions and processes to ensure maximum workflow and productivity communicating deficiencies as well as best practices to operation management Responsible for documenting and implementing policies and procedures Provide and conduct subject matter training as needed with AR Follow Up staff and other departments as needed Monitor update and train to financial policies and procedures related to current Company policy and industry specific government regulations in effect Responsible for the timely realization of payment for approximately million in active inventory and million in denials overseeing the effective appeals of these claims and protecting against bad debt in this endeavor These numbers will increase with new acquisitions Works closely with other teams within and outside of Revenue Cycle to support efforts to ensure reimbursement is in line with payer contract agreements and policies Participates in the Management of vendor relationships and monitor performance Approve allowance and write off requests to Providing support for other ad hoc analyses and projects as needed Demonstrates HW Leadership Behaviors May contribute to the outcomes of the defined function by performing the work of the function as required very minimal Develops implements and monitors meaningful goals and objectives for the department that align with the strategic direction of the organization and industry best practice metrics Models the effective efficient operation of the unit by providing clear and specific goals and timely feedback Track trends and evaluates results Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement Effectively and continually communicates with staff management and customers to facilitate the flow of information Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizations objectives Implements individual performance expectations and coaches develops and evaluates performance to enable employees to be successful in contributing to the achievement of individual and workgroup objectives Manages general HR related issues this includes annual performance reviews implementing HR policies approving PTO and hiring staff Works with employees on professional development and training opportunities Manages teams time and attendance including scheduling review and approval of time off requests entering and adjusting timekeeping in Kronos and tracking of attendance in accordance with policy Development of a training and onboarding plan for new staff members joining the department Assumes responsibility for self improvement in collaboration with superior Maintain effective positive customer service insuring the needs are met and educating staff on the importance of quality customer serviceWorking Relationshipsmiddot This Job Reports To Job Title Director Revenue Cyclemiddot Job Titles of HHC positions reporting to this Jobo Direct supervision of Accounts Receivable Supervisors and their efforts to successfully procure payments for the HHC organization across all hospitals Averages FTEs with supervisors as direct reports Responsible for time and attendance tracking management and approval bi monthly Responsible for annual performance reviews and develops and implements performance improvement plans where appropriate Interviews and makes hiring decisions middot Number Direct Reports middot Number Indirect Reports middot If applicable describe nature of supervision of any External vendors contractors affiliate organizations etc o Manages AR engagements with small balance vendor credit balance vendor workerrsquos compensation vendor and out of state Medicaid vendorRequirements and SpecificationsEducationmiddot Minimum Bachelorrsquos Degree or equivalent training andor experience in healthcare revenue cyclemiddot Preferred Bachelorrsquos Degree in healthcare administrationExperiencemiddot Minimum years supervisory experience in health care revenue cycle billing andor AR follow up denials middot Preferred years supervisory experience in health care revenue cycle billing andor AR follow up denials Licensure Certification Registrationmiddot Preferred AAPC or AHIMA certificationKnowledge Skills and Ability Requirements middot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred middot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and detailed understanding of all negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management and project managementmiddot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to apply appropriate supervisory management and leadership techniques in an operational settingmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and staffmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Strong leadership skills and ability to motivate direct reportsmiddot Must have PC skills including Word Excel Power PointWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentRequirements and SpecificationsEducationmiddot Minimum Bachelorrsquos Degree or equivalent training andor experience in healthcare revenue cyclemiddot Preferred Bachelorrsquos Degree in healthcare administrationExperiencemiddot Minimum years supervisory experience in health care revenue cycle billing andor AR follow up denials middot Preferred years supervisory experience in health care revenue cycle billing andor AR follow up denials Licensure Certification Registrationmiddot Preferred AAPC or AHIMA certificationKnowledge Skills and Ability Requirements middot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred middot Knowledge of state and federal regulations as they pertain to billing processes and proceduresmiddot Knowledge of insurance claim processing and third party reimbursementmiddot Knowledge and detailed understanding of all negotiated agreementsmiddot Demonstrated leadership in establishing and achieving goalsmiddot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management and project managementmiddot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to apply appropriate supervisory management and leadership techniques in an operational settingmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and staffmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsmiddot Strong leadership skills and ability to motivate direct reportsmiddot Must have PC skills including Word Excel Power PointWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment