Strongly prefer Medical Group billing experience-Professional backgroun
Manages and oversees a team responsible for billing and follow-up activities on government and non-government accounts at an assigned Patient Business Services (PFS) location. Motivates team to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service, operational and financial performance to achieve a world class revenue cycle team. Attends managerial meetings and supports the core values of Trinity Health, which is an integral part of this position. This position reports to the Director Billing and Follow-Up -Medical Group.
ESSENTIAL FUNCTIONSKnows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Manages and oversees day-to-day activities and responsibilities of billing and follow-up team which includes three (3) to five (5) supervisors and thirty-five (35) to sixty (60) colleagues performing billing and follow-up functions to achieve optimal area performance and colleague productivity objectives and goals as part of the revenue cycle process for an assigned PBS location.
Develops and implements strategies to appropriately maximize reimbursement based delivered services, ensures claims are billed and paid/settled in a timely manner, and participates in process improvement projects to improve and resolve service delivery issues.
Develops proposals for the Director Billing and Follow-up regarding long and short-term goals, objectives and strategies for the billing and follow-up operations. Monitors operations to ensure goals are achieved.
Assists the Director Billing and Follow-up in the development of broader goals and objectives based on assigned PBS needs and ensures continuous improvement in quality, operational cost effectiveness, customer satisfaction and resource utilization.
Reviews billing and follow-up trends, makes recommendations for resolution of issues and findings identified from Supervisor(s); report findings to the Director Billing and Follow-up and other PBS leadership.
Participates in special projects which may involve developing a project work plan, executing project tasks and facilitating resource allocation.
Monitors billing and follow-up team productivity and performance to identify areas of inconsistency and to optimize utilization of colleague resources.
Manages assigned staff to ensure steady workflow balance and high-quality outcomes anticipating and planning for staffing fluctuations:
Interviews, selects and is accountable for the on-going development and evaluation of colleagues within the area of responsibility;Develops colleague work schedules to ensure cost effective staffing that meets customer requirements and financial performance;Establishes, implements and evaluates on-going performance improvement programs, utilizing an interdisciplinary approach; Responsible for the financial and personnel management of assigned areas, andEffectively directs and facilitates a multidisciplinary team to achieve its desired outcomes.Creates and maintains a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention. Identifies action plans to improve the quality of services in a cost-efficient manner and facilitates plan implementation.
Maintains professional development and growth through journals, professional local, regional and national affiliations, continued education programs, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general:
Develops and implements an annual plan of personal and professional development.Serves in a leadership role and promotes positive Human Resource Management skills by fostering teamwork between business and clinical stakeholders and by recruiting, retaining, training, mentoring, developing and managing staff to achieve strategic objectives.
Other duties as needed and assigned by the Director.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONSMust possess a comprehensive knowledge of revenue cycle functions and systems, as normally obtained through a Bachelor’s degree in Business or Healthcare Administration or a related field, and minimum five (5) years of experience within the area of revenue management, specifically experience managing functional areas of Billing/Follow-up or other management functions related to revenue cycle activities or an equivalent combination of education and experience. Experience in a complex multi-entity healthcare organization or large complex revenue cycle services preferred.
Exhibits superior management skills that emphasize team‑building and strong leadership with the ability to provide clear direction to the department.
Demonstrated ability to interpret 3rd party payer contract requirements and recommend, design and implement procedures for compliance with regulations and standards.
Supervisory experience.
Must have strong written and verbal communication skills. Ability to communicate and work with patients/guarantors, physicians, physician office personnel, colleagues, 3rd party payer review personnel, and others to expedite revenue cycle processes to avoid negative financial and/or customer service impact on the facility. Serves as a change agent, coach, mentor, team builder and facilitator.
Effective critical thinking, problem solving and decision-making skills. Strong quantitative and analytical abilities to process and display data.
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Must demonstrate strong organizational skills leading a combination of direct and dotted‑line reporting relationships.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONSThis position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.