Major Responsibilities:Develops and provides process direction and documentation for external and internal performance/strategy.Maintains and tracks all procedures and documentation related to agency/vendor processes and accountability strategies.Creates/evaluates/analyzes reports for collection entities, which includes vendor and agency performance. Provides explanations and recommendations for adjustments in strategy due to trends/swings as needed.Executes audits of agency contracts and work standards including Compliance with FDCPA, PHI. HIPAA, and PCI requirements ensures that agency work standards are followed.Develops continuous improvement techniques to reengineer existing policies and procedures. Proposes process refinements to enhance internal/external support and service. Educates leaders and third party vendors regarding Aurora Health Care’s collection policies and procedures. Performs a risk assessment and ensures compliance with all department policies and procedures.Assists with the establishment of long-term vendor relationships and the necessary workflows and work standards surrounding these vendors.Monitors industry practices that could enhance or adversely affect collection strategy or revenue cycle goals. Continually researches, identifies, recommends, and escalates ideas and proposals for more effective collection concepts and endeavors.Communicates with leadership regularly to ensure targets are achieved.Implements Revenue Cycle processes and tools that are deemed mutually beneficial to collection endeavors.Works with department leadership to assess agency/vendor performance and recommend performance improvement strategies/technical changes. Collaborates with department leadership on agency/vendor quality monitoring and call recordings to provide ultimate patient satisfaction.
Licensure, Registration, and/or Certification Required:None Required.
Education Required:Bachelor's Degree (or equivalent knowledge) in Business or related field.
Experience Required:Typically requires 2 years of experience in Revenue Cycle or Analyst experience with collection agencies.
Knowledge, Skills & Abilities Required:Ability to proactively develop strategic/ tactical plans, prioritize needs and effectively manage resources. Proven ability to guide individuals and groups toward desired outcomes, setting high performance standards and delivering quality services.Strong organizational skills and the ability to work independently with limited guidance or direction.Working knowledge of all aspects of revenue cycle with a focus on billing and collections.Consistent commitment to continuous improvement.
Physical Requirements and Working Conditions:Position may require travel which may result in exposure to road and weather hazards.Exposed to normal office environment.Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.