Revenue Cycle Manager - Main Campus - Full Time - Days Job at Williamson Health, Nashville, TN

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  • Williamson Health
  • Nashville, TN

Job Description

Summary


ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women's services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Other Williamson Health service providers include the Bone and Joint Institute of Tennessee, The Turner-Dugas Breast Health Center, Monroe Carell Jr. Children's Hospital Vanderbilt at Williamson Medical Center, Williamson Health physician practices that are strategically located throughout the community, countywide Emergency Medical Services that include 18 rapid response units, Williamson Health Foundation, and multiple joint venture Vanderbilt Health and Williamson Medical Center Walk-In Clinics in Williamson County. Learn more about our many specialized services at WilliamsonHealth.org.


Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We're committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee.


Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being.
o Medical, Dental, Vision
o PTO
o Retirement Matching
o Tuition reimbursement
o Discount programs
o FSA (Flexible Spending Accounts)
o Identity Theft Protection
o Legal Aid


Williamson Health is an equal-opportunity employer and a drug-free workplace.

Position Summary:
The Revenue Cycle Manager is responsible for the oversight and management of the Bone & Joint Institute Billing Office. The manager is responsible for managing staff for efficiency and effectiveness, monitoring benchmarks and reviewing performance statistics. The manager is responsible for working with departments and practice staff to support the goals and protocols of revenue cycle workflows for revenue affecting tasks. The individual in this role must be able to process large quantities of data to monitor Key Performance Indicators (KPI) and research any and all barriers to successful revenue cycle management. Responsible for all HR functions of all Business Office Staff.
Position Requirements:
Formal Education / Training:
Bachelor's degree required. Good communication skills to discuss account financials with patients and staff.


Workplace Experience:
Minimum five (5) years prior experience in a revenue cycle management position, preferably in a large physician practice. Previous orthopedic practice experience preferred.


Equipment and Skills Training:
Knowledge of Athena Health preferred. Microsoft Office experience required. Proficient/comfortable with new technology, included but not limited to: AI enabled software and interfaces


Physical Environment:
Business Office


Physical Effort:
Requires sitting for prolonged periods of time, viewing the computer screen and using repetitive motions, and must have a clear, understandable telephone voice.

Key Results:
Responsible for managing and coordinating the day-to-day activities of the Business Office and follow-up in order to ensure its effectiveness, efficiency and customer service aspects
Successfully distribute work among CBO staff members to drive work allocation and productivity management. Measure and monitor effectiveness, efficiency, benchmarks and expectations among staff in CBO by review performance statistics weekly, monthly, and quarterly leveraging EMR reporting tools, including overall performance metrics, key driver metrics and staff productivity metrics.
Ensures that all accounts are monitored by business office associates/follow-up staff within set time frames, maintaining the integrity of the accounts receivable system and the connection between the clinical portion and the financial portion of the patient's bill and by providing accurate and timely reporting of collections, denials and accounts receivable statistics as needed by the Director of Operations and/or CEO.
Plans and manages patient insurance, billing & follow-up to ensure accurate patient billing and efficient account collections.
Utilize all available reporting tools to provide insight into the financial health of the organization and identify improvement opportunities based on performance metrics and trends.
Deals directly and over the phone with any patient problems or grievances related to the billing, follow-up and resolution of account balances.
Maintains accurate and appropriate payroll reporting and staff scheduling for all direct reports.
Monitors unresolved claims over 60 days from discharge and ensures that personnel are aware and working claims appropriately. Reviews with staff as needed.
Regularly provides accurate and timely communication to Administration and providers and through email and/or meetings. Collaborates with leaders to maximize revenue.
Develops and implements new procedures to improve the quality and quantity of work processed. Ensures policies are being communicated and administered consistently.
Reports concerns requiring attention to other managers or director. Employee is a problem solver that brings possible solutions when presenting concerns or problems and responds to patient/staff complaints in a timely manner.
Participates in departmental meetings and recommends improvement opportunities. Performs other duties as assigned by director and independently seeks out job duties during down time.

Job Tags

Full time, Work at office, Flexible hours,

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