Responsible for driving the revenue cycle initiatives related to improving revenue, improving cash collections, reducing cycle times, reducing costs, and increasing practice efficiencies
Oversite of the daily operations of the Revenue Cycle department for all related functions of billing, collections, revenue and AR Management.
Establishing and Maintaining performance benchmarks and communication to team on the performance standards and quality expectations to help achieve or exceed performance goals.
Acts as primary liaison and facilitates ongoing communication and general management for outsourced production management staff, escalating issues or concerns.
Sets reasonable and attainable individual and team goals with client success in mind.
Develops and monitors client KPI’s, taking necessary actions to address performance guidelines.
Develops and implements monitoring mechanisms to track productivity and quality, identifying and providing additional training where needed.
Document and distribute timely communications regarding client specific AR contributing factors to Client Services team.
Working collaboratively with Human Resources to interview, train, develop and retain staff
Directly supervises staff level positions
Technology
Assures maximal use of PM system functionality to create efficiencies
Optimizes use of RHS Denial Management System (DMS)
Assists in the development of RHS Accounts Receivable Management System (ARMS)
Partners with PMG internal departments to identify needs, gaps, and solutions, and collaboratively develop standard platform for the efficient execution of revenue cycle tasks
Communication & Culture
Promotes a positive client focused environment that is based on learning and growth
Creates culture of accountability and ownership of results through clear expectations.
Demonstrates respect and regard for the dignity of all fellow employees to ensure a professional, responsible, and courteous environment.
Cultivates a collaborative business relationship with all PMG teams to contribute the best possible client experience.
Supervisory Responsibilities:
The Operations Manager manages the PMG Operational Teams; including the Transitions Team, and Patient Services while managing the outsourced operations relationships.
The Operations Manager is supervised by and reports to the Executive Director.
Other Duties and Responsibilities:
Complying with HIPAA policies, PMG policies and state/federal laws.
Participating in proactive team efforts to achieve departmental and company goals.
Performing other duties as assigned.
Summary of Qualifications:
Education and Experience:
• Bachelor’s Degree required
• 5+ years of direct billing experience required; prior supervisory/leadership experience strongly preferred.
Core Competencies:
Action Oriented - Enjoys working hard; is action oriented and full of energy for things he/she sees as challenging; not fearful of acting with a minimum of planning; seizes more opportunities than others.
Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers, gets first hand client information and uses it for improvements in products and services; acts with clients in mind; establishes and maintains effective relationships with clients and gains their trust and respect.
Integrity & Trust - Is widely trusted; is seen as direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain.
Ethics & Values- Adheres to an appropriate and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches
Composure - Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature ; can be counted on to hold things together during tough times; can handle stress ;is not knocked off balance by the unexpected ; doesn’t show frustration when resisted or blocked; is a settling influence in a crisis
Teamwork - Promotes team and departmental teamwork
Specialized Competencies:
Organizational Agility - Knowledgeable about how organizations work; knows how to get things done both through formal channels and the informal network; understands the origin and reasoning behind key policies, practices, and procedures; understands the cultures of organizations.
Hiring & Staffing -Has a nose for talent; hires the best people available from inside or outside; is not afraid of selecting strong people; assembles talented staffs.
Interpersonal Savvy - Relates well to all kinds of people, up, down, and sideways, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact; can diffuse even high-tension situations comfortably
Planning - Accurately scopes out length and difficulty of tasks and projects; sets objectives and goals; breaks down work into the process steps; develops schedules and task/people assignments; anticipates and adjusts for problems and roadblocks; measures performance against goals; evaluates results
Conflict Management - Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise. Ability to define problems, collect data, establish facts and draw valid conclusions.
Drive for Results - Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results.
Motivating Others - Creates a climate in which people want to do their best; can motivate many kinds of direct reports and team or project members; can assess each person's hot button and use it to get the best out of him/her; pushes tasks and decisions down; empowers others; invites input from each person and shares ownership and visibility; makes each individual feel his/her work is important; is someone people like working for and with
Written Communication - Is able to write clearly and succinctly in a variety of communication settings and styles; can get messages across that have the desired effect.
Physical Requirements:
Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations
may be made to enable individuals with disabilities to perform the essential job functions.
