Revenue Project Facilitator (IN2609 - NIC)

Job Details

Description

Responsible for monitoring revenue cycle processes to identify potential areas of improvement in efficiency and profitability. Assists in planning, directing, and coordinating activities of designated projects to ensure that goals or objectives of project are accomplished within prescribed timeframe. Provides revenue cycle training to providers and support staff as needed. Assists with identifying ways to reduce expenses without compromising quality. Acts as liaison between analytics and operations and business office staff.

Duties And Responsibilities

• Responsible to support projects and bring value through Operations. Reviews processes for operational efficiency and organizational effectiveness and provides recommendations for improvement. Identifies performance trends, scans business/industry trends, reviews revenue/financial analyses and interprets data. Maintains strict confidentiality of sensitive data, records, files, conversations, etc.
• Coordinates with department leaders to provide supplemental training for clinic support staff regarding coding compliance and third-party payer requirements on an as needed basis. Collaborates with billing and operations staff regarding revenue cycle continuous process improvement efforts, related both to value-based care and claims-based reimbursement.
• Provides training for all levels of clinic support staff on revenue cycle processes and best practices. Acts as liaison between analytics and operations staff and business office department. Analyzes employee EHR usage performance through report analysis. Reports findings to appropriate leadership as needed and suggests performance improvement plans on a case by case basis.
• Assists with project start-up activities and throughout the life cycle of the project. Reviews project plans to determine time frames, procedures for accomplishing project, staff requirements, and allotment of available resources for various phases of project.
• Establishes time lines, communicates with team members, and tracks project objectives. Schedules and coordinates site trainings as required. Creates, updates, and maintains project trackers, and ensures timely updates.
• Collaborates with project personnel to identify challenges, provide feedback, and to resolve problems. Serves as liaison between project members to resolve concerns.
• Consistently demonstrates a service-oriented mindset by providing excellent internal/external customer service. Ensures all actions, job performance, personal conduct, and communications represent the Center in a highly professional manner at all times. Able to apply sound judgment, emotional intelligence and decorum to sensitive, confidential and unpredictable situations.
• Performs other related duties as assigned.
  
  

Job Qualifications

Bachelor’s degree required

Five years’ experience in healthcare, business or equivalent experience plus a high school diploma or equivalent may be substituted for Bachelor’s degree

Experience Managing Projects In Medical/clinical Setting Preferred

Significant expertise in billing and eligibility requirements for Medicare, Medicaid and private insurance

Five (5) years’ experience training staff in a healthcare environment; or eight (8) years’ experience as a medical assistant

Extensive knowledge of ICD-10-CM and CPT codes and medical terminology

Advanced knowledge of computerized billing systems

Must have the ability to multitask and work to critical time-lines and under pressure

Ability to work collaboratively with other department leaders and staff

Strong communication skills

Proven proficiency in Microsoft Word, Excel, Outlook

Ability to travel from site to site within various counties using personal vehicle

Scheduled hours and/or work locations are subject to change

Physical Activities And Requirements

Finger Dexterity: Using fingers to make small movements such as typing or picking up small objects.

Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly.

Hearing: Able to hear average or normal conversations and receive ordinary information.

Repetitive Motions: Frequently and regularly using the wrists, hands, and fingers.

Visual: Average, ordinary, visual acuity necessary to prepare or inspect documents or other materials.

Physical: Limited physical effort required; May have to lift folders, files, papers, audio/video equipment, and other such items weighing up to approximately 25 lbs.