Manager, RCM Enterprise Support Highland Hills

University Hospitals   Chardon, OH   Full-time
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Position Summary:

Leads, plans, organizes, controls analyst team to standardize and deliver daily reporting, analytics and system master file changes/ management and support including intake assessment and prioritization protocols, service level agreements, tracking, self-audit, RCM security levels, technical support / automation and liaison with key areas including but not limited to clinical and corporate areas and Revenue Cycle Management (RCM) Teams.   Staff, workflow processes and technology mast file management and reporting accountability will encompass both hospital and physician revenue.

 

Essential Duties:

Establish and monitor quality assurance measurements and implement changes to improve operational efficiencies

  • Manages reporting and analytics function, library, schedule, tracking, procedures and publishing process;
  • Drive efficiencies, insights and transparency by advancing the use of financial systems;
  • Transform data into financial information that supports the business needs of planning and accounting groups and business partners;
  • Manages team and development of key performance indicators for use as established baseline for quality measurement in the revenue cycle. Analyze performance indicators for inconsistencies and report to operational management;
  • Publish quality measurements in accordance with pre-defined schedule to operational areas;
  • Manages cross-team issues and interdependencies to facilitate process improvement in the operational areas Recognizes problems, develops relevant facts, recommends alternative solutions and appropriate conclusions;
  • Helps to problem solve business challenges by analyzing and developing sustainable / flexible solutions that can be leveraged and maintain business intelligence tools and reports;
  • Provide oversight and governance for Reporting Systems including processes that ensure the integrity, governance and consistency of UH financial data, including the enforcement of policies and procedures, managing maintenance efforts, ensuring timely performance and completion of close data validation activities;
  • Establishes formal processes for intake, assessment and service level agreements for work completion related to reporting, analytics and system changes;
  • Leveraging a solid understanding of systems and processes, recommend, design and implement transaction and reporting solutions that maintain the integrity of our overall reporting framework and support RCM reporting;
  • Assist in process improvement initiatives that promote the efficient and effective use of the core accounting systems, including managing automation and process improvement projects aimed at advancing the use of financial systems;
  • Provide data analytics support-- inspecting, cleaning, transforming, data with the goal of discovering useful information, suggesting conclusions, and supporting decision-making;
  • Establishes effective work relationships with department members as well as other end users;
  • Provides Senior Leadership with the information and tools needed to monitor and improve operational metrics
  • Coordination of Masterfile maintenance and system enhancements in operational areas of the Revenue Cycle
  • Responsible for team that manages system operations profiles, master files, dictionaries and activities management ensuring optimal system processing and outcomes for RCM department;
  • Acts as Revenue Cycle liaison to IT and vendors as appropriate, to ensure timely delivery of software updates and deliveries that impact the revenue cycle operations;
  • Analyses and communicates system updates, i.e., updates, service packs, version changes by reviewing release notes / system documentation, documenting relevant changes to RCM team including impacts to workflow and recommended changes that help optimize people, process and technology processes;
  • Develop, maintain, schedule and publish change control to internal and external users as warranted by software changes;
  • Represents the Revenue Cycle areas in customer validation / development sessions with the vendor.  Interacts with other customers during vendor reference calls
  • Manages RCM I.T. request lists including prioritization and delivery of requests;
  • Manages security levels and tracking related to access and transaction activities being performed in the system;;
  • Assist in the Business Ownership activities for department including access and change controls, and requirements gathering and testing for enhancements;
  • Identifies potential areas of risk to receivable and payer outcomes and recommends appropriate mitigation steps to    management to ensure effective operations and is an integral part of the overall systems planning process for the revenue cycle area; identifies tasks and durations for assigned areas of responsibility including specific staff assignments.
  • Monitors the activities of staff to ensure that tasks adhere to defined timelines, ensuring staff decisions are documented and made in a timely manner.  Assesses and re-deploys resources as necessary to maintain established timeline
  • Provides subject matter expertise as it relates to operational solution requirements;
  • Assist users in operational areas in becoming proficient users of the software;
  • Collaborates with necessary internal and external staff in developing training materials on new features and functions;
  • Coordinate updating departmental policy and procedure manuals to coordinate with software changes.
  • Demonstrates the ability to utilize the available technology to its fullest potential.  (I.e., shortcuts, provides others with helpful hints,).
  • Report status to VP, Director, and management, including progress against the departmental plan, status of tasks, and issues that may affect the departmental budget, and/or business operations;
  • Actively participates in Customer Site Visits to exchange information on related topics other software users;
  • Identifies and executes on opportunities for process improvement and automation by recognizing issues based on changes in patient inquiry trends.  Provides timely feedback to peers in operational areas and leadership to improve Revenue cycle processes based on patient experiences. Participates in process improvement initiatives throughout the entire revenue cycle operation;
  • Ensures that self and department ensures in-depth knowledge of policies, procedures, applications and workflow to support current and future changes as appropriate to support department outcomes. 
  • Updates job knowledge of self and team, by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;
  • Conducts routine staff meetings, and structured feedback sessions with team to ensure timely and appropriate communication exchange to drive excellence in performance and departmental outcomes, and;
  • Performs leadership and designated leadership evaluations and ensures standardization with the staff evaluation
  • Performs other duties as assigned.

 

*This role may encounter Protected Health Information (PHI) as part of regular responsibilities.  UH employees must abide by all requirements to safely and securely maintain PHI for our patients.  Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.  

 


Position Summary:

Leads, plans, organizes, controls analyst team to standardize and deliver daily reporting, analytics and system master file changes/ management and support including intake assessment and prioritization protocols, service level agreements, tracking, self-audit, RCM security levels, technical support / automation and liaison with key areas including but not limited to clinical and corporate areas and Revenue Cycle Management (RCM) Teams.   Staff, workflow processes and technology mast file management and reporting accountability will encompass both hospital and physician revenue.

 

Essential Duties:

Establish and monitor quality assurance measurements and implement changes to improve operational efficiencies

  • Manages reporting and analytics function, library, schedule, tracking, procedures and publishing process;
  • Drive efficiencies, insights and transparency by advancing the use of financial systems;
  • Transform data into financial information that supports the business needs of planning and accounting groups and business partners;
  • Manages team and development of key performance indicators for use as established baseline for quality measurement in the revenue cycle. Analyze performance indicators for inconsistencies and report to operational management;
  • Publish quality measurements in accordance with pre-defined schedule to operational areas;
  • Manages cross-team issues and interdependencies to facilitate process improvement in the operational areas Recognizes problems, develops relevant facts, recommends alternative solutions and appropriate conclusions;
  • Helps to problem solve business challenges by analyzing and developing sustainable / flexible solutions that can be leveraged and maintain business intelligence tools and reports;
  • Provide oversight and governance for Reporting Systems including processes that ensure the integrity, governance and consistency of UH financial data, including the enforcement of policies and procedures, managing maintenance efforts, ensuring timely performance and completion of close data validation activities;
  • Establishes formal processes for intake, assessment and service level agreements for work completion related to reporting, analytics and system changes;
  • Leveraging a solid understanding of systems and processes, recommend, design and implement transaction and reporting solutions that maintain the integrity of our overall reporting framework and support RCM reporting;
  • Assist in process improvement initiatives that promote the efficient and effective use of the core accounting systems, including managing automation and process improvement projects aimed at advancing the use of financial systems;
  • Provide data analytics support-- inspecting, cleaning, transforming, data with the goal of discovering useful information, suggesting conclusions, and supporting decision-making;
  • Establishes effective work relationships with department members as well as other end users;
  • Provides Senior Leadership with the information and tools needed to monitor and improve operational metrics
  • Coordination of Masterfile maintenance and system enhancements in operational areas of the Revenue Cycle
  • Responsible for team that manages system operations profiles, master files, dictionaries and activities management ensuring optimal system processing and outcomes for RCM department;
  • Acts as Revenue Cycle liaison to IT and vendors as appropriate, to ensure timely delivery of software updates and deliveries that impact the revenue cycle operations;
  • Analyses and communicates system updates, i.e., updates, service packs, version changes by reviewing release notes / system documentation, documenting relevant changes to RCM team including impacts to workflow and recommended changes that help optimize people, process and technology processes;
  • Develop, maintain, schedule and publish change control to internal and external users as warranted by software changes;
  • Represents the Revenue Cycle areas in customer validation / development sessions with the vendor.  Interacts with other customers during vendor reference calls
  • Manages RCM I.T. request lists including prioritization and delivery of requests;
  • Manages security levels and tracking related to access and transaction activities being performed in the system;;
  • Assist in the Business Ownership activities for department including access and change controls, and requirements gathering and testing for enhancements;
  • Identifies potential areas of risk to receivable and payer outcomes and recommends appropriate mitigation steps to    management to ensure effective operations and is an integral part of the overall systems planning process for the revenue cycle area; identifies tasks and durations for assigned areas of responsibility including specific staff assignments.
  • Monitors the activities of staff to ensure that tasks adhere to defined timelines, ensuring staff decisions are documented and made in a timely manner.  Assesses and re-deploys resources as necessary to maintain established timeline
  • Provides subject matter expertise as it relates to operational solution requirements;
  • Assist users in operational areas in becoming proficient users of the software;
  • Collaborates with necessary internal and external staff in developing training materials on new features and functions;
  • Coordinate updating departmental policy and procedure manuals to coordinate with software changes.
  • Demonstrates the ability to utilize the available technology to its fullest potential.  (I.e., shortcuts, provides others with helpful hints,).
  • Report status to VP, Director, and management, including progress against the departmental plan, status of tasks, and issues that may affect the departmental budget, and/or business operations;
  • Actively participates in Customer Site Visits to exchange information on related topics other software users;
  • Identifies and executes on opportunities for process improvement and automation by recognizing issues based on changes in patient inquiry trends.  Provides timely feedback to peers in operational areas and leadership to improve Revenue cycle processes based on patient experiences. Participates in process improvement initiatives throughout the entire revenue cycle operation;
  • Ensures that self and department ensures in-depth knowledge of policies, procedures, applications and workflow to support current and future changes as appropriate to support department outcomes. 
  • Updates job knowledge of self and team, by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;
  • Conducts routine staff meetings, and structured feedback sessions with team to ensure timely and appropriate communication exchange to drive excellence in performance and departmental outcomes, and;
  • Performs leadership and designated leadership evaluations and ensures standardization with the staff evaluation
  • Performs other duties as assigned.

 

*This role may encounter Protected Health Information (PHI) as part of regular responsibilities.  UH employees must abide by all requirements to safely and securely maintain PHI for our patients.  Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.  

 


Education:

  • Bachelor’s degree required; In lieu of BS/BA degree accepted with 8+ years in related field including previous Supervisory experience

 

Experience & Knowledge:

• 6+ years progressive experience in healthcare revenue cycle operations required.
• Experience hiring, training, evaluating, disciplining, developing and engaging staff members required.
• Information Technology / health care application master file and maintenance support experience required.
• Strong understanding of Revenue Cycle reporting and analytics processing to support team and help drive performance improvements required.
• Strong proficiency in common tools knowledge advanced excel, reporting, web, and RCM systems required.
• Understanding and ability to support revenue cycle, payer and workflow training and education program curriculum and training program required..
• Must be customer, provider, and employee focused with exceptional people and service skills
• Must be detail-oriented and organized, with good analytical and problem solving ability.
• Notable client service, communication, presentation and relationship building skills required.
• Ability to function independently and as a team player in a fast-paced environment required.
• Must have exceptional written and verbal communication skills.

Special Skills & Equipment Knowledge:

• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e., printers, copy machine, FAX machine, etc.) required.
• Oracle, Kronos, Soarian, CSC Papers, META, and/or IDX, experience preferred


This job is no longer available.

University Hospitals

Chardon, OH