Manager, PB Revenue Cycle

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Summary: Reporting to HMFP's Chief Financial Officer, the Manager of Professional Billing Revenue Cycle will be the revenue cycle representative and subject matter expert between designated department(s), the Professional Billing office, third-party vendors, and all other stakeholders, to proactively identify opportunities to improve the revenue cycle and assist in the resolution of issues. The individual will be responsible for building and maintaining collaborative and productive relationships within the organization, managing revenue cycle projects, and driving performance. Professional revenue cycle expertise and strong communication skills are required.

Job Description:

Essential Responsibilities:

• Serve as a liaison between HMFP and department contacts to ensure that the Billing Vendors [BVs] are meeting service levels and to address issues that may cause challenges to meet service levels and KPIs. Facilitate regular meetings with the assigned department(s) to discuss revenue cycle metrics, key trends, and opportunities for improvement.
• Work collaboratively with departments, practices and third party billing vendor to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of patient accounts.
• Identify areas of opportunity to apply process changes and/or technology implementation/updates to optimize performance.
• Provide consistent monitoring, reporting, and communication of department-specific trends and overall revenue cycle performance for assigned department(s). Prepare standard revenue cycle reports for the assigned department(s). Review and analyze reports for identification of trends and issues.
• Establish and maintain a close working relationship with assigned department(s) as well as other stakeholders within the organization.
• Provide general oversight of third party billing vendor(s). Develop a strong working relationship with assigned vendor Client Managers.
• Identify opportunities to improve revenue cycle and suggest improvements to Professional Billing Office leadership and assigned department(s). Work to institute improvements in a timely manner.
• Demonstrate proficiency in all aspects of professional revenue cycle operations to achieve increased collections, optimal billing goals, and adherence to compliance rules and regulations.
• Participate in multiple projects simultaneously, while keeping priorities aligned with department and organizational goals.
• Has the authority to direct and support employees daily work activities. Has authority to undertake or recommend the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: 2-3 Indirect Reports: None

Required Qualifications:

• High School diploma or GED required. Bachelor's degree in Finance, Business Management, Healthcare, or related field preferred.
• 8-10 years related work experience required in medical billing, reimbursement, revenue cycle functions, and/or other related areas, and 3-5 years supervisory/management experience required
• Advanced skills with Microsoft applications, which may include Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications. May produce complex documents, perform analysis, and maintain databases.

Preferred Qualifications:

• Strong analytical ability.
• Proficient skills to collect, organize, and analyze data, produce actionable reports, and recommend improvements and solutions.
• Proven ability and motivation to act as a change agent to streamline and improve processes.
• Strong interpersonal skills and work ethic are required.
• Experience with stakeholder management and cross-functional partnerships. Ability to collaborate with other team members and lead change in the execution of large-scale initiatives.

Competencies:

Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.

Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.

Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.

Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.

Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.

Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.

Team Work: Ability to lead collaborative teams for larger projects or groups both internal and external to the Medical Center and across functional areas. Results have implications for the management and operations of multiple areas of the organization.

Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled