Employment Type:

Shift:

Description:

Position Purpose:

Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics assessing root cause analysis and developing/implementing action plans. Reviews front-end denials (eligibility registration and authorizations) for each area and provides feedback to Directors Practice Managers and Supervisors. Provides trended metrics to help identify areas that are performing well and areas that need further development/review.

• Expectation to visit supporting locations - Columbus Ohio

What You Will Do:

• Knows understands incorporates and demonstrates the Trinity Health Mission Vision and Values in behaviors practices and decisions.
• Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics assessing root cause analysis and developing/implementing action plans.
• Reviews front-end denials (eligibility registration and authorizations) for each area and provides feedback to Directors Practice Managers and Supervisors. Provides trended metrics to help identify areas that are performing well and areas that need further development/review.
• Oversees assists and manages Registration Charge Review and Claim Edit work queues.
• Reviews Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next.
• Develops and conducts general or specialized educational sessions for colleagues or providers such as Billing 101 sessions.
• Conducts quarterly quality assessment of registration accuracy performed by front-end users. Provides education and training to those not meeting best practice goals.
• Provides recommendations for communications and assists in completion of monthly newsletters informing practice colleagues and physicians of insurance policy and regulatory changes as well as changes in CPT ICD-10 and HCPCS coding.
• Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.

Minimum Qualifications:

• Must possess a comprehensive knowledge of professional billing as normally obtained through bachelors degree in Healthcare Administration Business Management Accounting or a related field and/or 7(seven) to 10(ten) years of professional billing experience.
• MA MGMA AAPC or other healthcare certification preferred.
• Six Sigma or LEAN certification preferred.
• Experience/knowledge of electronic practice management systems.
• Previous leadership in a related area preferred

Position Highlights and Benefits:

• Competitive compensation and benefits packages including medical dental and vision with coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Generous paid time off programs.
• Employee recognition programs.
• Tuition/professional development reimbursement starting on day one.
• RN to BSN tuition 100% paid at Mount Carmels College of Nursing.
• Relocation assistance (geographic and position restrictions apply).
• Employee Referral Rewards program.
• Mount Carmel offers DailyPay - if youre hired as an eligible colleague youll be able to see how much youve made every day and transfer your money any time before deserve to get paid every day!
• Opportunity to join Diversity Equity and Inclusion Colleague Resource Groups.

Ministry/Facility Information:

Mount Carmel a member of Trinity Health has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals free-standing emergency centers outpatient facilities surgery centers urgent care centers primary care and specialty care physician offices community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohios largest undergraduate graduate and doctor of nursing programs. If youre seeking a rewarding career where your purpose passion and desire to make a difference come alive we invite you to consider joining our team. Here care is provided by all of us For All of You!

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.