Revenue Cycle Operations Manager - Epic Professional Billing

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

Manages teams within revenue cycle operations of Huron Managed Service’s Domestic Business Office. Responsible for motivating staff to achieve the highest levels to meet organizational goals for customer service, operational and financial performance. Reports directly to the Revenue Cycle Director.

The Manager is responsible for managing performance, which encompasses operational performance, financial performance, and cost efficiency. The manager is a critical member of HMS’ domestic leadership team, who is expected to design and execute on strategic priorities, in addition to managing day-to-day revenue cycle operations. The ideal candidate is dynamic and has the ability to quickly implement special projects and initiatives.

ESSENTIAL BUSINESS FUNCTIONS:

Knows, understands, incorporates, and demonstrates the Huron mission, vision, and values in behaviors, practices, and decisions

Provides guidance and direction to teams in order to achieve optimal area performance and staff productivity goals as part of the revenue cycle process of HMS Business Office Ensures staffs carry out duties and responsibilities in an effective manner, which in turn promotes maximized reimbursement based upon services delivered

Identifies and implements solutions to problems and issues affecting teams

Focuses efforts of staffs on proactive practices, which includes coordinating with other departments as necessary to resolve issues and reviewing and responding to all mail correspondence in a timely and efficient manner

Identifies and participates in continuous quality improvement initiatives in order to streamline processes

Participates in the redesign of processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes

Reviews and tracks trends and makes recommendations for problem and issue resolutions based upon staff findings; reports findings to leadership

Prepares service level metrics and explanatory summaries for leadership

Evaluates potential new staff and makes recommendations for hiring

Assists with identifying training needs and coordinating with department trainer to develop and conduct training programs, including on-the-job training.

Assists with establishing performance standards. Monitors and tracks staff activities against established performance standards and provides immediate feedback to achieve performance improvement

Develops and conducts meaningful performance appraisals. Identifies staff performance issues, i.e., absenteeism, tardiness, etc. and conducts appropriate counseling/disciplinary sessions. Develops and documents improvement plan identifying necessary training and development for staff in order to achieve superior performance through formal education, competency reviews, classroom training, on the job training and coaching.

Adheres to all department and organization policies, procedures, and best practices

Maintains working knowledge of applicable Federal, State, and local laws and regulations

Completes other duties as needed and assignedCORE

QUALIFICATIONS:

Current permanent U.S. work authorization required

Bachelor's degree required

Must possess a comprehensive knowledge of revenue cycle functions and systems, as normally obtained through an Bachelor's degree in Business or Healthcare Administration or a related field, and minimum of five (5) years of experience within the area of revenue management, specifically experience with Account Billing, Follow-up, Charge Integrity, Insurance Verification or other functions related to revenue cycle activities or an equivalent combination of education and experience.

Experience in a complex multi-entity healthcare organization or large complex revenue cycle…