Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Work where every moment matters.

Every day, approximately 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

JOB SUMMARY

Support quality improvement using knowledge of Professional Billing operations and back-end Revenue Cycle processes. Extract, trend and analyze data in order to provide actionable recommendations, working alongside business partners to effect positive change across the organization.

JOB RESPONSIBILITIES:

1. Maintains a high level understanding of the entire Revenue Cycle, including Key Performance Indicators (KPIs); anticipates changes in Revenue Cycle workflow based on changes in the internal and external healthcare environment relevant to the unit and makes appropriate changes/recommendations

2. Identifies work processes that can be improved upon, eliminated, or handled through electronic processes; makes appropriate changes or recommendations to workflows; breaks down identified problems into small components, understands underlying issues, simplifies and processes complex issues; understands the difference between critical and unimportant facts.

3. Develop and maintain reports to support professional billing services:

• Run Daily/Weekly/Monthly reports for Revenue Cycle functional areas. Reports may include the following: Denials and Appeals, Underpayment, Cash, Accounts Receivable, Aging, Claim Edits, Rejections, DNFB, DNSP, etc.
• Communicates effectively with operational staff by translating the technical specifications of a report into non-technical language.
• Evaluate financial performance by comparing and analyzing actual results to historical financial health results, perform variance analysis reports, identify trends, and make recommendations for improvements
• Reconcile existing transactions through cross-referencing of incoming and outgoing data
• Monitors all data gathering for weekly and monthly statistical reporting through dashboards and other means.
• Logs, tracks, and resolves issues and changes in regards to report modifications or enhancements.

4. Routinely analyzes Revenue Cycle data to help identity root-causes to issues affecting cash flow and net revenue:

• Ability to analyze and synthesize business requirements, including recognizing patterns and conceptualizing processes
• Provide project level analysis – producing required project analysis documentation -- business requirements, scope matrix, use cases, future state proposals.
• Identify improvement opportunities (proactive and reactive). Continually strive to improve quality by identifying areas of potential risk and recommending improvement opportunities
• Identify, create and support process design changes by conducting business and systems process analysis and design at a complex level.  Focusing on operational improvement and data management while ensuring data is reputable and valid. Partner with internal and external customers to ensure system processes provided meet the long-term business strategies
• Monitor the EPIC Financial Dashboards for any variations and areas of potential risk. Monitor closely the trend in AR Days, unbilled charges, late charges, aging AR and cash collections. Perform detail analysis of discrepancies, report areas of high financial risk and make resolution recommendations to senior management.
• Lead projects as assigned to successful, on time completion including effective planning, coordinating the project team, establishing deadlines, and resolving barriers.
• Remain cognizant of revenue cycle research, seminars, user groups, other facility ideas and monitor current industry trends for potential application to HHC Revenue Cycle. 
• Perform trend analysis and key performance indicator (KPI) variances to identify financial risk and opportunities to maximize financial return.

5. Respond to issues identified and may adverse unplanned situations; escalate issues to leadership as appropriate along with recommended solutions.

6. Recommends policies that will speed processing of claims payments and reduce the amount of follow up required by professional billing staff, while incorporating goals and productivity standards

7. Actively seeks opportunities to model teamwork through collaboration both within and outside the work group as a leader or technical expert while holding self and team accountable for results.

8. Maintain working relationships with facility vendors through scheduled meetings for status updates, data validation and reconciliation.

 Assumes responsibility for self-improvement, in collaboration with manager, by identifying, communicating and seeking resources or instructions to meet own learning needs.

Qualifications

Qualifications:

• Bachelor’s degree in Health Care Management, Business Administration, or related field required
• Extensive experience may substitute for education:
• Three (3) years’ experience in professional billing revenue cycle or medical office setting required
• Strong Excel and/or database skills required
• Strong critical thinking, problem solving and analytical skills required
• Strong root-cause analysis skills required
• Experience developing end user reports is a plus
• Functional knowledge of EPIC preferred

Knowledge, Skills and Ability Requirements:

• Ability to create structure and organize teams to work independently
• Excellent communication, technical understanding and interpersonal skills
• Demonstrated ability to build and maintain strong and strategic business relationships
• Strong problem-solving and critical-thinking skills with the ability to execute with limited information and ambiguity.
• Persuasive, collaborative business acumen with the ability to influence others.
• Demonstrated ability to manage multiple priorities
• Demonstrated ability to multitask and work in a fast-paced working environment
• Ability to work comfortably with a variety of stakeholders at multiple organizational levels

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

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