Hartford HealthCare Corp.
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DescriptionJob Schedule: Full Time
Work where every moment matters.
Every day, over 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.
Working under the BHN VP Finance, this position has accountability to develop strategies to monitor, evaluate and maximize revenues across the Behavioral Health Network (BHN).
Establishes continuous improvement processes to maximize technical resources, enhance service delivery and standardize systems and services acting as the primary point of contact between service/program level management and system support functions including Finance, Utilization Management, Revenue Cycle and Compliance.
Works in support of the strategic initiative to standardize program design and delivery across the BHN, working with operational leaders of each service line to identify opportunities to minimize revenue “leakage”, maximize charge capture, and reduce waste, as well as to develop business plans for identified service expansion.
Responsible for analyzing revenue streams for the purposes of understanding performance against budget, as well as optimization and identification of enhancement opportunities and maintaining revenue integrity. Evaluates and recommends improvements in contracting in order to ensure all revenue opportunities available are realized to support service delivery.
Incorporates findings from the analysis of revenue streams and clinical programming to collaborate with the VP Finance in defining opportunities for revenue optimization through managed care contracting to ensure that we capture all available revenue opportunities and are appropriately compensated for our services.
Serves as a key point of contact between BHN programs and the various functional areas under Revenue Cycle including financial clearance, benefit verification, utilization management, billing/follow-up, denial management and compliance. This includes functioning in multi-disciplinary teams as needed to build out systems to implement revenue cycle initiatives.
Liaisons with HHC Revenue Cycle Division to develop strategies for denial prevention, reviews denial trends with operational leaders, reviews revenue cycle KPI’s in order to communicate back to BHN leaders. Supports HHC Revenue Cycle policies within the BHN network.
In coordination with VP, BHN Finance, sets financial goals for the BHN system.
Directly oversees the BHN business solutions team which services to monitor the revenue stream and support operational performance.
Key Areas of Responsibility
Develops strategies to enhance and grow revenues of the BHN through revenue enhancement initiatives as well as by leading development of new revenue streams in collaboration with strategic partners and clinical operators.
Directs implementation of revenue improvement initiatives by managing BHN partners in collaboration with system support resources dedicated to specific projects as approved by the BHN Cabinet under the direction of the VP Finance BHN.
Directs the Business Solution team in the execution of revenue analysis, process improvement and business development.
Provides revenue expertise in the development of strategic planning initiatives.
Maintains active membership on the BHN IT Steering Committee, bringing expert knowledge of behavioral health services, revenue cycle processes, and clinical practice management to the group.
Directs onboarding, steering and implementation of SBAR initiatives as they relate to revenue optimization.
Maintains knowledge and skill required to assure accurate and timely reimbursement. Manage staff, projects, and systems that impact the success of achieving successful fiscal integrity related to Behavioral Health services.
Develops and implements department budget that demonstrate efficiency and prudent utilization of resources to manage Business Solutions team.
Establishes goals for operational performance including accurate registration, primary denial rate, and turnaround time for charge posting and record completion that aligns with HHC organizational Goals. Collaborates with the Management team to implement and monitor success.
Assures all Patients are registered accurately and timely demonstrating respect to meet the needs of all patients. Collaborates with the Management Team to optimize pre-registration, insurance verification, and financial counseling at scheduling, registration, and at discharge.
Supports HIM so that Medical Records are maintained accurately, utilizing electronic and paper formats. Assures critical data elements are analyzed to identify and correct deficiencies. Assures compliant release of patient’s records following prescribed policies and procedures to protect the privacy of the patient, and meet Federal and State regulation.
Works with HHC Revenue Cycle billing, follow-up, and collections services to review for operational opportunities for improvement. Monitors post billing audit activity and assists with resolving customer service billing inquiries. Assures all assigned staff are trained and meet established performance standards.
Creates an environment that empowers staff to continuously develop performance improvement processes. Solicits input in daily operations and projects to improve all Revenue Cycle functions. Assists staff in developing new skills and applying them to the work place.
Assures all staff are treated fairly and consistently in accordance with the organization’s Human Resources policies and procedures.
Works with utilization management staff in all patient care sites in order to ensure timely and accurate care authorization, response to, and resolution of care denials.
Performs other related duties as required
Job Title of Individual(s) Reports To: HHC Regional VP Finance Behavioral Health Network
Job Title(s) of HHC positions reporting to this Job: New position starting as an individual contributor with potential to grow team
· Bachelor’s degree in HealthCare Management, Business Administration, or related field. Extensive experience may substitute for education.
· Minimum: Two (2) to Three (3) years’ progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership role.
· Preferred: Five (5) to years’ progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership role.
Knowledge, Skills and Ability Requirements
· Working knowledge in the areas of patient registration, health insurance practices and benefit design, billing, accounts receivable, managed care contractual terms and requirements, industry regulatory requirements, A.R. and financial reporting practices.
· Ability to read and understand oral and written instructions, and effectively communicate information.
· Basic computer skills (including opening/reading email, basic internet use).
· Expert at managing Revenue Cycle workflow to assure optimum results.
· Ability to manage large and diverse work groups to assure cohesive interactions to maximize achievement at meeting department and Organizational Goals.
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.