Manager Ambulatory Revenue Cycle

The Manager Ambulatory Revenue Cycle functions as the liaison between the Revenue Cycle and Ambulatory operations of Yuma Regional Medical Center. Identifies opportunities to optimize revenue cycle/billing activities and identify areas for revenue growth.

Interviews and onboards new employees; manages Supervisor to ensure that interviews of all prospective employees are scheduled timely; orients new hires; manages Supervisors to ensure training is timely and appropriate; ensures that orientation of new hires is scheduled, conducted and completed; ensures that staff is mentored effectively to prioritize, manage time, make good decisions and provide excellent customer care; ensures that cross training of existing staff is completed timely, so that each staff can perform their primary and secondary roles; conducts 30-60-90 day reviews with new employee and their Supervisor; reports any inefficiency to Director; approves the timekeeping system to ensure accurate and timely completion of payroll; ensures tardies and absences are maintained in employee files and initiates progressive counseling per department policies; ensures that quarterly updates on absences and tardies to staff are completed. Fosters an environment that empowers employees to implement innovative solutions, processes, and practices; maintains a work environment which stimulates and motivates the morale, engagement and growth of subordinates; establishes clear goals and objectives for team; works in conjunction with Supervisor to diagnose and solve problems which adversely impact the processes; develops, recommends and presents training needs and solutions for performance problems; mentors Supervisors and staff in their established career path; escalates interdepartmental performance issues to the Director as needed; completes Document of Corrective Action form for Director and/or Human Resource approval, schedules and conducts meetings with employee to review; works in conjunction with Supervisor and is responsible for completing Employee Performance Appraisals for areas of responsibility; reviews with Director prior to final submission; schedules and conducts meetings with employee to review performance appraisal. Maintains effective professional relationships with other department leadership, shares ideas, and implements actions related to revenue cycle functions and assists the Director in planning and operations of the department; serves as the liaison and advocate between Ambulatory Operations and Revenue Cycle to monitor revenue team responses to practice issues / concerns and ensure appropriate follow-through; acts as escalation resource when needed; monitors KPIs to uncover trends, both positive and negative, in effort to provide feedback and guidance to the Revenue Cycle Directors and to practices; helps ambulatory leaders troubleshoot and resolve day to day revenue cycle issues and questions; plans, prepares, and conducts monthly meetings with Ambulatory Director(s), utilizing metrics and data to support findings and prioritize initiatives; works with Ambulatory operations to ensure all charges are captured, reconciled and billed in a timely manner; establishes and maintains feedback loop between Revenue Cycle and practices regarding claim productivity and throughput; identifies and monitors trends in revenue processes requiring intervention with practices (i.e., denial trends); works with practices to determine corrective course of action; monitors and manages accounts in assigned Charge Router, Charge Review, Claim Edit, and Follow-Up WQs; assesses the training needs of staff in the practices and ensure successful training, as appropriate; researches and monitors payor regulations; provides education to operational areas as applicable; coordinates with Ambulatory Operations to educate physicians; facilitates implementation of modifications to revenue cycle functions to meet changing payor requirements/regulations, e.g., new authorization requirements; changes in billing/claims requirements; LCDs. Ensures that patient, management and physician concerns regarding area of responsibility are addressed; acknowledges concerns and resolutions with specified guidelines as evidenced by documentation; coordinates all customer complaints with Patient Experience (or appropriate department head) and documents in the Midas system; follows up with patient as needed to ensure resolution. Works in conjunction with the Director to develop departmental budget within designated deadlines according to budgetary procedures. Participates in and is responsible for department continuous process improvement projects through lean management. Develops and reviews policies, procedures, department goals, and objectives; organizes data into useful information and strategic and operational decision-making purposes, directing and implementing system-wide projects as directed.

REQUIRED: 5+ years related experience