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Advisor, Revenue Cycle Quality & Performance Management (remote)
About the position
As an Advisor, Revenue Cycle Quality and Performance Management, you will focus on strategically optimizing the Part B revenue cycle to enhance efficiency and achieve financial targets. This will involve analyzing KPI's to identify issues, drive improvements, and report performance to senior leadership. Coordinates the daily activities of staff and information systems activities of organization departments. Assesses and monitors staff productivity through standards and metrics to optimize performance and increase efficiency. Collaborates with Information Services and Finance departments to ensure optimal system-wide best practices. Plans, manages and organizes service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of various organization daily operations, projects and initiatives; manages various related information systems and facilitates synchronization with other systems in the organization.
Responsibilities
- Provides strategic advice and guidance to the Revenue Cycle Quality and Performance Management function. Identifies, and reports statistics, trends, and analysis to management; analyses data, prepares and presents project reports for management, clients or others.
- Performs ad-hoc analyses on an as need basis; identifies, recommends, and implements approved process improvements.
- Defines and develops business plan and determines time-frame, funding limitations, procedures, staffing requirements and allotment of resources to various phases of the business; manages activities of business staff to ensure project progress is on schedule and within budget.
- Establishes work plan and staffing for each business phase and arranges for recruitment or assignment of business staff; reviews status reports and modifies schedules and/or plans as required.
- Confers with staff to outline work plan and assign duties, responsibilities and scope of authority; provides business staff with technical advice and problem resolution; implements solutions in response to issues, customer complaints, regulatory changes, and insurance related updates in order to promote timely and efficient revenue cycle operations.
- Ensures the integrity of various related information systems and facilitates synchronization with the other systems throughout the organization; works with Information Services, vendor and customers to develop business proposal outlining deliverables, requirements, risks, assumptions, key stakeholders, roles and responsibilities and budget.
- Manages business activities with organizations or agencies outside the organization; monitors vendor performance on deliverables and takes corrective action as necessary.
- Tracks actual performance against planned business performance, analyze variances and participates in problem solving to ensure all customer needs are met while maintaining control of the project.
- Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Requirements
- Bachelor's Degree required, or equivalent combination of education and related experience.
- 10+ years of relevant experience and 2+ years of leadership / management experience, required.
Nice-to-haves
- Experience in Front- End Revenue Cycle/Physician Billing: Demonstrated experience in front-end revenue cycle. Foundational understanding of how Front-End activities impact Revenue Cycle.
- Analytical skills with reporting experience: Proven ability to analyze data, interpret reports, and draw meaningful conclusions.
- Strong communication skills: Excellent written and verbal communication abilities.
- Highly detail-oriented: Meticulous approach to work, ensuring accuracy and precision.
- Proficient Excel skills: Proficiency in advanced Excel features, including pivot tables.
- Proficient in Microsoft Office Suite: Expertise in PowerPoint, Word, and other relevant Microsoft applications, with a focus on creating and delivering effective presentations.
- Exceptional time management skills: Ability to prioritize tasks, meet deadlines, and manage multiple projects effectively.
- Project management skills: Capability to initiate, plan, execute, and close projects successfully, including managing resources and timelines
