At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Job Description** **Primary Function/General Purpose of Position** -Establish and implement processes for Pre/Patient Access in order to maximize daily operations efficiency. Implement process improvement strategies when inefficiencies are identified in the front office. -Monitor Rehab WQs to identify improvement opportunities and develop strategies to increase revenue capture. Monitor accounts receivable aging and work with payors to ensure timely resolution of claims. Work with Director to develop processes for accurate and compliant clinical documentation. -Manage denials, analyze trends and identify root causes. Implement education and process improvement initiatives to reduce denials and maximize revenue. -Track and report the progress of corrective actions, monitor improvement initiatives' performance. -Supervise and provide support to Site Coordinators with daily operations by serving as departmental patient access and rev cycle subject matter expert. -Manage current third-party payer guidelines and contracting data; update the department of changes -Work closely with other departments and markets, including Informatics, Accounts Payable, and Revenue Cycle to advocate for the department's needs. Create training materials and provide ongoing training to front office associates and Site Coordinators so they understand and can properly perform their duties. -Provide ongoing support and guidance to ensure they are up to date with best practices and system changes. Monitor performance to ensure they meet expectations. -Manage all Rehab Patient Access processes in accordance with the policies and procedures of the department and hospital. Observe and implement the guidelines established by the Joint Commission and the Centers for Medicare and Medicaid Services. -Enhance the overall revenue of the department by establishing and maintaining relationships with referring physicians and practices by building engagement and increasing patient referrals. -Manage Medicare Audits and TPEs, review and collect all needed information and submit packets to the audit team. Communicate with other departments to ensure information accuracy and adhere to deadlines. Monitor and review audit outcomes with Director and provide feedback to team members. -Coordinate with Medical Records vendor to ensure timely processing of subpoenaed patient records. -Assist the Director in developing and implementing new programs. Provides analytical data, research of revenue opportunities, compliance guidelines, and billing practices to support program decision-making. Create and maintain marketing materials for the program. -Develop relationships with other departments in order to keep abreast of new initiatives and potential opportunities. Monitor program performance metrics and create reports to present to the Director. Prepare presentations and other materials for external stakeholders. -Manage billing issues and escalated patient complaints. Engage with billing departments, risk management and other hospital departments for resolution that will promote customer service recovery. -Conduct performance evaluations and work collaboratively with Advice and Counsel for disciplinary matters and/or employee termination process. This position it crucial to our overall operations. Education/Experience **Required Minimum Education:** + High School Diploma or GED **Preferred Education:** + 2 Year/ Associates Degree + 2 years of prior experience in a medical practice in either a clinical or administrative role. + **Other Knowledge, Skills and Abilities** **Required:** + Must be able to handle a fast-paced environment in a confident, professional manner.Must be a self-motivator, possessing a high level of judgment skills and initiative, along with ability to prioritize and coordinate several tasks simultaneously, while retaining a confident, knowledgeable and helpful demeanor. Must have the ability to build relationships, train/mentor, and lead a large staff. + **Other Knowledge, Skills and Abilities** **Preferred:** + Must possess organizational and verbal communication skills. Demonstrates a high level of integrity, trust and displays exceptional customer service.Must have the tenacity to solve problems. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com