Mgr Denial Prevention / PA Administration
Clinical Laboratory Partners
Work where every moment mattersEvery day more than 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 Position SummaryResponsible for denial prevention and resolution Requires strong communication and presentation skills Facilitates coordination between and among revenue cycle departments and clinical departments to prevent and appeal rd party denials Provide oversight and direction to Denials Prevention Team Partner with representatives and subject matter experts leveraging resources to cultivate standard work and process improvements across the organization Develop plan to communicate implement drive and support operational and cultural changes Create and deliver monthlyquarterly reports for HHC Revenue Cycle AVP stakeholders and executive leadership Position ResponsibilitiesKey areas of responsibility Identify trends in Denials data through analysis and consultation with Denials Prevention Team Provide day to day direction to and help coach Analysts Relay focus areas to Revenue Cycle VP and AVP and discuss priorities risks and next steps Coordinate material for and provide updates pertaining to the key Denials Prevention Program documentation eg Issues Logs Monthly Report outs Partner with the Solution Team Leaders to discuss issue specific resolution approach Supporting documentation may includebull Process flows illustrating breakdowns changesbull Sampling results and examples to support the need for changesbull Meeting agendas for Solution Team Meetingsbull Communication plans Create plan for and drive the rollout of changes by coordinating meetings building consensus for next steps and holding leadership accountable to issue resolution Manage the implementation and testing of ongoing denials related technical updates Direct priorities and own communication regarding the initiative to parties involved in the program Solution Team Members Solution Team Leaders Escalate proposals and required next steps in instances where support is necessary to achieve initiative objectives Develop materials for monthly or quarterly progress updates for the executive leadership team Support Revenue Cycle VP in presentations and communication to the executives Perform deep dive research to back up work of the Analysts where necessary and appropriate Working RelationshipThis Job Reports To Job Title Senior Director Strategic Initiatives Support Services Workers Responsible For Direct ReportsNature of Supervision New position will start as an individual contributor with potential to grow teamInternal Hospital and operational staff and providersExternal Payers Auditors Government Agencies PatientsWork where every moment mattersEvery day more than 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 Position SummaryResponsible for denial prevention and resolution Requires strong communication and presentation skills Facilitates coordination between and among revenue cycle departments and clinical departments to prevent and appeal rd party denials Provide oversight and direction to Denials Prevention Team Partner with representatives and subject matter experts leveraging resources to cultivate standard work and process improvements across the organization Develop plan to communicate implement drive and support operational and cultural changes Create and deliver monthlyquarterly reports for HHC Revenue Cycle AVP stakeholders and executive leadership Position ResponsibilitiesKey areas of responsibility Identify trends in Denials data through analysis and consultation with Denials Prevention Team Provide day to day direction to and help coach Analysts Relay focus areas to Revenue Cycle VP and AVP and discuss priorities risks and next steps Coordinate material for and provide updates pertaining to the key Denials Prevention Program documentation eg Issues Logs Monthly Report outs Partner with the Solution Team Leaders to discuss issue specific resolution approach Supporting documentation may includebull Process flows illustrating breakdowns changesbull Sampling results and examples to support the need for changesbull Meeting agendas for Solution Team Meetingsbull Communication plans Create plan for and drive the rollout of changes by coordinating meetings building consensus for next steps and holding leadership accountable to issue resolution Manage the implementation and testing of ongoing denials related technical updates Direct priorities and own communication regarding the initiative to parties involved in the program Solution Team Members Solution Team Leaders Escalate proposals and required next steps in instances where support is necessary to achieve initiative objectives Develop materials for monthly or quarterly progress updates for the executive leadership team Support Revenue Cycle VP in presentations and communication to the executives Perform deep dive research to back up work of the Analysts where necessary and appropriate Working RelationshipThis Job Reports To Job Title Senior Director Strategic Initiatives Support Services Workers Responsible For Direct ReportsNature of Supervision New position will start as an individual contributor with potential to grow teamInternal Hospital and operational staff and providersExternal Payers Auditors Government Agencies PatientsEducationmiddot Minimum Bachelorrsquos degree in Healthcare Management Business Administration or related field Extensive experience may substitute for educationmiddot Preferred Masterrsquos Degree in Healthcare Management Business Administration or related field Extensive experience may substitute for educationExperiencemiddot Minimum Two to three yearsrsquo progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership or influence rolemiddot Preferred Five to Seven yearsrsquo progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership or influence roleKnowledge Skills and Ability RequirementsAbility to read and understand oral and written instructions and effectively communicate information Basic computer skills including openingreading email basic internet use Expert at managing Revenue Cycle workflow to assure optimum results Ability to influence and 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 ndash 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 worklife balance Every moment matters And this isyour moment Educationmiddot Minimum Bachelorrsquos degree in Healthcare Management Business Administration or related field Extensive experience may substitute for educationmiddot Preferred Masterrsquos Degree in Healthcare Management Business Administration or related field Extensive experience may substitute for educationExperiencemiddot Minimum Two to three yearsrsquo progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership or influence rolemiddot Preferred Five to Seven yearsrsquo progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership or influence roleKnowledge Skills and Ability RequirementsAbility to read and understand oral and written instructions and effectively communicate information Basic computer skills including openingreading email basic internet use Expert at managing Revenue Cycle workflow to assure optimum results Ability to influence and 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 ndash 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 worklife balance Every moment matters And this isyour moment
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