Regional Revenue Manager / 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 SummaryThis position supports the Regional VPrsquos of Finance with accountability to develop strategies to monitor evaluate and maximize revenues across the assigned region Establishes continuous improvement processes to maximize technical resources enhance service delivery and standardize systems and services acting as the primary point of contact between serviceprogram 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 region by working with operational leaders of each service line to identify opportunities to minimize revenue ldquoleakagerdquo 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 Finance leadership 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 Regional programs and the various functional areas under Revenue Cycle including financial clearance benefit verification utilization management billingfollow 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 KPIrsquos in order to communicate back to leaders Supports HHC Revenue Cycle policies within the Regional network In coordination with Regional VP of Finance sets financial goals for the system Directly oversees business solutions team which services to monitor the revenue stream and support operational performance Position ResponsibilitiesKey Areas of ResponsibilityDevelops strategies to enhance and grow revenues of the region through revenue enhancement initiatives as well as by leading development of new revenue streams in collaboration with strategic partners and clinical operatorsDirects implementation of revenue improvement initiatives by managing business partners in collaboration with system support resources dedicated to specific projects as approved by the Cabinet under the direction of the VP FinanceDirects the Business Solution team in the execution of revenue analysis process improvement and business developmentProvides revenue expertise in the development of strategic planning initiativesMaintains active membership on Steering Committees bringing expert knowledge of services revenue cycle processes and clinical practice management to the groupDirects onboarding steering and implementation of SBAR initiatives as they relate to revenue optimizationMaintains 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 network servicesDevelops and implements department budget that demonstrate efficiency and prudent utilization of resourcesEstablishes 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 successConducts patient registration reviews for accuracy and timeliness Collaborates with the Management Team to optimize pre registration insurance verification and financial counseling at scheduling registration and at dischargeSupports HIM to ensure 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 patientrsquos records following prescribed policies and procedures to protect the privacy of the patient and meet Federal and State regulationWorks 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 standardsSupports leaders in empowering staff to continuously develop performance improvement processes input in daily operations and projects to improve all Revenue Cycle functions Assists staff in developing new skills and applying them to the work placeWorks 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 Working RelationshipsThis Job Reports To Senior Director Revenue CycleJob Titles of HHC positions reporting to this Job Individual Contributor roleWork 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 SummaryThis position supports the Regional VPrsquos of Finance with accountability to develop strategies to monitor evaluate and maximize revenues across the assigned region Establishes continuous improvement processes to maximize technical resources enhance service delivery and standardize systems and services acting as the primary point of contact between serviceprogram 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 region by working with operational leaders of each service line to identify opportunities to minimize revenue ldquoleakagerdquo 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 Finance leadership 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 Regional programs and the various functional areas under Revenue Cycle including financial clearance benefit verification utilization management billingfollow 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 KPIrsquos in order to communicate back to leaders Supports HHC Revenue Cycle policies within the Regional network In coordination with Regional VP of Finance sets financial goals for the system Directly oversees business solutions team which services to monitor the revenue stream and support operational performance Position ResponsibilitiesKey Areas of ResponsibilityDevelops strategies to enhance and grow revenues of the region through revenue enhancement initiatives as well as by leading development of new revenue streams in collaboration with strategic partners and clinical operatorsDirects implementation of revenue improvement initiatives by managing business partners in collaboration with system support resources dedicated to specific projects as approved by the Cabinet under the direction of the VP FinanceDirects the Business Solution team in the execution of revenue analysis process improvement and business developmentProvides revenue expertise in the development of strategic planning initiativesMaintains active membership on Steering Committees bringing expert knowledge of services revenue cycle processes and clinical practice management to the groupDirects onboarding steering and implementation of SBAR initiatives as they relate to revenue optimizationMaintains 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 network servicesDevelops and implements department budget that demonstrate efficiency and prudent utilization of resourcesEstablishes 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 successConducts patient registration reviews for accuracy and timeliness Collaborates with the Management Team to optimize pre registration insurance verification and financial counseling at scheduling registration and at dischargeSupports HIM to ensure 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 patientrsquos records following prescribed policies and procedures to protect the privacy of the patient and meet Federal and State regulationWorks 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 standardsSupports leaders in empowering staff to continuously develop performance improvement processes input in daily operations and projects to improve all Revenue Cycle functions Assists staff in developing new skills and applying them to the work placeWorks 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 Working RelationshipsThis Job Reports To Senior Director Revenue CycleJob Titles of HHC positions reporting to this Job Individual Contributor roleEducationmiddot Bachelorrsquos 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 rolemiddot Preferred Five to yearsrsquo progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership roleKnowledge Skills and Ability Requirementsmiddot 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 AR and financial reporting practicesmiddot Ability to read and understand oral and written instructions and effectively communicate informationmiddot Basic computer skills including openingreading email basic internet usemiddot Expert at managing Revenue Cycle workflow to assure optimum resultsmiddot 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 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 Bachelorrsquos 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 rolemiddot Preferred Five to yearsrsquo progressive experience in Healthcare Management in a Revenue Cycle or Financial leadership roleKnowledge Skills and Ability Requirementsmiddot 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 AR and financial reporting practicesmiddot Ability to read and understand oral and written instructions and effectively communicate informationmiddot Basic computer skills including openingreading email basic internet usemiddot Expert at managing Revenue Cycle workflow to assure optimum resultsmiddot 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 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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