This role will manage Revenue Cycle personnel and processes across Patient Access and Customer Service to maximize productivity, accuracy, revenue collections, and customer satisfaction. Leverage AI and automation to streamline workflows, develop SOPs supporting best practices, build and employ daily analytics for proactive management, harness healthcare technology to achieve business goals, and foster a team culture built on positivity, accountability, collaboration, and mutual respect, with a commitment to celebrating wins.
- Work closely with leadership on all Revenue Cycle initiatives and apprise of any major issue which may affect service, productivity, or revenue.
- Hire, train, support, monitor, coach, and evaluate Revenue Cycle personnel, focusing on maximized output/accuracy, prompt issue resolution, goal achievement, collaboration, and positive team culture.
- Maintain and develop SOP’s and reference/training manuals as needed to support best practices and peak performance.
- Utilize KPI’s and analytics daily to proactively manage individual and team performance and identify areas for improvement.
- Serve as Subject Matter Expert and assist Revenue Cycle, corporate, clinical staff and leadership with questions and concerns that may arise.
- Act as escalation point for internal and customer complaints, resolving problems quickly and completely, with an eye towards process improvement.
- Develop strong relationships with technology partners and outsourced vendors, employing their offerings in optimal and cost-effective ways.
- Leverage AI and automation to maximize efficiency and productivity.
- Acts as administrator for RCM software, payer portals, and applications.
- Manage staff and processes to maximize efficiency and accuracy of patient profile setup, insurance eligibility, benefit verification, submission of prior authorizations, and provider referral requests, also minimizing related write offs due to errors.
- Maintain knowledge of pertinent payer guidelines and legislative changes to proactively oversee and implement necessary processes updates, to avoid unnecessary patient access delays and service issues.
- Analyze and address root cause of all write offs related to patient access and customer service issues, providing education and feedback as necessary to minimize those amounts.
- Responsible for ensuring all patient payments are identified and posted accurately and timely into the patient accounting system.
- Maintain the accuracy and consistency of patient statements, concentrating on a broadly electronic delivery system for all bills.
- Manage the patient copay, payment plan, automated credit card, and patient overpayments processes.
- Oversee the successful collections and bad debt write off of outstanding patient balances, maximizing receipts and minimizing days in AR.
- Monitor Call Tower metrics to ensure all customer service deliverables are being met and patient satisfaction is maximized.
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