Ann & Robert H. Lurie Children's Hospital of Chicago

Manager

• Provides leadership and direction to the revenue cycle department
• Ensure all hospital accounts are billed as cleanly as possible
• Ensures all claim edits, Discharge Not Billed (DNB)s and Stop Bills are worked timely
• Identifies trends with payer rejections and works to understand root cause
• Ensures department productivity and monitoring of work queues
• Identifies training gaps and provides coaching to staff
• Continuously collaborates with other leaders and vendors on workflow improvements
• Reporting to the Director, the Manager, Revenue Cycle serves as a liaison to payors, revenue cycle staff and hospital clinical departments by ensuring effective communication between all parties
• Establishes and maintains high standards for quality of care, & patient safety
• Takes initiative to improve both processes and outcomes, incorporating best practices, and innovations in professional field
• Ensures compliance with Lurie Children’s policies and all accreditation & regulatory bodies and their standards
• Compellingly communicates to staff the critical role they play in achieving Lurie Children’s mission and strategic goals
• Facilitates organizational change initiatives; leads and supports staff in adapting to a rapidly changing health care environment
• Facilitates development and achievement of professional & personal goals for self and staff
• Effectively recruits, orients, develop & retains a talented and diverse workforce
• Strengthens our brand as a top tier provider and employer by establishing and maintaining high standards for excellence
• Models our values of service, innovation and teamwork. Holds others accountable for living these values
• Fulfills the Employee Promise by fostering a challenging & compassionate work environment, recognizing strong performance, and listening and acting on feedback
• Consistently models our Service Principles in internal and external interactions and ensures that the Service Principles are fulfilled by others
• Ensures employees receive information needed to perform jobs including feedback to enhance performance and customer satisfaction
• Proactively addresses performance issues when indicated and administers policies, decisions, & disciplinary actions with consistency
• Aligns department goals and manages department resources and budgets to meet Lurie Children’s strategic objectives
• Helps others understand the drivers of financial success for department and Lurie Children’s
• Ensures registrations are completed within designated period
• Coordinates the daily activities of the department
• Maintains a high degree of awareness and knowledge of the hospital’s programs, services and staff
• Maintains current knowledge of payer requirements
• Coordinates registration, insurance eligibility, pre-certification and financial counseling for all inpatients, observations, outpatient surgeries and emergency room admissions
• Collaborates with other departments to assure registrations are completed prior to visit
• Collaborates with Medicaid Liaison that all Medicaid applications are referred appropriately and followed up adequately
• Develops and maintains quality indicators
• Develops and implements procedures that meet hospital guidelines and department workload requirements
• Collaborates with Patient Financial Services and Managed Care to address changes in payor requirements
• Collaborates with Case Management to address patient status changes and assist with managed care denials
• Provides direct supervision to leads, registration teams and business office staff to maintain expected level of department productivity
• Monitors service quality
• Services as a resource person and role for Leads and role model for the registration and business office staff
• Handles situations requiring leadership intervention
• Audits and analyses department data
• Reviews work queues and various reports to ensure accuracy and monitor patient volume
• Recognizes and reports variance of workflow activity and daily operations
• Interviews and selects prospective employees
• Conducts annual performance appraisals and promotes staff development
• Coordinates orientation and training of all staff
• Monitors department scheduling and adjusts as appropriate
• Provides input developing department budget
• Monitors budget, reports and justifies variance
• Participates in peer review activities as assigned.

Manager, Hospital Billing

Security Engineer

• Responsible for ongoing technical and functional support of IAM systems, including the use of appropriate utilities and tools for IAM application health monitoring
• Monitors the system's interfaces/connectors to insure they are always functioning
• Coordinates with IT on issues requiring technical or interface support
• Lead the collection and analysis of business and technical requirements to develop medical center IAM processes and procedures
• Responsible for assuring system upgrades and patches as needed
• All software must be maintained on current, supported versions
• Monitors, tracks, and records system performance and utilization metrics
• Document and thoroughly understand IAM applications architecture, system configuration across platforms, and interface with various systems, and use this knowledge effectively to resolve potential issues
• Effectively communicate highly technical information to both technical and non-technical personnel
• Work with enterprise architecture, information management, technical delivery, and applications teams to ensure that there is a convergence of business, technical and security requirements for IAM solutions design and service delivery
• Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers, and others
• Other duties as assigned

Manager, Hospital Billing

Cybersecurity IAM Engineer