Revenue Operations Business Partner
Trinity Health
full-time
Posted on:
Location Type: Hybrid
Location: Columbus • Ohio • United States
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About the role
- Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing metrics regularly, assessing root cause analysis, and developing/implementing action plans.
- Reviews front-end denials (eligibility, registration, and authorizations) for each area and provides feedback to Directors, Practice Managers and Supervisors.
- Provides trended metrics to help identify areas that are performing well and areas that need further development/review.
- Oversees, assists, and manages Registration Charge Review and Claim Edit work queues.
- Reviews Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next.
- Develops and conducts general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions.
- Conducts quarterly quality assessment of registration accuracy performed by front-end users.
- Provides education and training to those not meeting best practice goals.
- Provides recommendations for communications and assists in completion of monthly newsletters informing practice colleagues and physicians of insurance policy and regulatory changes as well as changes in CPT, ICD-10 and HCPCS coding.
- Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.
Requirements
- Must possess a comprehensive knowledge of professional billing, as normally obtained through bachelor’s degree in Healthcare Administration, Business Management, Accounting or a related field, and/or 7 to 10 years of professional billing experience.
- MA, MGMA, AAPC or other healthcare certification preferred.
- Six Sigma or LEAN certification preferred.
- Experience/knowledge of electronic practice management systems.
- Previous leadership in a related area preferred.
Benefits
- Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
- Retirement savings account with employer match starting on day one.
- Generous paid time off programs.
- Employee recognition programs.
- Tuition/professional development reimbursement starting on day one.
- RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
- Relocation assistance (geographic and position restrictions apply).
- Employee Referral Rewards program.
- Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday.
- Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
professional billingroot cause analysismetrics reviewregistration accuracyCPT codingICD-10 codingHCPCS codingrevenue cycle performanceaction plans developmentquality assessment
Soft Skills
collaborationcommunicationtrainingleadershipfeedback provisioneducational session developmentrecommendation formulationperformance assessmentproblem-solvingorganizational skills
Certifications
MAMGMAAAPCSix SigmaLEANbachelor's degree in Healthcare Administrationbachelor's degree in Business Managementbachelor's degree in Accountinghealthcare certificationprofessional billing certification