Revenue Cycle Specialist Job at Coronis Health
Manager, Revenue Cycle Client OperationsWorking under the general direction of the Director, Revenue Cycle Operations, the Client Operations Manager serves as the primary contact between designated healthcare clients and the Coronis Health team in all aspects relating to Revenue Cycle process management. The position requires a self-starting, independent person with good client relationship skills who can effectively work and communicate closely with assigned healthcare client administration/ leadership, Sr. Revenue Cycle Manager, and Coronis team. This role requires active participation with healthcare clients, acting as the active liaison able to proactively manage client accounts.
This position requires a thorough understanding of billing practices of all processes that encompass the full revenue cycle spectrum. This includes experience with insurance billing, denials management, account resolution including a good understanding of DRGs. The ideal candidate would also have some knowledge of EMR systems, clinical documentation, coding, compliance, auditing, analytics, patient access, and health information management. This includes a thorough understanding of systems, processes, and services specific to coding and billing requirements and would be responsible for proactively identifying opportunities for revenue cycle improvement opportunities.
This position takes an active part in developing and executing identified opportunities/issues and providing healthcare clients with the status and analysis of standard operational, financial, billing and budget statistics.PRINCIPAL DUTIES AND RESPONSIBILITIES: Establishes and manages effective ongoing communication with assigned healthcare clients to identify and address business needs; provides guidance and timely responses to customer service questions and requests; conducts regular meetings with client?s administrative staff and Coronis team. Communicates with practice(s) within the framework of the Revenue Cycle. Provides analysis and context for monthly performance data. This includes projections and comparison to budget figures.Effectively manages healthcare client?s expectations regarding financial performance.
Maintains ongoing issues and priority list for healthcare clients. Completes analysis of issues for action, presents this information and implements or supervises action plans. Prioritizes initiatives with healthcare clients or Administrative leadership on key performance issues. Proactively identifies sources of billing/denial issues and communicates these to the appropriate parties.Assists healthcare clients with statistical analysis.
Consults with healthcare client?s and Coronis team to identify issues and trends that contribute to variances in expected performance. Makes recommendations to address targeted issues.Provides Client Team with statistical reports including but not limited to: total encounters and charge reconciliationsprofessional billing related editsservice to post-date lag timecharges held due to provider credentialingresolution of account credits and prepaymentsnumber of outstanding provider applicationsmonthly write-offs/adjustmentspayer rejections and claim denialsUnderstands the implication of each element in the hospital revenue cycle (including CAH) and communicates this to represented client and Coronis teams to encourage a resolve response. Provides interpretation and assists in the development of interventions and the appropriate actions response.Focuses client and Coronis teams on issues that will positively impact financial performance. Provides updates on global issues regarding coding and reimbursement practice(s).
Assesses impact of new regulations or codes from a coding, compliance and reimbursement perspective. Develops expertise for assigned healthcare client(s). Ensures that all implementation tasks are completed accurately and in a timely fashion. Does periodic quality assurance checks to ensure that process is running as expectedEstablishes and develops collaborative relationships with internal staff.
Works with healthcare clients to modify procedures and update information (i.e. updates practice level pick lists, billing instructions). Shares information with client staff to enhance departmental efficiency/performance (i.e. notifies of audit and compliance risks, identifies issues through rejection or receivable analysis.)Represents functional areas within client?s system as a collaborative area with Coronis billing team.
When requesting specific assistance from a functional area, provides detailed summary of request, with supportive data. Upon identification of issues, researches issue to determine whether it is an isolated instance or a trend and follows up with the appropriate client administration and Coronis team to facilitate communication to all parties within the functional group.Develops standardized approaches for operational issues, reporting, and analysis and quality management. Reviews key measures on a regular basis and develops new measures as needed. Develops expertise in querying system for data and reports.
Works closely on interface and system issues as required to improve flow of data.Monitors practice activity utilizing dashboard and workbench reports as available. Ensures that charge and account receivables processing meet established service standards and works with Billing Team to efficiently resolve self- pay issues and patient billing concerns.Attends all department and assigned client meetings as required.Works collaboratively with Patient Financial Services, Registration, Authorizations, Coding, Payer Relations and their counterparts on the Client?s Hospital Revenue Integrity Team to insure efficient processing and follow up on all professional revenue.Performs other responsibilities that may be assigned by directors from time to time.QualificationsQUALIFICATIONS: Bachelor?s Degree strongly preferred or equivalent experience required3-5 years? experience in a professional healthcare setting required; facility experience preferredProficiency in Microsoft Office suite (Excel, Word, Access, Outlook) required, EPIC, Meditech, Cerner, CPSI, Cognos, etc. preferredAbility to learn and assimilate electronic systemsSKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Understanding of healthcare billing, finance and accounting principalsStrong understanding of the full-spectrum Revenue Cycle and AR aging processesMotivated to achieve Service ExcellenceAbility to successfully manage numerous tasks simultaneouslyRequires excellent oral and written communications skillsAbility to present to multiple levels of staff from VPs, Administration, Managers, Providers, Billing Managers, etc.Define problems, collect data, establish facts and draw valid conclusionsAbility to conduct training sessionsProficiency in Microsoft Office suite (Excel, Word, Access, and Outlook) requiredWORKING CONDITIONS: The hours are usually Monday through Friday 8:00 AM to 4:30 PM but vary according to the demands on this exempt salaried positionThe work environment is very busy and dynamicSelf-motivated individualStaff is very collaborative and work together to solve issues with particular practice issuesThere are often multiple conversations occurring at the same time ?
the staff needs to be able to handle an environment that is not quietSUPERVISORY RESPONSIBILITY: The Client Operations Manager has no direct reportsFISCAL RESPONSIBILITY: The fiscal responsibility varies based on the healthcare practice client assignmentTRAVEL REQUIREMENTS: Occasional travel maybe requiredPrimary LocationSalt Lake City, Ut or RemoteWork Locations6995 Union Park Center, Cottonwood Heights, UT 84047 or RemoteJobRevenue Cycle; BillingOrganizationCoronis Health, LLCScheduleFull-timeStandard Hours = 40ShiftDay Job
Please Note :
www.bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
This position requires a thorough understanding of billing practices of all processes that encompass the full revenue cycle spectrum. This includes experience with insurance billing, denials management, account resolution including a good understanding of DRGs. The ideal candidate would also have some knowledge of EMR systems, clinical documentation, coding, compliance, auditing, analytics, patient access, and health information management. This includes a thorough understanding of systems, processes, and services specific to coding and billing requirements and would be responsible for proactively identifying opportunities for revenue cycle improvement opportunities.
This position takes an active part in developing and executing identified opportunities/issues and providing healthcare clients with the status and analysis of standard operational, financial, billing and budget statistics.PRINCIPAL DUTIES AND RESPONSIBILITIES: Establishes and manages effective ongoing communication with assigned healthcare clients to identify and address business needs; provides guidance and timely responses to customer service questions and requests; conducts regular meetings with client?s administrative staff and Coronis team. Communicates with practice(s) within the framework of the Revenue Cycle. Provides analysis and context for monthly performance data. This includes projections and comparison to budget figures.Effectively manages healthcare client?s expectations regarding financial performance.
Maintains ongoing issues and priority list for healthcare clients. Completes analysis of issues for action, presents this information and implements or supervises action plans. Prioritizes initiatives with healthcare clients or Administrative leadership on key performance issues. Proactively identifies sources of billing/denial issues and communicates these to the appropriate parties.Assists healthcare clients with statistical analysis.
Consults with healthcare client?s and Coronis team to identify issues and trends that contribute to variances in expected performance. Makes recommendations to address targeted issues.Provides Client Team with statistical reports including but not limited to: total encounters and charge reconciliationsprofessional billing related editsservice to post-date lag timecharges held due to provider credentialingresolution of account credits and prepaymentsnumber of outstanding provider applicationsmonthly write-offs/adjustmentspayer rejections and claim denialsUnderstands the implication of each element in the hospital revenue cycle (including CAH) and communicates this to represented client and Coronis teams to encourage a resolve response. Provides interpretation and assists in the development of interventions and the appropriate actions response.Focuses client and Coronis teams on issues that will positively impact financial performance. Provides updates on global issues regarding coding and reimbursement practice(s).
Assesses impact of new regulations or codes from a coding, compliance and reimbursement perspective. Develops expertise for assigned healthcare client(s). Ensures that all implementation tasks are completed accurately and in a timely fashion. Does periodic quality assurance checks to ensure that process is running as expectedEstablishes and develops collaborative relationships with internal staff.
Works with healthcare clients to modify procedures and update information (i.e. updates practice level pick lists, billing instructions). Shares information with client staff to enhance departmental efficiency/performance (i.e. notifies of audit and compliance risks, identifies issues through rejection or receivable analysis.)Represents functional areas within client?s system as a collaborative area with Coronis billing team.
When requesting specific assistance from a functional area, provides detailed summary of request, with supportive data. Upon identification of issues, researches issue to determine whether it is an isolated instance or a trend and follows up with the appropriate client administration and Coronis team to facilitate communication to all parties within the functional group.Develops standardized approaches for operational issues, reporting, and analysis and quality management. Reviews key measures on a regular basis and develops new measures as needed. Develops expertise in querying system for data and reports.
Works closely on interface and system issues as required to improve flow of data.Monitors practice activity utilizing dashboard and workbench reports as available. Ensures that charge and account receivables processing meet established service standards and works with Billing Team to efficiently resolve self- pay issues and patient billing concerns.Attends all department and assigned client meetings as required.Works collaboratively with Patient Financial Services, Registration, Authorizations, Coding, Payer Relations and their counterparts on the Client?s Hospital Revenue Integrity Team to insure efficient processing and follow up on all professional revenue.Performs other responsibilities that may be assigned by directors from time to time.QualificationsQUALIFICATIONS: Bachelor?s Degree strongly preferred or equivalent experience required3-5 years? experience in a professional healthcare setting required; facility experience preferredProficiency in Microsoft Office suite (Excel, Word, Access, Outlook) required, EPIC, Meditech, Cerner, CPSI, Cognos, etc. preferredAbility to learn and assimilate electronic systemsSKILLS/ ABILITIES/ COMPETENCIES REQUIRED: Understanding of healthcare billing, finance and accounting principalsStrong understanding of the full-spectrum Revenue Cycle and AR aging processesMotivated to achieve Service ExcellenceAbility to successfully manage numerous tasks simultaneouslyRequires excellent oral and written communications skillsAbility to present to multiple levels of staff from VPs, Administration, Managers, Providers, Billing Managers, etc.Define problems, collect data, establish facts and draw valid conclusionsAbility to conduct training sessionsProficiency in Microsoft Office suite (Excel, Word, Access, and Outlook) requiredWORKING CONDITIONS: The hours are usually Monday through Friday 8:00 AM to 4:30 PM but vary according to the demands on this exempt salaried positionThe work environment is very busy and dynamicSelf-motivated individualStaff is very collaborative and work together to solve issues with particular practice issuesThere are often multiple conversations occurring at the same time ?
the staff needs to be able to handle an environment that is not quietSUPERVISORY RESPONSIBILITY: The Client Operations Manager has no direct reportsFISCAL RESPONSIBILITY: The fiscal responsibility varies based on the healthcare practice client assignmentTRAVEL REQUIREMENTS: Occasional travel maybe requiredPrimary LocationSalt Lake City, Ut or RemoteWork Locations6995 Union Park Center, Cottonwood Heights, UT 84047 or RemoteJobRevenue Cycle; BillingOrganizationCoronis Health, LLCScheduleFull-timeStandard Hours = 40ShiftDay Job
Please Note :
www.bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.