Hybrid Revenue Operations Business Partner

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About the role

  • Business Partner at Trinity Health improving revenue cycle performance through metrics review and analysis. Collaborating with front office and billing colleagues to enhance operational efficiency.

Responsibilities

  • 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.

Job title

Revenue Operations Business Partner

Job type

Experience level

SeniorLead

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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