at Rush University Medical Center in Chicago, Illinois, United States
Job Description
Job Description
Location: Chicago, IL
Hospital: RUSH University Medical Center
Department: Patient Financial Services
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM – 5:00:00 PM)
Summary:
The Manager, Extended Business Office and Workforce Alignment is responsible for oversight of workforce solutions that support billing and collection functions. This position will be responsible for monitoring staffing allocations to support insurance follow-up and collections, adjusting team assignments, coordinating the deployment of IS solutions to ensure revenue cycle performance indicators remain at or favorable to target. The Manager will evaluate EBO contracts, coordinate the request for proposal process, onboard EBO, and evaluate performance against contract terms. The Manager will work closely with EBO to ensure high performance and adherence to RUSH and Revenue Cycle Policies; as necessary, the Manager will identify areas of opportunity or risk to the organization and report to PFS management. The Manager will coordinate monthly performance meetings, compile metrics and lead discussions with EBO. The Manager will reconcile monthly invoices to ensure invoices are accurate prior to payment. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
- Bachelor’s degree in business, finance or related discipline required.
- At least five years of experience required in billing, collections, insurance, technology support, or customer service.
- Must have strong knowledge of revenue cycle business operations.
- Excellent verbal and written communication skills due to direct interaction with senior management.
- Strong time management and organizational skills with the ability to effectively multi-task and meet deadlines.
- Strong problem solving and financial analytical skills.
- High degree of accuracy for analyses and processes.
- Self-motivated.
- Must have a strong customer service focus.
- Ability to plan, coordinate and implement projects.
- Ability to interact professionally with all levels of employees
- Ability to work amongst diverse teams.
- Aptitude for improving professional knowledge and technical skills through development efforts.
- Must have a high level of integrity.
- Ability to observe payment trends, determine root cause of errors, identify possible solutions and suggest changes to workflows as needed.
- Ability to provide colleagues with necessary documentation and pertinent summaries regarding vendor performance, including productivity, quality audit results, expense analysis and cost reduction measures.
Preferred Job Qualifications:
- Professional certification (CPA, HFMA, Epic system or similar) preferred
- At least one year of leadership experience in a multi-facility, integrated health care delivery system or consulting experience
Physical Demands:
Competencies:
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Responsibilities:
- Manages performance of Extended Business Office (EBO) teams; coordinates distribution of work across internal and external teams; ensure staffing levels are adjusted to meet the needs of the department; monitors productivity performance to control labor costs.
- Manage inventory of accounts returned from EBO.
- Mentors staff and performs staff evaluations in accordance with Rush policy. Provides developments opportunities to staff.
- Supports strategic planning initiatives and participates in effective execution of planning relevant to functional area(s).
- Monitors functional area performance in connection with these metrics and Revenue Cycle overall performance, proactively identifying opportunities for improvement and communicating these opportunities with appropriate leadership/areas
- Develop working relationship with EBO to support PFS operational needs.
- Facilitate recurring/ad hoc meetings between Revenue Cycle leaders and EBO to focus on Operational Processes and Performance.
- Analyze, monitor and generate key metrics of EBO performance against targets (i.e. budget, forecast, strategic plan, etc.) Distribute performance reports to PFS leadership team. Identify risks, barriers and accomplishments.
- Accountable for EBO Performance outcomes; address shortfalls and opportunities with vendor when established metrics and goals are not achieved.
- Ensure EBO staffing levels are adequate to achieve expected outcomes.
- Ensure EBO is meeting terms of Contract / Statement of Work. Evaluate annual performance, make recommendations to AVP on modifying or terminating vendor contract during renewal periods.
- Conduct RFP evaluation for onboarding EBO solutions.
- Monitor EBO Work Queue (WQ) activity and the age of accounts in WQs; escalate accounts approaching timely filing or timely appeal.
- Reconcile EBO invoices to ensure fees are calculated correctly; dispute incorrect fees.
- Leverage technology to streamline and automate where possible and ensures that automated solutions and applications (Epic and non-Epic) support functional objectives to ensure EBO performance.
- Monitor reconciliation of data interfaces with vendor.
- Coordinate with IT to activate/deactivate user accounts with applicable RSH systems.
- Establish EBO Onboarding Program. Facilitate training and for Vendor on Rush Billing and Collection Policies and Procedures and tools, as applicable.
- Ensure EBO is adopting Rush System for Health policies and procedures according to organization’s standards and legal requirements.
- Work closely with EBO to ensure the quality and productivity of vendor staff performance meets established Rush policy.
- Ensures protection of private health and personal information, including credit card information. Adheres to all federal and state compliance regulations.
- Stays abreast of industry & regulatory changes impacting functional area and Revenue Cycle and identifies potential impact and required changes. Strives to promote best practices within functional area and within revenue cycle.
- Performs related duties as required
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Position Mgr Extended Business Office
Location US:IL:Chicago
Req ID 9844