Manager Revenue Optimization

POSITION SUMMARY:

The Manager Revenue Optimization is responsible for supporting BMC Health (Community Physician Organization) on ensuring that revenue at the practices is maximized through all essential front end, patient facing activities (i.e., registration, insurance verification, collections, and charge capture). The Manager Revenue Optimization is also responsible for identifying, scoping, and implementing revenue generating initiatives which include workflow development, analyzing data, and report-out of performance metrics. This role is responsible for building a team of analysts and overseeing performance management of their team.

Position: Manager Revenue Optimization

Department: Finance Operations

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Leadership Impact and Problem Solving:* Support the Director of Revenue Optimization as a liaison between Specialty practice operations, clinical teams, and Revenue Cycle Management (RCM) for consultation on front end charging workflows, collections, and new business lines.

• Serve as a subject matter expert on patient facing workflows that impact revenue performance, such as registration, payer guidance on scheduling, insurance verification, check-in efficiencies, and make recommendations around workflow development, best practice, and standard work.
  
• Collaborate with practice operations and clinical leadership to identify, prioritize, and implement charge capture and revenue generating projects.
  
• Align revenue goals and activities with BMC Health leadership and RCM to present a unified and supportive team to the Specialty practices.
  
• Directly supervise a team of analysts and provide performance management, coaching, and mentorship.
  

Operational Performance:* Leads project management, design, and implementation of new revenue generating initiatives.

• Monitors performance of various revenue projects through observations, charge audits, data analysis and operational reporting to achieve and sustain operational goals.
  
• Assist in development of best practice and standard work for front end practice staff and clinicians.
  
• Implement mechanisms to ensure charges are reconciled for each Specialty practice. Raise enhancement requests, where possible, to automate charge capture in EPIC.
  
• Along with Coding and Compliance teams, organize or conduct charge capture training, as needed, and communicate broadly when a new service or coding opportunity arises.
  
• Maintenance of No Surprise Billing (NSB) and self-pay collections workflows and guides, where applicable.
  
• Partner with training teams to ensure front end staff have the necessary tools and tipsheets to adequately perform their revenue cycle duties. Provide in-service sessions with practice staff, as needed.
  
• Collaborate with other RCM teams across the enterprise, such as Financial Clearance and Patient Financial Experience, to secure revenue for ambulatory services.
  

Financial Performance:* Oversee the process of collecting and organizing analytical data related to BMC Health’s revenue opportunities.

• Provide oversight on report distribution, track progress on revenue optimization projects, and report out of metrics to BMC Health leadership. (i.e. copay collections, open encounters, etc.)
  

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

REQUIRED EDUCATION AND EXPERIENCE:* Bachelor’s degree, in Finance, Healthcare, or Business-related field; and at least 5-7 years of related health care business experience, with an emphasis on revenue cycle, practice operations, reimbursement, customer service, and financial analysis; or equivalent combination of education and experience required.

PREFERRED EDUCATION AND EXPERIENCE:* Master's degree

• EPIC experience
  

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:* N/A

CERTIFICATES, LICENSES, REGISTRATIONS PREFERRED:* N/A

KNOWLEDGE, SKILLS & ABILITIES (KSAs):* Proficiency in Microsoft Office suite (Excel, Word, Access, Outlook) required.

• Effective written and verbal communication skills, as well as training and facilitation skills. Ability to effectively and confidently present ideas and information to a variety of audiences and to all levels of management.
  
• Strong people skills required; ability to listen effectively with discernment and understanding required.
  
• Excellent problem solving and decision-making skills required.
  
• Proven ability to work with minimal direction, exercise good judgment, and achieve results
  
• Outstanding ability to identify, prioritize and resolve critical issues efficiently and effectively.
  
• Strong customer service skills.
  
• Ability to develop and achieve goals and deadlines.
  
• Ability to manage multiple priorities and succeed in a fast-paced, rapidly changing environment.
  
• Understanding of CPT codes, ICD-10, and reimbursement of services preferred.
  

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