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POSITION SUMMARY
This position is responsible for performing revenue cycle, training and auditing functions for all patient, client, and third-party billing and operations while supporting the department key performance indicators and the company’s mission and goals.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

CORE FUNCTIONS
1. Reviews processes to ensure adherence to departmental policies, SOPs, regulatory, and payor requirements. Responsible for creation of departmental SOPs, based on training and audit findings, as well as annual and ad hoc review.

2. Performs quality audits, maintains audit completion standards, tracks and analyzes quality and production performance. Prepares and distributes performance reports and documents findings. Develops action plans, coaching recommendations, and re-education strategies to improve accuracy and efficiency.

3. Designs, maintains, and implements structured, compliant and competency-based training programs. Updates training materials (i.e. job aids) and SOPs as needed based on system changes and audit and performance trends. Delivers training through classroom, virtual, and alternative formats for new hires and existing staff. Demonstrates the ability to effectively teach with different learning, communication and work styles.

4. Partners with leaders and cross-departmental teams to identify root causes of errors, recommend workflow improvements, and implement efficiencies that reduce rework and increase accuracy. Serves as a subject matter expert and resource for revenue cycle workflows, payer requirements, regulatory standards, billing practices, and system functionality.

5. Completes and oversees administrative and operational tasks that support department functions, including but not limited to; escalations, documentation, account review and reconciliation, reporting, ad hoc projects and other assigned tasks.

6. Demonstrates a high level of critical thinking, innovation, and the ability to adapt to and lead change. Provides exceptional internal and external customer service by taking ownership of issues, resolving concerns promptly and communicating clearly and concisely. Maintains professional and supportive relationships across the organization.

NOTE: The core functions are intended to describe the general content and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by leadership.

KNOWLEDGE, SKILLS AND ABILITIES

• Ability to clearly and efficiently communicate complex issues using strong verbal and written aptitude.
• Working knowledge of billing, insurance, computer systems, and medical billing processes.
• Excellent mathematical and probability skills
• Ability to prioritize and complete multiple tasks
• Ability to work independently and accurately with high volumes of data and minimal supervision.
• Exceptional ability to delegate work and provide constructive feedback and guidance to employees.
• Intermediate working knowledge of Microsoft Office Suite with an emphasis on excel
• Excellent communication, comprehension, and organizational skills
• Exceptional ability to provide constructive feedback and guidance to employees
• Ability to train multiple employees with different skill levels and knowledge

MINIMUM QUALIFICATIONS

• High school diploma or equivalent.
• Three (3) years experience in a healthcare revenue cycle setting or trainer role.
• Internal employees must have obtained and continue to maintain the Quest ICD10 certification and external candidates must obtain within 6 months of start date and maintain.

PREFERRED QUALIFICATIONS

• Additional related education and/or experience.

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Our organization supports a drug-free work environment.

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