Senior Manager Revenue Cycle Management

2 months ago

Saint Paul, Minnesota, United States Hillrom Full time

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.

Baxter's products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.

Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work.

Join us at the intersection of saving and sustaining lives- where your purpose accelerates our mission.

Your Role at Baxter

THIS IS WHERE you build trust to achieve results

The Senior Manager Revenue Cycle Management is responsible for leading the Reimbursement Services and Clinical Appeal teams for the Respiratory Health home care portfolio. This team is responsible for benefit verification, medical documentation collection and review, prior authorization and reauthorization submissions, authorization appeals, special orders handling, payer letter of agreement payment negotiations, and processing payer decisions.

What You'll Be Doing:

  • Oversee a staff of 45+ including leaders (exempt) and individual contributors (non-exempt)
  • Establish and manage team to execute departmental standard operating procedures, standard of work, and service level agreements
  • Monitor daily, weekly, monthly, and quarterly KPI's/metrics and productivity and adjust as necessary to meet business goals and objectives
  • Manage escalation process to identify trends and aid in driving resolution to process, team member, or payer challenges for escalated issues
  • Collaborate cross-functionally to lead denial management program to identify opportunities to improve payer outcomes and maximize reimbursement coverage for patients
  • Ensure team's understanding and adherence to all polices for Baxter and third-party payers to achieve the highest standards of quality and compliance
  • Collaborate with cross-functional stakeholders including sales team and other internal teams to drive continuous improvement and meet business goals and objectives
  • Identify and implement technology enhancements to improve department efficiencies
  • Partner with Business Improvement to design, validate, and maintain metric and reporting tools and dashboards
  • Lead the team in a superior internal and external customer experience by leveraging ability to discuss payer policies, coverage criteria, benefit details, potential costs, or any other pertinent product information
  • Recruit, hire, and train staff including on-going performance evaluation, feedback, and accountability to established standards
  • Coach, mentor, and develop staff to develop and retain the highest level of talent
  • Maintain daily, positive communication with team members, sales organization, and other departments to foster a collaborative and inclusive culture
  • Actively seek additional industry experience and knowledge to stay up to date with the ever-evolving DME landscape to gain expertise

What You'll Bring:

  • BS/BA degree, BS/BA degree required
  • 5+ years of experience in Revenue Cycle Management, preferably with a DME supplier
  • 3+ years of leadership/management experience required
  • Knowledge of federal, state, and local regulations, guidelines, and standards, including a working knowledge of Compliance and HIPAA rules and regulations
  • Knowledge of Third-Party Payer rules and requirements
  • Basic understanding of other revenue cycle functions including coding, billing, and collections
  • Proficiency in Microsoft Office Software, Excel and Power BI preferred
  • Proficiency in Third-Party billing system, TIMS preferred
  • Exceptional written, verbal and interpersonal communication and presentation skills
  • Detail oriented
  • Proven change management and strong management skills
  • Strong organizational abilities
  • Collaboration skills working with a cross-functional team members

#LI-DF1

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.

We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $112,000 to $154,000 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based upon location, skills and expertise, experience, and other relevant factors. This position may also be eligible for discretionary bonuses. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.

Equal Employment Opportunity

Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.

EEO is the Law
EEO is the law - Poster Supplement
Pay Transparency Policy

Reasonable Accommodations

Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.

Recruitment Fraud Notice

Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.

142209

Hillrom is an equal employment employer F/M/Disability/Vet/Sexual Orientation/Gender Identity. Please click To view the EEO is the Law poster.

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