Revenue Cycle Client Management Consultant
3 weeks ago
At Houston Methodist, the Revenue Cycle Client Management Consultant position is responsible for serving as the internal revenue cycle management consultant for assigned clinic leadership. This position builds and maintains collaborative and productive relationships within the organization, coordinating revenue cycle projects, driving performance in operations related to revenue, and providing direction and oversight of processes impacting cash collections. Other responsibilities include analyzing and communicating revenue cycle performance and working with leadership to develop action plans for metrics not meeting established goals, coordinating efforts with clinic leadership to ensure all registration and financial tools are utilized effectively, and ensuring appropriate controls and tools are in place to monitor performance and compliance within regulatory requirements.
PEOPLE ESSENTIAL FUNCTIONS
Serves as the primary source of knowledge for department's revenue cycle performance.
Leads committees and task forces needed to support revenue cycle initiatives for assigned departments. Demonstrates the ability to plan, direct and delegate tasks while ensuring deadlines are met.
Bridges communication channels between the department, the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO)
SERVICE ESSENTIAL FUNCTIONS
Performs root cause analysis, identifies and assess trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals Works with the training department on necessary curriculum to improve deficiencies, and improves workflows that impact financial outcomes.
Monitors revenue cycle performance while adhering to compliance policies and procedures. Serves as department leadership's primary resource for revenue cycle-related questions or concerns
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Coordinates with PO CBO management team and SBO management team to ensure thorough understanding of trends/issues affecting the department's revenue cycle performance.
Tracks on-going performance of revenue cycle metrics and activities to ensure department, PO CBO and SBO needs and goals are met.
Leads monthly meetings with department administrators and physicians to review key metrics, trends, and performance improvement opportunities (e.g., staff training, physician coordination, policy/process revisions, etc.).
Develops goals to link department and revenue cycle initiatives with the organization's strategy.
FINANCE ESSENTIAL FUNCTIONS
Prepares timely reports on the financial status of each physician's practice monthly and meets with the department leadership, faculty and staff to review status.
Presents this data at monthly department revenue cycle meetings.
Coordinates with the assigned financial analyst to obtain accurate and timely month-end financial reports
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Develops, coordinates, and monitors successful completion of implementation plans.
Acts as a lead consultant/educator on performance improvement requirements in operations and methodologies to revenue cycle teams, medical staff, other patient care, physician and hospital departments.
Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall PO CBO success.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
EDUCATION
Bachelor's degree in business or healthcare
WORK EXPERIENCE
Five years of experience in medical billing and insurance collections
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