Manager of Front-End Revenue Cycle Training
1 week ago
Purpose of the Role: This position is responsible for ensuring adherence to all policies, processes, and procedures related to the front-end revenue cycle. The Front-End Revenue Cycle Training Manager possesses a robust background in revenue cycle management, especially in front-end operations, along with outstanding training and leadership skills. This role involves reviewing systems and processes to pinpoint potential compliance issues and collaborating with relevant departments to rectify such issues. It is crucial for maintaining the efficiency and accuracy of revenue cycle operations through thorough training and auditing programs.
Core Values:
- Recognize and affirm the unique and intrinsic worth of each individual.
- Treat all those we serve with compassion and kindness.
- Act with absolute honesty, integrity, and fairness in all business conduct.
- Trust colleagues as valuable members of our healthcare team, pledging to treat one another with loyalty, respect, and dignity.
Key Responsibilities:
- Promote and uphold the mission and values of CAN Community Health Inc, adhering to its policies and procedures.
- Ensure confidentiality is maintained by the entire team regarding patient/client information in compliance with HIPAA and professional standards.
Main Duties:
- Design and implement training programs for front-end revenue cycle processes, encompassing patient registration, insurance verification, eligibility checks, and prior authorizations.
- Evaluate training needs and develop tailored training materials and resources for various roles within the revenue cycle team.
- Conduct regular training sessions for new hires and ongoing training for existing staff to ensure compliance with industry regulations and best practices.
- Collaborate with revenue cycle leadership to identify areas for process enhancement and create training initiatives to address gaps.
- Utilize auditing processes to monitor trainee performance, providing constructive feedback and coaching to foster skill development and performance improvement.
- Stay informed on changes in healthcare regulations, payer requirements, and revenue cycle technology to integrate relevant updates into training programs.
- Maintain comprehensive training documentation and records, including schedules, attendance, and performance evaluations.
- Monitor benchmarks and KPIs, utilizing actionable data for continuous improvement.
- Serve as a subject matter expert on front-end revenue cycle processes, offering guidance and support to staff as needed.
- Encourage a culture of continuous learning and development within the revenue cycle team.
- Work collaboratively with cross-functional teams, including EMR, finance, and clinical/medical/operations departments, to ensure alignment and integration of front-end revenue cycle processes with organizational objectives.
Additional Responsibilities:
- Demonstrate integrity and commitment to the mission and values of the organization.
- Communicate effectively and collaborate with other departments to implement best practices while ensuring compliance with billing guidelines.
- Develop and manage strategies for revenue process improvement in support of clinical departments and process initiatives.
- Oversee system edits to ensure compliance, payment optimization, and process efficiency.
- Effectively communicate with senior RCM leadership regarding compliance concerns, performance issues, and improvement strategies.
- Lead projects efficiently, providing project plans and status updates.
- Conduct site visits as necessary.
Physical Requirements:
- Requires frequent bending, stooping, and standing, along with visual and auditory acuity, and the ability to sit and walk for extended periods.
Educational and Professional Qualifications:
- Bachelor's degree in healthcare, business, finance, or over 5 years of equivalent healthcare experience.
- Three or more years of management experience in a healthcare setting.
Competencies:
- Leadership
- Strategic Thinking
- Problem Solving
- Results Orientation
- Effective Training Skills
- Strong Communication
- Interpersonal Skills
- Decision Making
- Customer Service Orientation
Required Knowledge, Skills, and Abilities:
- Ability to work independently with minimal supervision.
- Strong coaching and development skills, with the capacity to organize activities for a productive team and lead effectively with time and project management skills.
- Demonstrated leadership abilities, including the capacity to inspire and empower team members to achieve performance goals, while improving front-end revenue cycle practices.
- Ability to adapt to changing priorities and manage multiple projects in a fast-paced environment.
- Proven experience in designing and delivering effective training programs in a healthcare or revenue cycle context.
- Ability to conduct research using primary sources when appropriate, such as CMS, HRSA, AHCA, Availity, and Payer Portals.
- Experience working with medical payers, including Medicare, Medicaid, and commercial third-party administrators.
- Exceptional attention to detail and accuracy.
- Strong problem-solving skills, with the ability to research complex information, create insights, communicate recommendations, and implement appropriate solutions.
- Thorough understanding of healthcare billing and reimbursement practices, including knowledge of payer guidelines and regulatory requirements.
- Excellent communication and interpersonal skills, with the ability to engage and motivate staff at all levels of the organization.
- Proficient in Microsoft Office applications (Excel, Visio, Word, PowerPoint).
- Promotes teamwork, productivity, and the delivery of high-quality care.
- Comfortable working in a diverse environment with shifting priorities.
Required Trainings:
General Orientation, Violence in the Workplace, HIPAA, Sexual Harassment, HIV/AIDS, and Health Stream Courses as assigned.
Work Environment:
This position operates in a professional office environment or may be remote. The role routinely utilizes standard office equipment such as computers, audiovisual equipment, telephones, photocopiers, filing cabinets, and fax machines.
Position Type and Expected Hours:
This role may require additional hours beyond normal operating times and occasionally weekend work.
Travel Requirements:
When necessary, travel is primarily during business hours, although some out-of-area and overnight travel may be required. Must possess a valid driver's license and insurance.
Other Responsibilities:
This job description is not intended to be an exhaustive list of activities, duties, or responsibilities required of the employee for this position. Duties, responsibilities, and activities may change at any time with or without notice.
Reporting To: Sr. Director, Revenue Cycle Management
CAN Community Health is an equal opportunity employer committed to diversity and values the unique differences of each individual. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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