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Manager of Front-End Revenue Cycle Training

2 months ago

Florida, United States CAN Community Health Full time

Position Overview: The Front-End Revenue Cycle Training Manager plays a crucial role in ensuring adherence to all policies, processes, and procedures related to the front-end revenue cycle. This position requires a solid foundation in revenue cycle management, especially in front-end operations, along with outstanding training and leadership skills. The manager is responsible for evaluating systems and processes to detect potential compliance challenges and collaborates with relevant departments to address these issues. This role is essential for enhancing the efficiency and precision of revenue cycle functions through extensive training and auditing initiatives.

Core Values:

  1. Recognize and affirm the unique and intrinsic worth of each individual.
  2. Treat all individuals with compassion and kindness.
  3. Conduct business with absolute honesty, integrity, and fairness.
  4. Trust colleagues as integral members of our healthcare team, pledging to treat one another with loyalty, respect, and dignity.

Key Responsibilities:

  1. Promote and embody the mission and values of CAN Community Health Inc, adhering to its policies and procedures.
  2. Maintain confidentiality of patient/client information in accordance with HIPAA and professional standards.

Main Duties:

  1. Design and execute training programs for front-end revenue cycle processes, including patient registration, insurance verification, eligibility checks, and prior authorizations.
  2. Evaluate training needs and develop tailored training materials for various roles within the revenue cycle team.
  3. Facilitate regular training sessions for new employees and ongoing training for current staff to ensure compliance with industry standards and best practices.
  4. Work closely with revenue cycle leadership to pinpoint areas for process enhancement and create training initiatives to rectify deficiencies.
  5. Utilize auditing techniques to assess trainee performance, providing constructive feedback and coaching to foster skill development and performance enhancement.
  6. Stay informed about changes in healthcare regulations, payer requirements, and revenue cycle technologies to integrate relevant updates into training programs.
  7. Maintain comprehensive training documentation, including schedules, attendance records, and performance evaluations.
  8. Monitor benchmarks and KPIs, utilizing actionable data for continuous improvement.
  9. Serve as a subject matter expert on front-end revenue cycle processes, offering guidance and support to staff as needed.
  10. Encourage a culture of ongoing learning and development within the revenue cycle team.
  11. Collaborate with cross-functional teams, including EMR, finance, and clinical departments, to ensure alignment of front-end revenue cycle processes with organizational objectives.

Additional Responsibilities:

  1. Uphold the integrity of the mission and values of the organization.
  2. Communicate effectively and collaborate with other departments to implement best practices while ensuring compliance with billing guidelines.
  3. Develop and oversee strategies for revenue process improvement in support of clinical departments and system implementations.
  4. Ensure system edits are maintained for compliance, payment optimization, and process efficiency.
  5. Communicate effectively with senior leadership regarding compliance issues, performance challenges, and improvement strategies.
  6. Lead projects efficiently, providing project plans and status updates.
  7. Conduct site visits as necessary.

Qualifications:

Physical Requirements:

  1. Requires frequent bending, stooping, and standing, along with visual and auditory acuity, and the ability to sit and walk for extended periods.

Education and Experience:

  1. Bachelor's degree in healthcare, business, finance, or equivalent healthcare experience of over 5 years.
  2. Three or more years of management experience in a healthcare environment.

Essential Competencies:

  1. Leadership
  2. Strategic Thinking
  3. Problem Solving
  4. Results Orientation
  5. Training Proficiency
  6. Effective Communication
  7. Interpersonal Skills
  8. Decision-Making
  9. Customer Service Orientation

Required Knowledge, Skills, and Abilities:

  1. Ability to work independently with minimal supervision.
  2. Strong coaching and development skills, capable of organizing activities for a productive team while managing time and projects effectively.
  3. Demonstrated leadership capabilities, including the ability to inspire and empower team members to meet performance objectives.
  4. Adaptability to changing priorities and the ability to manage multiple projects in a fast-paced environment.
  5. Proven experience in designing and delivering effective training programs within a healthcare or revenue cycle context.
  6. Ability to conduct research using primary sources as needed.
  7. Experience working with medical payers, including Medicare, Medicaid, and commercial payers.
  8. Exceptional attention to detail and accuracy.
  9. Strong problem-solving abilities, capable of researching complex information and implementing effective solutions.
  10. Comprehensive understanding of healthcare billing and reimbursement practices, including payer guidelines and regulatory requirements.
  11. Excellent communication and interpersonal skills, with the ability to engage and motivate staff at all levels.
  12. Proficient in Microsoft Office applications.
  13. Promotes teamwork and the delivery of high-quality care.
  14. Comfortable working in a diverse environment with shifting priorities.

Training Requirements:

General Orientation, Violence in the Workplace, HIPAA, Sexual Harassment, HIV/AIDS, and other assigned Health Stream Courses.

Work Environment:

This position operates in a professional office setting or may be remote, utilizing standard office equipment.

Position Type and Expected Hours:

This role may require additional hours beyond normal operating times, including occasional weekend work.

Travel Requirements:

Travel may be necessary during business hours, with some out-of-area and overnight travel expected.

Other Responsibilities:

This job description is not intended to be an exhaustive list of all activities, duties, or responsibilities required of the employee. Responsibilities 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 perspectives of all individuals. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.