Revenue Cycle Training Manager

2 weeks ago

Florida, United States CAN Community Health Full time

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, particularly in front-end operations, combined with outstanding training and leadership skills. This role involves reviewing systems and processes to identify potential compliance challenges and collaborating with relevant departments to address these issues. It is crucial for maintaining the efficiency and accuracy of revenue cycle operations through comprehensive training and auditing initiatives.

Core Values:

  1. Recognize and affirm the unique and intrinsic worth of each individual.
  2. Treat all individuals we serve with compassion and kindness.
  3. Conduct business and personal affairs with absolute honesty, integrity, and fairness.
  4. Trust colleagues as valuable 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 while adhering to its policies and procedures.
  2. Ensure confidentiality is upheld by the entire team regarding patient/client information in accordance with HIPAA and professional standards.

Main Duties:

  1. Design and implement training programs for front-end revenue cycle operations, including patient registration, insurance verification, eligibility checks, and prior authorizations.
  2. Evaluate training needs and develop tailored training materials and resources for various roles within the revenue cycle team.
  3. Conduct regular training sessions for new hires and ongoing training for existing staff to ensure compliance with industry regulations and best practices.
  4. Work with revenue cycle leadership to identify areas for process enhancement and develop training initiatives to address identified gaps.
  5. Utilize auditing processes to monitor trainee performance, providing constructive feedback and coaching to facilitate skill development and performance enhancement.
  6. Stay informed about changes in healthcare regulations, payer requirements, and revenue cycle technology to integrate relevant updates into training programs.
  7. Maintain comprehensive training documentation and records, including schedules, attendance, and performance evaluations.
  8. Monitor benchmarks and KPIs, using actionable data to drive improvements.
  9. Serve as a subject matter expert on front-end revenue cycle processes, offering guidance and support to staff as necessary.
  10. Encourage a culture of continuous learning and development within the revenue cycle team.
  11. Collaborate 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:

  1. Exemplify integrity and adherence to 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 manage strategies for revenue process improvement in support of clinical departments and process initiatives.
  4. Oversee system edits to ensure compliance, payment optimization, and process efficiency.
  5. Effectively communicate with senior RCM 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.

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.

Competencies:

  1. Leadership
  2. Strategic Thinking
  3. Problem Solving
  4. Results Orientation
  5. Strong Training Skills
  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 and leading effectively with time and project management skills.
  3. Demonstrated leadership abilities, including inspiring and empowering team members to achieve performance goals.
  4. Ability to adapt to changing priorities and manage multiple projects in a fast-paced environment.
  5. Proven experience in designing and delivering effective training programs in a healthcare or revenue cycle context.
  6. Ability to conduct research using primary sources when necessary, such as CMS, HRSA, AHCA, Availity, and Payer Portals.
  7. Experience with medical payers, including Medicare, Medicaid, Commercial, and third-party administrators.
  8. Exceptional attention to detail and accuracy.
  9. Strong problem-solving skills, capable of researching complex information, creating insights, communicating recommendations, and implementing appropriate solutions.
  10. Solid understanding of healthcare billing and reimbursement practices, including knowledge of payer guidelines and regulatory requirements.
  11. Excellent communication and interpersonal skills, effectively engaging and motivating staff at all organizational levels.
  12. Proficient in Microsoft Office (Excel, Visio, Word, PowerPoint).
  13. Promotes teamwork, productivity, and high-quality care delivery.
  14. 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 occasional weekend work.

Travel Requirements:

When necessary, travel primarily occurs 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 cover or contain a comprehensive listing of activities, duties, or responsibilities required of an 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 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.

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