Job Information
Trinity Health Revenue Site Operations Business Partner - Hybrid in Canal Winchester, Ohio
Employment Type:
Full time
Shift:
Description:
Local to the Columbus area
Why Mount Carmel?
With five hospitals (https://www.mountcarmelhealth.com/find-a-location/) , over 60 free-standing outpatient clinics (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of Trinity Health (https://www.trinity-health.org/) , one of the nation's largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverage
Retirement savings account with employer match starting on day one
Generous paid time off programs
Employee recognition incentive program
Tuition/professional development reimbursement
Relocation assistance (geographic restrictions apply)
Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing
Why Columbus?
The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com !
About the job:
Analyzes performance metrics and provides consultation, leadership, and direction to enhance front-end workflows and improve revenue performance for THMG. Leads complex projects for practice/clinic locations with focus on ongoing support and continuous improvement. Serves as a consultative resource and develops, establishes, and manages relationships with executive leaders, key stakeholders, high-level professionals, and decision-makers. Makes routine site visits, conference calls, and regularly communicates with assigned practices/clinics.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Collaborates with assigned site location(s) front office and billing colleagues to improve revenue cycle performance by reviewing weekly metrics, assessing root cause analysis, and developing/implementing action plans.
Reviews front-end denials (eligibility, registration, and authorizations) for each area and provides feedback to Directors, Practice Managers and Supervisors. Provides trended metrics to help identify areas that are performing well and areas that need further development/review.
Oversees, assists, and manages Registration Charge Review and Claim Edit workqueues.
Reviews Front Office Dashboard for significant variances between performance & benchmarks or noticeable drops in performance from one week to the next.
Develops and conducts general or specialized educational sessions for colleagues or providers, such as Billing 101 sessions.
Conducts quarterly quality assessment of registration accuracy performed by front-end users. Provides education and training to those not meeting best practice goals.
Provides recommendations for communications and assists in completion of monthly newsletters informing practice colleagues and physicians of insurance policy and regulatory changes as well as changes in CPT, ICD-10 and HCPCS coding.
Communicates with manager and liaison team to ensure all assigned sites and colleagues are supported for all areas of revenue cycle.
Participates and leads Revenue targeted projects and addresses opportunities and barriers as they arise.
Provides regular project status updates to customers and leadership especially when there are delays or challenges.
Attends additional training, performs research, e-learning to stay current on best practices and new practice management technology and functionality as it becomes available.
Supports new practice acquisitions by conducting current-state assessments on front office functions, documenting gap assessments, making recommendations to transition to future-state, and providing go-live support.
Other job duties as assigned
MINIMUM QUALIFICATIONS
Must possess a comprehensive knowledge of professional billing, as normally obtained through bachelor’s degree in Healthcare Administration, Business Management, Accounting or a related field, and/or 7(seven) to 10(ten) years of professional billing experience.
MA, MGMA, AAPC or other healthcare certification preferred.
Six Sigma or LEAN certification preferred.
Experience/knowledge of electronic practice management systems.
Previous leadership in a related area preferred.
Understanding of HMO, PPO, TPA and commercial insurance types.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran