GENERAL SUMMARY:
This position is responsible for managing the overall performance and optimization of CBO vendors. This position leads through sharing knowledge, motivation and engaging the CBO team to provide high quality services, which meet or exceed customer expectations. Collaborates with members of the team, identifies departmental and business unit priorities, establishes goals and implements strategies designed to maximize reimbursement for the health system and fosters a culture of innovation, employee engagement, and exceptional business performance.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Daily Operations:
Develop vendor partnerships to build a culture for high performance and engaged workforce for adherence to quality and productivity metrics set forth in the statement of work.
Responsible for oversight and subject matter expertise with vendor statements of work as it relates to contract terms and scopes of work.
Responsible for monitoring and evaluating vendor performance using scorecards, audits, and feedback mechanism.
Collaborate with leadership of the Insurance Recovery, Patient Pay Services, and other CBO departments to identify opportunities for improvement and implement changes.
Responsible for developing and implementing CBO vendor performance management frameworks and KPIs.
Responsible for strategically identifying work assignments for placement with offshore vendors, including but not limited to denials and insurance and self-pay debits/credits.
Provide oversight and adherence to third party payer contract and billing guidelines, including but not limited to offshore vendor restrictions.
Demonstrates belief in the mission of Henry Ford Health (HFH) through the ability to articulate, interpret, and incorporate its mission into departmental goals and objectives.
Supports the standards set forth in the HFH Code of Conducts by creating an atmosphere of commitment to legal and ethical standards.
Maintains revenue cycle accountability to the business units.
Establishes priorities and long and short-term strategic goals of the department with the assistance of the management team. Ensure staff is aligned with the goals and objectives related to Revenue Cycle for the organization.
Actively participates in various committees.
May develop and/or lead committees/teams related to revenue cycle regulatory changes and compliance.
Performs other related duties as assigned.
COMPLIANCE:
Responsible for maintaining regulatory compliance with external agencies and state and federal regulations. Ensure staff is kept informed and educated on process and regulatory changes.
Works with risk management, legal counsel, compliance office, administrative staff, key departments, providers, and committees to ensure that the organization maintains appropriate compliance including privacy, security and confidentiality policies, procedures, forms, coding, information notices, and materials that reflect current organizational practices and regulatory requirements.
QUALITY MANAGEMENT:
Is the guiding force behind the identification, establishment and maintenance of quality improvement activities related to payment applications services. Promotes the principles of quality improvement and utilizes the results of quality improvement activities to identify areas where change would benefit the team and its customers.
Work with appropriate System and revenue cycle leadership, ensures patient billing services representation and participation in appropriate external collaboration, think tanks, benchmarking groups, best practices, other initiatives at the local, state, and national levels.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's degree in business administration, accounting, or related field required. In lieu of degree, at least Five (5) years of health care revenue cycle management experience.
Five (5) years of management experience with healthcare accounts receivable preferred.
Experience in managing vendor contracts and workflows, preferred.
Knowledge of best practices related to revenue cycle operations and day-to-day functionality.
Knowledge of CPT and diagnosis coding and Third-Party billing regulations preferred.
Experience at a large, complex, integrated healthcare organization preferred.
Experience with insurance billing, patient accounting systems and other related applications preferred.
Communication skills and the ability to interact effectively with staff.
Ability to manage, coordinate, and lead simultaneously.
Ability to estimate time frames and meet projected deadlines.
Ability to work independently.
Ability to understand and lead change.
Goal oriented, exceptional interpersonal and change management skills.
Additional Information
Organization: Corporate Services
Department: CBO - Insurance Recovery PB
Shift: Day Job
Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services - from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .
Benefits
The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
