Job Description
Analytics & Reporting: Assists with the entire creation process – including designing, building, and testing – of standard, new or customized data reports. Gather data from various IT systems Prepare reports for Ambulatory CBO and Acute CBO. Prepares daily, weekly, monthly reports Understand the organization’s performance expectations and tracks key performance indicators for all revenue cycle departments. Pulls data reports using organizations systems on a regular basis to monitor performance for all revenue cycle. Analyzes and distributes report findings to various staff throughout the organization, including executives. Through the analysis of KPIs and report findings, provides insights that will positively affect the Revenue Cycle Develops projections and escalates anomalies as appropriate Prepares monthly KPI and executive summary presentations for stakeholders Pulls additional reports for executive leadership upon request. Handles more complex data reporting while delegating other projects and responsibilities. Performs other duties as assigned. Training & Development: Provide management oversight for the development and execution of training and development plans targeting process improvements and consistency across the system’s business offices. Ensure quality measurement processes are performed consistently across the Revenue Cycle and include evaluations related to the latest workflow guidance. Stay current with CMS Methodology and other payer requirements through research and education sessions and prepare reports to monitor compliance Support and assist in coordination of CBOs billing departments to ensure consistency of policies between the two CBOs Communication: Collaborate with departmental leadership across the health system to optimize processes, coordination, and outcome reporting Coordinate denials, policies and workflows between Ambulatory and Acute CBO Prepare analysis and or proposals for other enterprise departments when necessary. Take part in internal and external audits, providing necessary data required Develop management-level recommendations for performance and process effectiveness improvement and act as an initiative leader in change management initiatives Identify payer issues and trends and escalate to Managed Care as necessary Budget Responsible for developing reports and FTE analysis (productivity) to assist leadership in budget preparation and monitoring System Support Provide ongoing troubleshooting, support, and maintenance of applications to external entities. Act in a supporting role related to the ongoing maintenance and optimization of Revenue Cycle tools for all CBO staff Provide enhancement requests as needed for reporting systems Regulation Adheres to NMHS/NMMC policies, procedures, and guidelines Complies with applicable local, state, and federal procedures, guidelines, regulations, and laws Requirements: Bachelor’s Degree in Business, Accounting or health related field required 5 years of experience in a position monitoring, managing, manipulating and drawing insights from data preferred. At least 3 years of experience supervising or managing a team; required Working knowledge of data mining principles: predictive analytics, mapping, collecting data from multiple data systems on premises and synthesizing data into comprehensive exception reporting on daily, weekly, monthly cadence as required. Understanding of and experience using analytical concepts and statistical techniques: hypothesis development, designing tests/experiments, analyzing data, drawing conclusions, and developing actionable recommendations for business units. Experience working with and creating databases and dashboards using all relevant data to inform decisions. Knowledge of clinical terminology Experience using analytics techniques to contribute to revenue cycle best practices, i.e., reduced initial denials, reduced write-offs, aging, maximize cash, dash-boards, payer and vendor report cards, exception reporting, daily measurement of inventory levels, Strong problem solving, quantitative and analytical abilities; required Strong ability to plan and manage numerous processes, people and projects simultaneously. Excellent communication, collaboration and delegation skills; required The right candidate will also be proficient and experienced with the following tools/programs: