Mgr Quality Assurance Rev Cycl / Rev Cycle… at Hartford… · Farmington

Work where every moment matters.

Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary:

Responsible for managing revenue cycle activities associated with timely collection of insurance receivable across several Hartford Health Care hospitals to insure optimal revenue cycle performance. The manager is responsible for $500 million in active inventory and provides leadership to supervisors and staff including management of human resources, vendors, and client relations. Reports directly to Director, Patient Financial Services Billing Support and works closely with other management and staff throughout the organization. Keeps abreast of all regulations and standards to insure compliance with governmental/regulatory agencies or third party payers. Assisting the organization to comply with all federal/state guidelines. Responsible to insure high quality, cost-effective product or service is delivered in support of the HHC core values, strategic plan and established Patient Financial Services goals and objectives.

Position Responsibilities:

1. Responsible for management of revenue cycle activities associated with timely collection of insurance receivable.
2. Significant contributor to decisions that impact workflows impacting collection of insurance receivables
3. Responsible for the timely realization of payment for approximately $500 million dollars in receivables and $16 million dollars in denials, overseeing the effective appeals of these claims and protecting against bad debt in this endeavor. These numbers will increase with new acquisitions.
4. Develops, implements and monitors meaningful goals and objectives for the department that align with the strategic direction of the organization and industry best practice metrics.
5. Models the effective efficient operation of the unit by, providing clear and specific goals and timely feedback.
6. Track trends and evaluates results. Continually strives to improve quality and productivity by identifying improvement opportunities and recommending and implementing changes where there are opportunities for improvement
7. Effectively and continually communicates with staff, management and customers to facilitate the flow of information.
8. Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizations objectives.
9. Implements individual performance expectations and coaches, develops and evaluates performance to enable employees to be successful in contributing to the achievement of individual and workgroup objectives.
10. Manages general HR related issues, this includes annual performance reviews, implementing HR policies, approving PTO and hiring staff. Works with employees on professional development and training opportunities.
11. Demonstrates H3W Leadership Behaviors
12. Development of a training and onboarding plan for new staff members joining the department
13. Assumes responsibility for self-improvement in collaboration with superior.
14. Maintain effective positive customer service, insuring the needs are met and educating staff on the importance of quality customer service.
15. May contribute to the outcomes of the defined function by performing the work of the function as required (very minimal)
16. Responsible for documenting and implementing policies and procedures.
17. Participates in the Management of vendor relationships and monitor performance.
18. Approve allowance and write off requests to $100,000.00
19. Work on special projects as needed

Reports To: Director, Patient Financial Services Responsible For 5 Direct and 55 In-Direct Reports

Nature of Supervision:

• Direct supervision of Accounts Receivable Supervisors and their efforts to successfully procure payments for the HHC organization across all several hospitals.
• Averages 55 FTEs with 5 leads as direct reports.
• Responsible for Time and Attendance tracking, management, and approval bi-monthly.
• Responsible for performance reviews.
• Interviews and makes hiring decisions.
• Develops and implements performance improvement plans where appropriate
• Internal: Risk Management, Patient Experience, Finance, Care Continuum, HIM, IT, Care Connect, Physicians, Executive Leadership, Patient Access

Education: Bachelor’s Degree or equivalent experience in Healthcare Revenue Cycle is required

Experience: At least three (3) years supervisory experience in a health care setting or related field. Five (5) years supervisory experience in an acute care setting is preferred.

Knowledge, Skills and Ability Requirements: Understanding of medical and insurance terminology, hospital billing/reimbursement practices. Excellent analytical and problem solving skills. Excellent communication skills both written and verbal and interpersonal skills. Strong leadership skills and ability to motivate direct reports. Must have strong computer skills including Word, Excel, Power Point.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.