Associate Director, Revenue Integrity Operations

🕒 il y a 20 jours

🥔 Idaho – Distant

info

💵 $99 000 - $133 000 / an

⏰ Temps Plein

🟠 Senior

⚙️ Opérations

🦅 Parrain de Visa H1B

info

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of MRO

MRO

1001 - 5000 employés

🏥 Santé

☁️ SaaS

📋 Conformité

💰 Series unknown en 2019-11

Healthcare • SaaS • Compliance

MRO est une entreprise de logiciels de santé qui offre une plateforme d'échange de données cliniques (CDXP) et des solutions modulaires pour organiser, normaliser et échanger en toute sécurité des données cliniques entre les fournisseurs de soins, les assureurs, les registres et les demandeurs de données cliniques. MRO aide les hôpitaux, les systèmes de santé, les pratiques ambulatoires et les assureurs à rationaliser les flux de travail de divulgation d'informations, de conformité, de reporting de qualité/MIPS, de suivi des ACO, et d'intelligence clinique en se connectant à des centaines de dossiers de santé électroniques disparates, réduisant ainsi la charge administrative et accélérant la délivrance de soins centrés sur le patient. L'entreprise met l'accent sur la sécurité et la conformité réglementaire et a été reconnue par les prix « Best in KLAS » pour la divulgation d'informations.

Description

• Overall management responsibility for Revenue Integrity ROI operations • Conducting meetings with client audit and HIM stakeholders to review Audit Manager requests with suggestions to streamline workflow, create efficiencies and provide issue resolution / suggestive guidance • Ability to generate timely, concise, and effective business correspondence • Responsible for management of labor and expenditures to budget • Ability to interact with employees, customers, and colleagues in a professional and courteous manner • Superior time management and attention to detail • Participate in process review and improvement meetings • Participate in monthly and quarterly business reviews for client • Ensuring productivity standards and goals are met for direct reports • Oversees Area Managers who manage ROI Specialist workflow to ensure maximum productivity and quality standards are met, including guiding Area Managers on work assignment adjustments needed to cover peak periods, leave and vacancies • Ensures Area Managers perform Quality Assurance (QA) monitoring of work completed by ROI Specialists, and reviews QA outcomes with Area Managers to identify trends and coaching needs • Ensures Area Managers conduct quarterly and annual work performance reviews for ROI Specialists, and supports Area Managers in developing their team members to achieve professional goals • Monitors Area Manager performance and provides performance feedback and evaluations for direct reports • Promoting a positive image of MRO with emphasis on customer service by treating patients, co-workers, and medical center personnel with courtesy and respect • Responding to customer needs in a positive, professional, and efficient manner • Improve processes, policies, and practices so as to achieve company’s goals and ensure regional policies are met.

🎯 Exigences

• Bachelor’s Degree in Health Information Management, Business Administration or health related field or equivalent experience is required • RHIT or RHIA preferred • 5 plus years of HIM or Revenue cycle payer audit denial work experience • Experience with Post Payment, Prepayment, and Government Audit workflows • Experience with healthcare information systems (HIS) strongly preferred • Customer facing experience and proven success in managing customer relationships • Experience with Microsoft excel • Detail oriented with excellent verbal, written, interpersonal and presentation skills • Ability to 20% travel occasionally required • Ability to thrive in a high activity environment with a focus on excellent customer service • Proven ability to recruit, train, and motivate personnel • Participative management type – advocates team concept.

🏖️ Avantages

• Eligible employees may also receive an annual cash bonus • Comprehensive benefits offering, including medical, dental, vision, life insurance, and a 401(k) plan

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