Under the general direction of the Director of Revenue Cycle, the Revenue Cycle Training Coordinator is responsible for overseeing the establishment of written policies and procedures for all education and training, orientation, competency and Quality Assurance (QA) functions for revenue cycle services in order to ensure efficient registration, collections, billing, third-party follow-up, self-pay follow-up and agency placements. Activities include discharged, not final billed management, claims processing, remittance, follow-up, denials and appeals, collections, payment applications, adjustments and refunds, payer contract management, and customer service.
Monitors current systems to ensure Revenue Cycle personnel are utilizing systems to their maximum potential. Assists with system QA processes upon implementation of automation changes within Revenue Cycle. Communicates deficiencies in automated procedures and reported on bi-weekly or monthly basis to Revenue Cycle leadership. Randomly audits Revenue Cycle personnel to ensure individual is utilizing systems and follow-up procedures accurately to ensure account resolution.
This position is responsible for ensuring that the hospital's cash flow needs are met through the efficient delivery of a defined and unified training and orientation program for all revenue collection functions across the continuum of Renown Health that leads to a decrease in denials and underpayments and increases the optimal efficiency of revenue collection transactions
This position will identify and coordinate various projects related to Revenue Cycle in conjunction with the Revenue Cycle IT and hospital IT department and Revenue Cycle leadership relative to various applications or processes that will enhance or modify the facilities' Revenue Cycle operations.
The incumbent will keep abreast of all regulations and standards to assure compliance with directives issued by governmental/regulatory agencies or third party payers.
This position will provide mentoring, prioritization of assignments, quality assurance and leadership direction to all Revenue Cycle Trainers.
This position assists in developing and administering revenue cycle training and education programs, as well as ongoing professional development opportunities such as internal certifications, career ladders, etc. The incumbent also has the authority to direct the development of new and/or modified registration, billing and collection systems, and to establish, define or alter procedures for the same. Matters that will be referred for additional approval include major changes that affect revenue cycle policies in existence, alterations to contracts and budgets in accordance with established guidelines.
The incumbent will review all training curriculum, training processes, printed reference materials, works with assigned revenue cycle departments to reach agreement on solutions and/or recommendations for training needs.
This position does not provide patient care.
KNOWLEDGE, SKILLS & ABILITIES:
1. Exceptional communication and organizational skills
2. Strong customer service skills including payment mechanisms.
3. Familiarity with adult education techniques and the principles of adult learning.
4. Knowledgeable in third-party payer issues including payer and contract specific compliance variations.
5. Educated in collection policies, customer service and business application software.
6. Possesses the knowledge regarding the importance of their actions for financial impact and accountability for accuracy.
7. Knowledgeable regarding information technology tools for data edits and information analysis.
8. Adopts a philosophy consistent with the Renown Health Standards of Conduct.
8. Analytical and problem solving skills, as well as the ability to work and communicate effectively with other departmental staff and management.
9 Ability to coordinate the activities of subordinates in order to insure the most proficient cycling of registration, billing and subsequent payment of patient accounts.
10 Provides support for the development and execution of plans to improve policies, procedures, and systems throughout all revenue cycle departments.
11 Ability to schedule, meet and maintain daily and monthly routines, assign personnel and maintain integrity of records as it relates to the department orientation, training, QA and annual competency validation process.
12 Accomplished knowledge of hospital and professional billing and collection methods and procedures.
13 Ability to meet deadlines.