scranton Work Opportunities ∙ Page 6

Description

POSITION SUMMARY
This position is responsible for applying professional knowledge to analyze financial information across all aspects of the patient revenue cycle and for preparing a wide range of monthly, quarterly, and annual financial reports, including those required for regulatory compliance. The role also includes maintaining master files and billing fee schedules.

REPORTING RELATIONSHIPS

The position reports to the VP of Revenue Cycle 

ESSENTIAL JOB DUTIES AND FUNCTIONS

While living and demonstrating our Core Values, the Director of Revenue Analytics, Reporting, & Strategy will: 

• Work collaboratively with the VP of Revenue Cycle to facilitate reporting requirements for the monthly TWC – Revenue Cycle Management Dashboard creation.
• Responsible for creation and analysis of monthly productivity reports outlining visits, receipts, and charges per provider in conjunction with the VP of Revenue Cycle.
• Working with VP of Revenue Cycle, ensure the appropriate information is maintained and reconciled to the general ledger to record, measure, value and report on patient service revenue, receivables and related collections and allowances.
• Streamline month-end Medent reports used by the billing team to address claim rejections and accounts receivable. 
• Responsible for preparing and submitting monthly visit data reports and VTO metrics to the Finance department.
• Assist the VP of Revenue Cycle in preparing regulatory reports, including the annual Medicare Cost Report, UDS visit measures, Medicaid Wrap-Around report, and other required submissions.
• Responsible for annual maintenance of billing fee schedule for determination of consistency with local pricing based on Optum’s suggested pricing guidelines for locality. 
• Responsible for maintenance of CPT codes, including adding, updating and deleting codes annually based on current AMA/insurance guidelines.
• Responsible for maintenance of CPT, Insurance, and Provider Master File setup in conjunction with the EHR team.
• Responsible for maintenance of other Master Files as assigned. 
• Coordinate with the enrollment team on new provider setups to ensure proper release of insurance claims from the Medent system.
• Assist with special project reporting out of the Medent system, by gathering the data in excel and manipulating it for its specific use. 
• Perform special projects and other duties as assigned.

Requirements

REQUIRED QUALIFICATIONS

• Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
• Buy in and experience working in the EOS® model (strongly preferred)
• Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
• Bachelor’s Degree in Business or a related field, or equivalent experience
• Experience in patient billing highly desirable 
• 5 - 7 years of progressively responsible experience required
• Project management experience preferred
• Demonstrate ability to establish work priorities, delegate assignments as appropriate and follow through to ensure completion of activities
• Strong computer aptitude and proficiency, including advanced Excel skills such as V-lookups, Pivot Tables, etc.; proficiency in other MS Office applications a must
• Demonstrate success in leveraging financial system capabilities 
• Excellent data management and analytical skills with a passion for details and “digging in”
• Strong organizational skills and ability to balance multiple priorities with superior attention to detail in a dynamic environment; ability to drive process improvements 
• Must have excellent work habits, including a willingness to work the hours necessary to get the job done, especially when important deadlines cause greater than normal departmental pressures
• Highly motivated with a drive to succeed