Houston Methodist Standard PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:INTEGRITY: We are honest and ethical in all we say and do.COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.ACCOUNTABILITY: We hold ourselves accountable for all our actions.RESPECT: We treat every individual as a person of worth, dignity, and value.EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given jobDisplays cultural humility, diversity, equity and inclusion principlesActively supports the organization's vision, fulfills the mission and abides by the I CARE values Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Serves as the primary source of knowledge for department's revenue cycle performance.Leads committees and task forces needed to support revenue cycle initiatives for assigned departments. Demonstrates the ability to plan, direct and delegate tasks while ensuring deadlines are met.Bridges communication channels between the department, the Physician Organization's Centralized Business Office (PO CBO) and the Single Billing Office (SBO)
SERVICE ESSENTIAL FUNCTIONS
Performs root cause analysis, identifies and assess trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals Works with the training department on necessary curriculum to improve deficiencies, and improves workflows that impact financial outcomes.Monitors revenue cycle performance while adhering to compliance policies and procedures. Serves as department leadership's primary resource for revenue cycle-related questions or concerns
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Coordinates with PO CBO management team and SBO management team to ensure thorough understanding of trends/issues affecting the department's revenue cycle performance.Tracks on-going performance of revenue cycle metrics and activities to ensure department, PO CBO and SBO needs and goals are met.Leads monthly meetings with department administrators and physicians to review key metrics, trends, and performance improvement opportunities (e.g., staff training, physician coordination, policy/process revisions, etc.).Develops goals to link department and revenue cycle initiatives with the organization's strategy.
FINANCE ESSENTIAL FUNCTIONS
Prepares timely reports on the financial status of each physician's practice monthly and meets with the department leadership, faculty and staff to review status. Presents this data at monthly department revenue cycle meetings.Coordinates with the assigned financial analyst to obtain accurate and timely month-end financial reports
GROWTH/INNOVATION ESSENTIAL FUNCTIONSDevelops, coordinates, and monitors successful completion of implementation plans.Acts as a lead consultant/educator on performance improvement requirements in operations and methodologies to revenue cycle teams, medical staff, other patient care, physician and hospital departments.Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall PO CBO success.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION
Bachelor's degree in business or healthcare
WORK EXPERIENCE
Five years of experience in medical billing and insurance collections
License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
N/A KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or securityAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principlesStrong understanding of revenue cycle technology processes and denialsExcellent project management skills and ability to manage multiple projectsAbility to navigate across multiple customer demands and balance competing priorities successfullyAbility to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise mannerAbility to focus on problem or task and articulate a resolution in a prompt, productive and efficient manner; ability to recognize, evaluate, solve problems and correct errorsAbility to think critically and identify the global impact across the revenue cycle with a solution oriented approachAbility to maintain confidentiality of sensitive informationAbility to take independent action and judgment in required subject of general business-wide policiesStrong leadership skills with the ability to coach and develop staff
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform NoScrubs NoBusiness professional YesOther (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
On Call* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area No Company Profile
Houston Methodist Specialty Physician Group - As one of the nation’s leading hospitals and academic medical centers Houston Methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.
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Houston Methodist is an Equal Opportunity Employer.
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