• Job Description

  Req#: 3844

  Company Overview

  Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We are a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families. SHC requires proof of COVID-19 vaccination as a condition of employment in most or all cases, subject to applicable legal requirements that would require further discussion about whether any requested exemptions can be accommodated.

  Job Overview

  The Revenue Cycle Manager is the primary resource to facilitate daily revenue cycle specific needs and communications between the hospital, headquarters, and external partners. The position reports to the Regional Finance Manager and indirectly reports to the Corporate Director of Patient Financial Services at the headquarters.

  The Revenue Cycle Manager facilitates oversight and resolution of pre-bill edits and denials, and interacts with department directors and physicians to obtain the necessary documentation to support clinical services provided. This position is responsible for management of the daily operations of the Patient Access department to ensure the timely and accurate process of patient flow through the cycle, including intake, registration, scheduling, insurance verification/authorization and financial counseling. Performs patient access quality monitoring, analyses key performance indicators, investigates denial trends and reports findings and recommendations for improvement opportunities.

  Responsibilities

  Quality of Patient Access /Registration Documents

  • Ensure QA on registrations for all areas of Patient Access.
  • Maintain, create and analyze QA statistics and reports.
  • Review the quality of patient registration documents.
  • Promptly report any system changes or enhancement opportunities to IS and/ or Corporate Director of Patient Financial Services as appropriate.
  • Track, trend and resolve facility denials.

  Professional Development/ Business Development

  • Complete bi-weekly and monthly reports for Corporate Director of Patient Financial Services and Revenue Cycle Committee as required.
  • Contribute to meeting and exceeding A/R goals for Patient Registration.
  • Maintain and develop a high degree of expertise in revenue cycle operations, technical processes and reports.
  • Analyze and communicate financial and operational data for decision-making and strategic planning.
  • Develop and recommended effective business improvement initiatives.

  Employee management

  • Manage various employee functions including but not limited to: hiring, performance appraisals, promotions, vacation schedules and payroll approvals.
  • Maintain Patient Access policies and procedures.
  • Monitor to ensure all Patient Access policies are followed.

  Qualifications

  Education

  • Bachelor's degree in Business or related field required or equivalent experience preferred.

  Experience

  • 4+ year of supervisory/managerial experience in acute care hospital in patient access, revenue cycle and/or patient financial services is required.

  Preferred Skills

  • Excellent leadership, customer service and communication skills.
  • Experience in a hospital or multi-disciplinary clinical setting.
  • Working knowledge of Epic or Cerner EMR.
  • Microsoft office proficiency.

• About the company

  Shriners Children's is a network of non-profit medical facilities across North America.

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